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.
Filler injection
In reviews of nasolabial surgery before and after fillers, patients often mention that the procedure does not hurt, only slight discomfort is felt. This is achieved through the use of very thin needles, preliminary anesthesia and the presence of an anesthetic in the fillers (not all fillers contain an anesthetic).
The drug is administered in several stages:
- Selection of the type of drug (by manufacturer, density), calculation of its quantity. At this stage, the skin condition is studied and the filler injection area is determined;
- Anesthesia. It is carried out using local creams and gels, less often - injections of anesthetic;
- Introduction of filler. The cosmetologist makes several injections into each nasolabial fold;
- Gel distribution. After injection, the filler should be evenly distributed over the wrinkles. This is done with massaging movements. The patient may notice discomfort, but it will not hurt him;
- Disinfection. At the last stage, the protruding drops of blood are removed, the skin is disinfected and cleansed with chlorhexidine.
All actions take about 20-40 minutes. After the procedure, the cosmetologist will give recommendations for further care to avoid complications and not complicate the recovery period.
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 the differences, which one is better to choose?
All women who have decided to inject fillers for the first time are primarily concerned with the question of which fillers are best to choose for their nasolabial lips.
The diversity on the market is due not only to different compositions, but also to the effects of their use.
Currently the following types are distinguished:
Biodegradable (absorbable or biocompatible) . These are fillers that, after a certain period of time, are completely eliminated from the body with lymph and blood approximately six months after injection. This type is based on hyaluronic acid or collagen (bovine or human).- Slowly dissolving . Such fillers are made on the basis of calcium hydroxyapatite, synthetic poly-L-lactic acid and polyprolactone. They also take part in the body’s metabolism, but are eliminated from the body longer than absorbable ones, after 2-3 years.
- Non-absorbable . These drugs contain synthetic substances, in particular polymer gel. Synthetic fillers do not take part in the body's metabolic processes and are not excreted naturally.
- Autological . They are made on the basis of the patient’s own biological material, in particular his adipose tissue.
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
Why do nasolabial folds form?
Let's say right away: do not confuse a nasolabial fold with a skin crease - these are two similar, but different in genesis problems.
Nasolabial fold
Nasolabial folds, in fact, have been with us since childhood - they simply appear only during facial activity (for example, smiling).
The main and most common cause of the formation of a nasolabial fold is the overhang of the nasolabial fat packet diagonally from the nostrils to the corners of the mouth during facial activity - both in childhood and in adults.
If all the fat packets are in place , then in a calm state the folds are not visible. But with age, the nasolabial fat packet “slides” down, and it is this that forms the fold itself.
If nasolabial folds appear from a young age, the reason is still the same - hypertrophied volume of the nasolabial fat packet.
The main reason for the formation of nasolabial folds is overhanging fat bags, no matter what they tell you on the Internet! Not skin, not muscle, but a fat packet.
Yes, the problem can be aggravated by the anatomical structure (deep-set oral region, malocclusion), the activity of the zygomatic minor and major muscles (they are responsible for the smile), but the contribution of these factors to the formation of the fold itself is insignificant.
Nasolabial skin fold
But the crease on the skin is formed due to the active work of the zygomatic muscles!
Every time we smile, scream and other emotions, we develop nasolabial depression. The constantly “creased” skin in this area - like paper - can become wrinkled over time: a skin crease.
Young skin is elastic and elastic, which means it easily recovers from wrinkles, but after 30 years, the production of elastin and collagen slows down and skin turgor decreases. It is after 30 years a skin fold usually begins to form in the area of the nasolabial fold .
A number of anatomical reasons - a narrow, long face, a deep-set oral area - contribute to the appearance of a crease, often without the appearance of the crease itself.
After 35-40 years, a combination of the fold itself (with an overhanging fat packet) and a skin crease is often observed.
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.
Clinical cases
Patient A., 35 years old
, turned to a cosmetologist with complaints about the fullness of her face. Please make your face more harmonious and elongated.
On examination, there is a lack of volume in the mental area.
A set of procedures consisting of several sessions was carried out, starting with procedures to improve skin quality. The final stage was a comprehensive volumization of the face.
- The angles of the lower jaw were corrected: QT FILL Sub Q – 3 ml.
- Chin: Sub Q – 1 ml.
- Cheek-zygomatic region: Sub Q – 2 ml.
- Lips: QT FILL Deep – 1 ml.
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After
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After
Patient B., 39 years old
. I asked to increase the volume of my lips.
The lips were corrected using the “Russian Lips” technique. In photo 3, during subsequent procedures, volume was added to the mental zone and to the projection of the mandibular ligament attachment. The patient noted the beauty of her face; her lips began to look harmonious and attractive.
Conclusion: it’s worth looking at the patient holistically; perhaps you shouldn’t start contouring with the lips.
The patient had 1 ml of QT FILL Deep injected into her lips twice with an interval of 2 weeks (2 ml in total).
In the submental area and in the projection of the mandibular ligament - 2 ml of the drug QT FILL Sub Q.
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After
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After
Patient S., 42 years old
. I complained about my double chin. On examination, there is a pronounced lack of volume in the mental area. By correcting this area using the drug QT FILL Sub Q (volume of 1 ml in two sessions with an interval of 10 days; 2 ml in total), we obtained a visual absence of a double chin. The patient stopped noticing him in the photograph as well. Additionally, lips were augmented with QT FILL Deep – 1 ml, thereby comprehensively beautifying the lower third of the face.
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After
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Patient D., 56 years old
. I went to a cosmetology clinic with complaints about sagging skin, the presence of jowls and nasolabial folds.
On examination, hypertrophy and drooping of the superficial fatty packets and atrophy of the deep fatty packets are noted. Ptosis of the soft tissues of the face.
During the process, complex facial volumization was carried out with thread correction in 2 stages.
The fillers used were QT FILL Sub Q – 4 ml in the cheek-zygomatic area, in the projection of the angles of the lower jaw, QT FILL Deep – 2 ml in the area of the nasolacrimal groove, nasolabial, labiomental fold.
This patient does not belong to the young age group, but the results obtained allow her to be included in this group.
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After
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When are the results of the procedure visible?
The results of the introduction of fillers are visible immediately. Since fillers not only restore volume, but also start the rejuvenation process, they will improve over another 3-6 months.
When using drugs based on L-polylactic acid, you will have to wait longer for results, since the body needs to produce collagen, which leads to tissue tightening.
Liquid lifting is a safe, low-traumatic, effective procedure, the popularity of which is growing along with other non-surgical methods. This is an excellent option for those who want to get a rejuvenating effect without surgery.
