Contour plastic surgery is the filling of wrinkles using gel fillers (fillers). This technique is used to correct wrinkles of any depth, folds, receding scars, changing the shape and increasing the volume of the lips, correcting the oval of the face and cheekbones. With the help of contour plastic surgery, you can instantly remove nasolabial folds, emphasize the contour of the lips and the shape of the cheekbones.
Currently, natural filler gels, so-called fillers, based on stabilized hyaluronic acid are used. Hyaluronic acid is a natural component of the skin and therefore does not cause allergic or other adverse reactions.
Thus, the administration of these drugs is absolutely safe and does not require allergy tests. Today there are a huge number of different lines of fillers. The most popular are Surgiderm, Juviderm, Restylane, Teosyal, Belotero, Styllage, Princess, etc. Each line contains preparations of different densities. The choice of drug is determined by the patient’s skin type, the level of administration (dense gels are injected into deeper layers), and the assigned tasks. It should be noted that each line has its own nuances, which the doctor can feel only with long-term practice on a specific drug. Thorough knowledge of the properties and behavior of drugs, the ability to combine them for various problems allows an experienced doctor to competently correct the age-related characteristics of each patient.
With a correctly selected drug, it evenly fills the wrinkle, is not detected in any way, is not felt during palpation, and is not felt by the patient in any way. The result looks completely natural.
Contour plastic surgery is the most favorite procedure for many women, as it allows you to get an instant effect immediately after the procedure, which lasts for a year or more.
It should be noted that with repeated injections of fillers based on hyaluronic acid, the duration of the effect is significantly prolonged, which is due to the fact that these drugs stimulate the synthesis of one’s own hyaluronic acid, collagen and elastin. Thus, even with complete resorption of the gel, we observe the preservation of the result due to the “own” tissue.
How are wrinkles filled with fillers?Before the procedure, local anesthesia with lidocaine cream is performed. In rare cases, if necessary, it is possible to perform infiltration or conduction anesthesia using injections of Ultracaine or Lidocaine. Thus, contour plastic surgery is very well tolerated by patients and is practically painless. As mentioned above, the choice of drug depends on the depth and location of wrinkles. Consult with a specialist to determine the most suitable drug for you, depending on the severity of skin changes and the desired result. |
Video about the procedure
I would like to once again draw your attention to the fact that the result of contour plastic surgery does not depend on the drug, but on the doctor’s experience and knowledge of the characteristics of a particular drug. Just as an artist’s painting depends not on the paint company, but on the artist’s professionalism.
Since it is neither practical nor necessary to work on all drugs from all companies, each doctor, as a rule, chooses several lines that he is used to working on. During the consultation, the doctor will explain in detail how to get rid of nasolabial folds and other age-related changes in facial skin using the “Contour plastic” procedure.
After the procedure, it is recommended to limit the sauna and bathhouse for a week, as well as the activity of facial movements in the correction area (smiles, kisses) for several days after the injection.
Radiesse: correct injections into the nasolabial folds
So, do injections of hyaluronic acid into the nasolabial folds make no sense?
They have. You just need to do everything right.
Expert comment:
«The secret of success is an integrated approach
.
Contour plastic surgery with Radiesse should be combined with strengthening of the entire overhanging cheek-zygomatic area. To achieve this, at Platinental we use a special technique. At the first stage
of correction of nasolabial wrinkles, we perform reinforcement. The fillers are fan-injected into special points on the face to different depths of the dermis over the entire area of the rejuvenated tissue (cheeks and cheekbones).
This technique “lifts” the sagging tissues upward.”
Iskornev Andrey, plastic surgeon.
What problems does contour plastic solve?
- Filling nasolabial folds
- Filling of labiomental folds
- Raising the corners of the mouth
- Lip augmentation
- Enlargement of cheekbones
- Filling fine wrinkles on the forehead and bridge of the nose
- Filling fine lines around the eyes
- Filling the lacrimal and nasal grooves
- Non-surgical blepharoplasty, correction of dark circles under the eyes
- Nose shape correction
- Cheek augmentation
- Filling ring-shaped wrinkles on the neck and décolleté
- Eyebrow lifting
- Filling purse-string wrinkles around the lips
- Filling wrinkles on cheeks
- Treatment of stretch marks and atrophic scars
Below are some results from our patients:
What are fillers
Filler is an injectable filler that is injected subcutaneously into the area of wrinkles or to increase tissue volume (cheekbones, lips, etc.). Fillers are either synthetic or biocompatible. The main component of most of the most commonly used fillers is stabilized hyaluronic acid (animal or non-animal origin).
The result is the elimination of wrinkles and increased skin elasticity.
Many drugs contain an anesthetic, so their use does not cause pain, but discomfort may occur.
Correction is indicated from 30-35 years of age, when the skin condition is not yet aggravated by hormonal changes, but skin care cream and face masks no longer help. It is during this age period that the maximum rejuvenation effect can be achieved with the help of fillers.
After 50 years, such a procedure does not work as well as we would like; resorting to injections loses its effectiveness due to menopause. After 60 years, it is better to choose surgical techniques.
Indications for contour plastic surgery
Correction of fine wrinkles:
- forehead wrinkles
- wrinkles on the nose
- crow's feet around the eyes
- purse string wrinkles
- neck wrinkles
- cheek wrinkles
- small scars
- stretch marks
Correction of medium depth wrinkles:
- nasolabial folds
- cheek wrinkles
- labiomental wrinkles
Correction of deep folds and wrinkles:
- nasolabial folds
- labiomental wrinkles (drooping of the corners of the mouth)
- nasolacrimal trough
What drugs are used
The best fillers for nasolabial folds are considered to be Korean, American, French and Italian. Rating of the most popular drugs:
- Overage Deep - the Italian manufacturer paid special attention to the soft distribution of filler in the skin without additional massage. A special feature is the long-lasting effect up to 12 months.
- Patch filler from Librederm is a Korean invention that is suitable for independent use at home. Each patch has 130 microneedles of hyaluronic acid, which dissolves within 3-4 hours. The optimal remedy for early signs of aging.
- Regines is a plastic absorbable filler from a South Korean brand. Contains an anesthetic. Does not cause allergies.
- Juvederm Ultra 3 and 4 - from an American manufacturer. Fillers have optimal viscosity to fill wrinkles of varying depths in mobile areas of the face. Hyaluronic acid goes through many stages of purification and is not rejected by the body. Contains lidocaine.
- Revofil Ultra - made in South Korea, recommended for people over 35 years old. Contains antioxidants and peptides, the effect lasts up to 12 months.
- Stylage Lubaratoire Vivacy - the line includes preparations labeled S, M, L for wrinkles of various depths. The gel does not clump. Contains lidocaine and antioxidants.
Side effects of contouring
Side effects when filling wrinkles are quite rare and can be easily corrected. As a rule, they are associated with an incorrectly selected drug, violation of the technique and depth of administration, and excessive administration of the gel. The manifestation of undesirable reactions will be contouring or clumping of the drug, determining it by touch. If the procedure is carried out correctly, you should not feel the presence of the drug in the skin. In such cases, you should contact a specialist to correct the result. If necessary, rapid resorption of the gel without visible manifestations is possible with a single injection of a resorbable drug.
Are Restylane injections into nasolabial folds effective?
Indeed, in many cases, hyaluronic acid preparations help get rid of wrinkles. Unfortunately, in the case of nasolabial folds, injections alone are not enough
.
Expert comment:
“After all, the reason for the formation of nasolabial wrinkles is not just dryness or thinning of the skin in this particular area. The real reason lies in the drooping tissue of the ENTIRE middle part of the face and the banal force of gravity. Therefore, the introduction of the gel into the nasolabial folds should have its own specifics.”
Andrey Iskornev, plastic surgeon.
Indeed, the injection of Juvederm and Restylane directly into the nasolabial folds helps only very young patients, and the effect of such a procedure is very short-lived - only a few months.
Let's debunk the second myth. Botox and Dysport are also not injected into nasolabial folds to correct them. They are used to improve the result at the final stage - to correct fine wrinkles around the lips and reduce the massiveness of the lower jaw.
Exercises for nasolabial folds –
Some people claim that exercise can strengthen the muscles surrounding the nasolabial folds, potentially making them less noticeable. Nevertheless, it is believed that active facial expressions associated with contractions of the facial muscles, on the contrary, lead to a deepening of the nasolabial folds. There are no clinical studies on this issue. The complex for nasolabial folds includes the following exercises, which are recommended to be done every day -
- Pucker your lips while lifting them towards the tip of your nose and hold for 15 seconds (repeat 4-5 times).
- Pucker your lips so they appear fuller, then pull the corners of your mouth outward and hold for 15 seconds (repeat 4-5 times).
- With your mouth slightly open, pull the corners of your mouth with your index fingers, moving them further apart, and hold for 2-3 seconds (repeat 25 times). We hope that our article was useful to you!
Sources:
1.
, 2. Personal experience with fillers, 3. National Library of Medicine (USA), 4. https://aestheticsjournal.com, 5. “Cosmetic dermatology” (L. Bauman), 6. “Anatomy & volumizing injections” (Nabila Azib, Philippe Berros, Frederic Braccini).
Answers to frequently asked questions about biorevitalization
We have made for you a selection of answers to the most frequently asked questions about biorevitalization. Answered by Ph.D. cosmetologist-dermatologist Zherlova Tatyana Georgievna
At what age is biorevitalization recommended?
Biorevitalization has been carried out since the age of 25 to prevent aging, reduce the depth of the first wrinkles that appear, or restore the skin, for example, after exposure to the sun.
How many biorevitalization procedures are needed? Is one enough?
The average course of biorevitalization is 3-5 procedures. To obtain a rejuvenating effect, you must complete the entire course. The goal of biorevitalization is to increase the level of free hyaluronic acid in the dermis (skin) and stimulate fibroblast cells, which, after the course, begin to produce their own hyaluronic acid and allow the skin to work as if it were 20 years old. Therefore, one procedure is not enough to obtain the effect.
After what procedure will the effect be noticeable?
The first effect will be noticeable within a few hours. Each subsequent procedure from the course will enhance the result obtained.
How long does the effect of biorevitalization last?
Typically, the effect of a biorevitalization course lasts 6 months, in some cases it can last longer.
Why do injection marks last longer from some biorevitalization preparations?
There are many preparations for biorevitalization. The choice usually depends on skin type and age-related manifestations. Some preparations, in addition to hyaluronic acid, contain additional components in the form of vitamins, amino acids, peptides or substances that prolong the action of hyaluronic acid, and therefore moisturizing properties.
There are different ways to administer these drugs. Usually, they are recommended by the manufacturer. Therefore, after some biorevitalization procedures, papules “pimples” remain, while other drugs are injected into the deep layers and therefore the traces are almost invisible.
Why hyaluronic acid?
Hyaluronic acid is a part of our body. It is part of many tissues and is found in most biological fluids. Hyaluronic acid is also part of the skin, taking part in its regeneration and antioxidant protection. The production of hyaluronic acid itself occurs in the skin, but, unfortunately, decreases from the age of 25. That is why the first acquaintance with biorevitalization is recommended at this age, and not earlier.
Who needs a course of biorevitalization procedures?
A course of biorevitalization procedures is recommended for everyone over 25 years of age. Because it will make the skin dense, elastic and slow down aging. But biorevitalization is especially necessary for patients with dry skin. After returning from a sunny country or skin damage due to ultraviolet radiation both in the sun and in a solarium. For those who are preparing for plastic surgery, to speed up healing. For the prevention of chrono- and photoaging. If you need to look fresh, young and rested for an important date, then it's time to start with this wonderful procedure.
Will biorevitalization remove nasolabial folds?
Biorevitalization is a procedure that improves the quality of the skin. With its help you can prevent the appearance of nasolabial folds and other wrinkles. To fill nasolabial folds, other preparations based on hyaluronic acid and other techniques are used.
What will I look like when the effect of biorevitalization ends? Will there be a dependence on procedures?
Biorevitalization adds freshness, beauty and radiance to the face. But these effects are reversible. Therefore, I would like to repeat the course (after the recommended period, or you can carry out one maintenance procedure every 2-3 months) to restore the feeling of comfort and youthfulness of the skin.
Biorevitalization, of course, does not cause physical dependence (like bad habits)!
Contraindications
You should treat injections with special caution - you need to consult a cosmetologist in advance about diseases and individual features of the facial structure, and find out contraindications to injection techniques.
Health restrictions include:
- Allergy to the components of the drug;
- Autoimmune diseases;
- Oncology;
- Pregnancy and lactation;
- Infections and inflammations;
- Injuries and skin diseases in the treatment area;
- Blood clotting disorder;
- Rosacea.
Also, prohibitions on the use of fillers include the presence of jowls, swelling and ptosis above degree 2, excessively thin skin, and a tendency to form scars.
Hyaluronic fillers act to fill the tissues, so they make the already drooping parts of the face heavier, increasing the swelling of these areas.
The consequences can be very serious, and complications will contribute to the aggravation of problems, even asymmetry of features is possible.
Most often, anti-wrinkle beauty injections are suitable for thin faces and finely wrinkled types of aging.
Precautionary measures
Only a cosmetologist with a medical education can give an injection, because it is important to know the places where muscles are attached to the skin, the location of blood vessels and nerve clusters.
The injection technique depends on the correction area and the density of the product. Only adherence to technology and knowledge of the anatomical structure prevent complications.
Drugs must have certificates and be stored according to instructions, taking into account expiration dates. The package is opened in front of the patient.
Even after a correctly performed procedure, improper facial care in the next 7-10 days can lead to filler displacement, the development of side effects and accelerated destruction of hyaluronic acid molecules.
Opinion of cosmetologists
Cosmetologists talk about the need for careful preparation for procedures - preference should be given to qualified specialists and biodegradable fillers:
Doctors point out the importance of general skin care, despite the rapid anti-aging effect after filler injection:
Cost of drugs, where to buy
Average price for drugs per 1 ml (1 syringe) in Russian rubles:
| Overage Deep | 14 000 |
| Librederm patches | From 1000 |
| Regines | From 3000 |
| Juvederm Ultra 3.4 | 12 000 – 16 000 |
| Revofil Ultra | From 4 200 |
| Stylage Lubaratoire Vivacy | 13 000- 17 000 |
You can buy drugs in specialized cosmetic stores, beauty salons and clinics. The price in online stores is often lower.
