home Auditorium 7 What is filling in cosmetology? Injection contour plastic surgery. Contour plastic

What is filling in cosmetology? Injection contour plastic surgery. Contour plastic

The aging of the human body does not proceed uniformly: some organs and systems age faster than others. The skin, as a natural barrier, is the first to take on the damaging effects environment. And, as a rule, signs of aging appear quite early. The face loses filling due to loss of volume in the skin and soft tissue. These changes lead to deterioration of aesthetic contours and affect general form faces.

What is injection contouring?

Contour plastic - subcutaneous injections gel - effective procedure, in order to fix cosmetic defects, age-related wrinkles, as well as defects resulting from injury (scars, wrinkles). Unlike plastic surgery, this procedure is quick and almost painless. The contour plastic method allows you to correct natural imperfections of the face, increase volume and model the shape of the lips, chin, cheeks, cheekbones, and also fight wrinkles on the neck, décolleté and other aesthetic problems.

Today, aesthetic clinicians have an ever-expanding range of treatment and facial rejuvenation options at their disposal. An extremely popular option involves injecting semi- or non-permanent dermal fillers for facial contouring and volumization, instead of or before invasive procedures. surgical options. Dermal fillers can be used in addition to other treatments, including botulinum toxin, phototherapy (intense pulsed light), resurfacing, and radiofrequency treatments. The synergistic effects of such combination procedures can improve the aesthetic outcome and its duration, sometimes creating dramatic results.

Facial contouring can be considered a source of pride for modern cosmetology, which has provided us with this unique technique for correcting problems of the face and lips. With the help of contouring, wrinkles disappear quickly and painlessly, the skin becomes renewed and fresh.

On the other hand, contour plastic helps to overcome even those skin problems (nasolabial wrinkles, small wrinkles around the eyes), the elimination of which is considered almost impossible even with the help of plastic surgery.

Currently happening active growth number of non-surgical interventions compared with invasive surgical cosmetic procedures. In addition, there is a growing interest in facial rejuvenation among men. Almost half of all procedures are performed on patients aged 35-50 years, therefore, procedures are mainly used as prevention and maintenance rather than corrective treatment.

When will injection facial contouring be effective?

Dermal fillers help reduce wrinkles and restore volume and fullness to areas of the face. Facial contouring is ideal for those who want to get rid of nasolabial wrinkles, wrinkles around the eyes, for those who dream of smooth and youthful skin without surgical intervention.

Dermal fillers can be used for the following purposes:

enlargement of thin lips,
correction of fine wrinkles,
softening facial folds and deep wrinkles,
improving the appearance of deep scars.

For some patients, surgical plastic surgery such as a facelift, brow lift, or eye lift may be the best approach. Non-surgical rejuvenation may not achieve the same results, but may help delay the time when considering a facelift becomes appropriate.

Treatment can be done either by using deep injections above the bone or by replenishing the subcutaneous fat beneath the skin.

Before injecting the filler, your doctor may use a local anesthetic to numb the treatment area. A small amount of filler is then injected into the skin with a very fine needle. The filler immediately fills wrinkles and makes the skin look more smooth surface. The result of the procedure is facial rejuvenation within a few minutes. The effect lasts from 6 to 12 months depending on the type of filler and type of correction. The most important thing to remember about injectable filler treatments is that they are temporary and the effects will eventually wear off.

Each area of the face ages differently. Clinical signs Aging in the forehead area may include static and dynamic wrinkles, volume loss, and signs of photoaging (eg, pigmentation, texture changes). Eyebrows may lose volume and sag (ptosis). In the eye/lid area, loss of volume results in dark circles and orbital hollowing. Both eyelids (upper and lower) may become baggy and wrinkled.

In the middle area of the face, the cheeks are vulnerable to volume loss. Aging of the nose produces both structural changes, such as drooping of the tip of the nose and textural changes in the surface (porosity and bumpiness). The lower third of the face covers the perioral area, lips, and chin. Lips are especially vulnerable as they age; they can lose volume, shape, and boundaries. The perioral area may become wrinkled. The nasolabial folds may lose their support and begin to sag.

Each area may require its own methods of cosmetic rejuvenation. Cosmetologists widely practice increasing the volume and changing the shape of the lips. Medicine injected under the skin and its ability to retain water creates the required moisture. Non-surgical nose shaping is a relatively new variation of filler treatment. You can smooth out bumps and bumps on the bridge of the nose, clarify the profile of the nose after injury or surgery. By injecting the gel into the chin area, you can redefine the lower contours of the face and balance the size of the nose and chin. Deep hollows under the eyes can be filled with fillers. After injections, the skin looks smooth, moisturized and elastic.

Once the physician and patient have decided on soft tissue augmentation as the most appropriate treatment option, they should discuss the choice of filler and whether it will be used alone or in combination with other resurfacing tools (laser resurfacing, botulinum toxin, etc.). There are many factors to consider when choosing a filler, including the type needed depending on the area of the face, the duration of the effect (3-6 months or longer), the cost, the area of the face to be treated, the potential side effects, such as allergic reactions (especially with bovine collagen) and granulomas.

What types of fillers are used in injection contouring?

Filler options include biodegradable (non-permanent) fillers, semi-permanent (slowly biodegradable) fillers, and permanent non-biodegradable dermal fillers. Currently available dermal fillers are based on:

own fat
bovine or human collagen,
non-animal stabilized hyaluronic acid (Juvederm, Restylane, Perlane),
polymethyl methacrylate microspheres with bovine collagen (Artefill),
calcium hydroxyapatite (Radiesse),
poly-L-lactic acid (Sculptra),
silicone.

Each option has advantages and disadvantages that should be clearly discussed with the patient before any treatment is initiated. In some countries, silicone injections are prohibited for use in cosmetology.

Hyaluronic acid is a substance that is naturally found in human tissues such as muscles and tendons. Hyaluronic acid is a natural component of human skin, which provides its hydration. Hyaluronic acid products are the most commonly used injectable materials today. These fillers are absolutely harmless, hypoallergenic, and do not migrate under the skin. Over time, hyaluronic acid is metabolized in the body to form carbon dioxide and water. Contour plastic surgery with hyaluronic acid gel is indicated at any age; the drugs can be used in combination with other rejuvenation procedures. Over time, the filler will be broken down by the body's own enzymes, just as it does with natural hyaluronic acid.

When performing autologous fat grafting (the patient's own fat), fat must first be removed by liposuction from parts of the body with a thick layer of fat, such as the abdomen, thighs or buttocks. The fat cells are first purified, then centrifuged and injected into the desired area using very fine needles. For fat cells to survive, it is important that ingrowth occurs. blood vessels. Because some of the fat cells will die, it cannot be accurately predicted how many cells will survive. The amount of remaining cells can vary from 30 to 70%, so injections must be performed 2 to 3 times to achieve the desired volumes.

Contraindications to the introduction of fillers and side effects

Contraindications for injection plastic surgery relate

pregnancy and breastfeeding period,
allergy to drug components,
tendency to form keloid and hypertrophic scars,
bacterial, viral, fungal diseases skin,
immune and infectious diseases,
diabetes,
hemophilia.

Side effects from treatment are usually minimal. Redness and swelling may occur, but should subside within a week. During this time, exposure to the sun and cold should be avoided, as these conditions place additional stress on the healing skin. Most patients describe the treatment as relatively painless. The most common complaint is redness at the injection site.

Your doctor may recommend using ice to reduce side effects such as swelling and tenderness at the injection site. Treatments such as chemical peels, laser skin resurfacing, laser skin tightening, and other laser techniques should be avoided as they may cause inflammation. In the first 24 hours after treatment, it is recommended to avoid sudden movements in the treated area.

Non-surgical blepharoplasty can correct many imperfections in the area around the eyes. Non-surgical blepharoplasty methods include laser resurfacing, Thermage, Botox, filler injections...

Technique for contour plastic surgery

Enumeration and short description basic methods and techniques used in contouring. Specifics of choosing techniques when working with different areas facial, pain relief procedures

Development innovative technologies, including in cosmetology, allows women to preserve their beauty for as long as possible, regardless of age.

Contour plastic helps to rejuvenate the skin and correct facial features. After its implementation, facial wrinkles are smoothed out, nasolabial folds are significantly reduced.

What is facial contouring? This procedure is an injection technique, during which the face is corrected using fillers.

Contour plastic surgery gives an excellent and noticeable aesthetic result. It is used not only on the face, but also on the neck and décolleté, as well as on the hands and knees.

Contour plastic makes it possible to:

get rid of wrinkles, even deep ones;
significantly tighten the oval of the face;
give your cheeks extra volume;
make the contour of the cheekbones clearer;
raise your eyebrows.

In addition, the procedure stimulates the flow of oxygen to skin cells, moisturizing it. Additionally, the production of collagen and elastin increases. The drug neutralizes the adverse effects of free radicals, resulting in fresher and more elastic skin. In addition, the procedure eliminates pigmented areas and scars.

Contour facelift: indications and contraindications

A contour facelift lasts from 30 to 40 minutes. First, the face is cleansed, then an anesthetic gel is applied. After this, the doctor begins injections of fillers, they are carried out in 1 session. Fillers act as micro-implants, filling the free space. They fill wrinkles from the inside, smoothing them out, making the facial contour clearer and more expressive.

Fillers are gel fillers that are used for correction; they are injected subcutaneously. Many companies around the world are engaged in the production of filler, but the highest quality and safest ones have a recommendation from the FDA, an organization that controls medications. Therefore, at a preliminary consultation, you can ask the doctor what medications he plans to use for a contour facelift.

Preparations for contouring are made on the basis of hyaluronic acid and other substances. Gels Restylane, Surgiderm, Stilage, Juvederm are produced on the basis of hyaluronic acid, Radiens, Ellan, Sculpture are based on other components. Your doctor will advise you on the choice of filler; all products differ in the duration of the effect, density, and, importantly, price.

A contour facelift will ideally help women with a sagging chin, an unclear oval face, and hollow cheeks. There are also contraindications:

The day before the procedure, you should not drink alcohol or play sports. The price of the issue will vary depending on the salon and the type of drug. The effect lasts for approximately six months.

Features of facial contour correction

In the process of performing contour correction of the face, the contour of the face, nasolabial folds are corrected, the volume and shape of the lips are changed, and the corners of the mouth are raised.

To do this, various fillers are injected under the skin. This procedure has a certain duration of action; ultimately, the injected drugs are absorbed and excreted from the body. naturally.

The main advantage of facial contour correction is the rapid visible effect. Its duration is short, you will see the initial result immediately.

Fine wrinkles disappear, deeper ones are smoothed out, the skin becomes elastic and rejuvenated. The effect after the procedure is comparable to the results of plastic surgery, but is more gentle on the skin.

Remember

Despite the fact that this correction is not a surgical intervention, it can only be performed by dermatocosmetologists and cosmetic surgeons with higher education. medical education. Many salons offer contour lifting services, but it is still better to carry out this procedure in specialized cosmetology clinics or plastic surgery centers.

Lip augmentation using hyaluronic acid injections is very popular, especially among young girls. This allows you to enlarge your lips, making them plump and sensual, and also remove asymmetry, if any.

Older women prefer correction of nasolabial folds or corners of the mouth. Over time, the skin becomes less and less elastic, multiple wrinkles appear, including around the mouth. As time passes, the corners of the lips droop, giving its owner a gloomy, unfriendly appearance and increasing age. It is possible that deep folds may appear in more early age As a rule, this is associated with malocclusion, active facial expressions, individual characteristics. The introduction of fillers eliminates wrinkles and makes the face look much younger. Correction of lips and nasolabial folds with hyaluronic acid can be performed at any age, for both women and men.

At the initial consultation, a filler is selected; its use depends on the depth and number of wrinkles, and the duration of its action. The doctor should warn about possible side effects.

Contour correction of the face is carried out in the office of a cosmetologist; 30-40 minutes are enough to carry it out. Depending on the depth of the wrinkles, gels of different densities are used. For shallow, superficial wrinkles, gels with low density are used. The greater the density of the drug, the more depth his penetration. For deep wrinkles, the gel is injected into the middle layers of the skin; to correct the nasolabial triangle, into the subcutaneous layer. The procedure for correcting several types of wrinkles is longer, but lasts no more than one and a half to two hours. To get rid of wrinkles, the gel is injected directly into skin fold, with an increase in lip volume - into the lip contour and the lips themselves. To correct shallow and fine wrinkles, anesthesia is not needed, it is only necessary during insertion large quantity gel for the correction of deep wrinkles.

The advantage of this type of contouring is that there are no injection marks left on the skin and no rehabilitation is required.

Rejuvenation of the facial contour using mesotherapy, biorevitalization and plasma lifting

The following injection techniques are used to rejuvenate the contour.

Rejuvenation of the facial contour using mesotherapy

The doctor selects a special “cocktail” individually for you, which includes anti-aging drugs and vitamins. During mesotherapy, problems such as dryness and sagging skin, as well as facial rejuvenation in general, are solved. There are special complexes that will remove wrinkles around the eyes, protonate and moisturize the skin. After a course of 8-10 procedures, you will get a lifting effect, get rid of wrinkles, and tighten your facial contour.

Rejuvenation of the facial contour using biorevitalization

This technique is another effective non-surgical method of rejuvenation. This is the process of reinforcing the skin framework by injecting hyaluronic acid. Its name literally translates as “revitalization”, it restores tone, smoothes out wrinkles of the face and neck, and significantly tightens the facial contour.

The drugs used during the procedure must be safe, have a high molecular weight, and provide quick effect and easy administration into the subcutaneous layers. As a rule, a course of 3-5 procedures is prescribed with an interval of 7 days. You will see a tightened oval face and radiant freshness after the 1st procedure.

Rejuvenation of the facial contour using plasma lifting

Rejuvenating the facial contour using this method is essentially self-rejuvenation; the patient is injected with concentrated plasma of his own blood. The skin becomes smoother and more elastic, wrinkles are smoothed out, the facial contour is tightened, and the skin structure is significantly improved. In addition to combating age-related changes, it is suitable for skin with acne, freckles, age spots. It is carried out in a course, the effect lasts for 2 years.

Of the hardware procedures for rejuvenating the facial contour, photorejuvenation is the most in demand. During the procedure, the skin is exposed to high-intensity light fluxes. In addition to skin renewal and rejuvenation, a lifting effect occurs that significantly tightens the contour. After just 3-5 procedures, skin turgor will increase significantly, wrinkles will disappear, nasolabial folds will smooth out, and the oval of the face will be significantly tightened.

"Eighteen till I die"

It is this song by Bryan Adams that is perfectly suited as the slogan of modern contouring.

Injectable preparations for non-surgical rejuvenation allow you to postpone acquaintance with the possibilities of plastic surgery for 15-20 years. And at the same time look, at most, “a little over 30.”

Until recently, cosmetology could offer only 2 types of drugs. Today, the choice has increased - and plastic surgeons risk losing their jobs!

Muscle relaxants: Botox, Dysport, Xeomin. These drugs are injected with thin needles into the facial muscles and immobilize them. As a result expression wrinkles smoothed out. The effect lasts up to 7 months.

With the help of botulinum toxin preparations, you can lift the corners of the mouth, lift the tip of the nose, remove a network of small wrinkles around the mouth and on the neck, and reduce the volume of the lower jaw.

Fillers based on hyaluronic acid(from the English word fill - fill): Restylane, Perlane, Juviderm, Surgiderm, Glytone. These safe gels are used to replenish lost volume - to smooth out wrinkles, nasolabial folds, increasing lip volume and cheekbone. The effect lasts on average 3-6 months.

Collagen-stimulating fillers latest generation, such as Sculptra and Radiesse. These newly created drugs are unique. They stimulate the skin's production of its own collagen. Therefore, the rejuvenating effect from their introduction does not disappear after the degradation of the gel itself and is guaranteed by the manufacturers for up to 2 years!

Expert comment:

Our assortment includes only modern contouring techniques

These techniques can be perfectly combined in one procedure, obtaining a powerful rejuvenation and tightening effect.

1. Classics of the genre: contouring with hyaluronic acid

Hyaluronic acid usually solves the problem of superficial wrinkles and enlarges the lips. The filler is injected directly under the wrinkle, as if “pushing” it out.

2. Facial contouring to replenish lost volume

With age, the volume of the cheekbones decreases, the eyes and cheeks look sunken, and tear and nasolabial grooves appear. It is these problems that volumetric (volumetric) facial correction using microcannulas eliminates.

3. Gel lifting

Rosa Syabitova. Cheekbone augmentation in combination with gel lifting with Radiesse. Photos before the procedure and 7 days after. Done by Andrey Iskornev.

The result is high, youthful and plump cheekbones. Elimination of nasolabial folds. Smoothing the lower jaw line. General pronounced lifting. The skin got rid of the “spider web effect” - a network of fine wrinkles.

The effect of contouring will increase over several weeks. The result will delight Rose for up to 1.5 years.

Preparations for contouring

Platinental's rich menu offers you only safe, certified gels that dissolve over time:

Restylane and Restylane Perline the most famous and proven drugs from the hyaluronic acid line. The drug is absorbed within 3-5 months.

Surgiderm (Surjiderm) is the most popular filler for accurate natural lip augmentation, giving shape, and enhancing the lip contour. The drug does not form lumps and, when administered correctly, never creates an unnatural effect.

Belotero- one of the highest quality preparations for “soft”, barely noticeable lip filling. A very flexible material that can easily emphasize the natural shape of the lips or remove just the beginning signs of nasolabial folds or other wrinkles and creases on the face. Belotero is excellent for removing transverse wrinkles on neck technology micro-reinforcement of cannulas.

Glytone- an exclusive drug for contouring with long-lasting action (manufacturer’s warranty of 12 and 24 months). Ideal for Haute couture lip enhancement. Contains mannitol, which provides an additional effect of deep hydration and biorevitalization.

Radiesse– a powerful new generation collagen-stimulating gel. Suitable for removing deep nasolabial folds, even in men. The validity period of the drug is 2 years.

Sculptra- a drug based on polylactic acid, which has proven itself ideally in the USA. Used for complex facial reinforcement, removal of nasolabial folds, lifting the cheekbone area, neck rejuvenation.

Juviderm Ultra is the only gel that contains an anesthetic, providing maximum comfort during and after the procedure.

(Equio) - new gel based on hyaluronic acid with a unique permeability property - the PERMEANCE. It is evenly distributed under the skin, giving swelling a “tunnel” effect.

Correction zones for contour plastic preparations.

What drugs are used to correct a particular area?

contour plastic surgery of cheekbones - Radiesse (Radiesse), Sculptra (Sculptra), Glytone 4 Juviderm ( Juvederm) Voluma,
lip contouring, corner lifting - all preparations based on hyaluronic acid, Xeomin for local muscle relaxation in the area upper lip and enhancing the lip contour;
lip augmentation- Surgiderm (Sujiderm), Belotero;
nose contouring – Radiesse;
– all drugs;
neck contouring - Belotero, Radiesse, Sculptra;
eyelid contouring – Belotero Soft, Ial systems;
chin contouring - Radiesse, Sculptra;
eyebrow contouring - Radiesse, Sculptra;
body contouring – Macrolane;
intimate contour plastic surgery - Glyton, G Wisk.
nasolacrimal grooves - Radiesse, any soft preparations of hyaluronic acid in microvolumes;
hand contouring – Radiesse;
cheeks - Radiesse, Sculptra.

Photos "before and after"

Facial contouring - correction of cheekbones, nasolabial folds, nasolacrimal grooves.

Contour plastic surgery of cheekbones and nasolabial folds.

Contour plastic surgery of the nasolacrimal groove.

Lifting the lower third of the face using fillers.

Contour correction of wrinkles in the ear area, filling in the missing volume of the earlobe.

Male contouring - facial volumization, wrinkle smoothing.

Augmentation of the angles of the lower jaw with fillers.

Correction of the eyebrow area. Performed: .

Botox injections.

Injections of botulinum toxin type A into the forehead. The result "before" and 2 weeks "after" the procedure.

Correction of facial wrinkles with Botox. Performed: .

Contour plastic surgery of nasolabial folds using Surgiderm24хр. Photos were taken “before” and immediately “after” the procedure. Performed: .

Correction of nasolabial folds.

Non-surgical earlobe rejuvenation.

Contour plastic surgery of the earlobe with hyaluronic acid.

Chin contouring. The effect lasts up to 1 year. Then you can repeat or install a permanent Medpor implant. Completed by: Vasiliev Maxim.

Contouring of cheekbones with fillers.

Chin contouring.

Lip contouring.

Why Platinental

Doctors at the Platinental center are certified in each of the drugs;

The procedure for reinforcing and correcting facial volume with a microcannula is performed by plastic surgeon, familiar in detail with the anatomy of the face. Only a practicing aesthetic surgeon can guarantee the most pronounced and natural lifting without traces of punctures;

- Each Platinental specialist has performed several thousand procedures;

Due to the unique technique of combining drugs, contour plastic surgery with gels solves several different problems at the same time. For example, Peraline wrinkle filling goes well with Radiesse vector lifting, etc. In such cases, the effect is usually much more pronounced and lasts longer;

Maximum natural result and natural contour with minimal intervention.

How much does a rejuvenation course cost?

Prices for contour plastic surgery depend solely on the drugs used and their required volume. To determine the exact cost of correction, it is necessary to obtain personal recommendations from a dermatocosmetologist or plastic surgeon.

In pursuit of beauty and youth, women resort to various cosmetic procedures. One of them is contour plastic surgery. “Beauty injections” correct the oval of the face, tighten aging skin, smooth out wrinkles, and produce a rejuvenating effect.

What is facial contouring?

Injection contour plastic surgery – effective method facial modeling. This is a complex of special cosmetic procedures that affects facial muscles and the skin in general. It is designed to correct facial defects. The contouring technique involves filling different layers of skin special drugs– fillers, but there are a number of other correction methods, without punctures or injections.

Often the procedure is performed using gel implants, which are divided into several types:

biocompatible – natural skin components: hyaluronic acid or its derivatives;
permanent - synthetic origin: silicone, polyacrylamide, polymethyl methacrylate;
semi-permanent - a combination of synthetic and natural ingredients: calcium hydroxyapatite, poly-L-lactic acid, polycaprolactone.

Contour plastic with fillers

Fillers (from the English “fill” - fill) are biocompatible gel-like fillers, classified according to the degree of viscosity:

Big. They fill a thick layer of skin - the dermis. Corrects the oval of the face; it is used to change the shape of the nose, lips, and cheekbones. The duration of the effect is 8-12 months.
Average. Smoothes wrinkles of moderate depth. Suitable for normal and combination skin. The effect lasts about 6 months.
Small. Eliminates fine folds on dry and thin skin. The effect lasts up to 3 months.

Contour plastic surgery with fillers is carried out by combining several drugs, for example, Restylane and Perlane. They affect different layers of the skin, so to enhance the effect, a combination of two or more types of fillers is used. Anesthetic creams are used during the procedure to relieve the client from discomfort for punctures.

Advantages:

stimulate the production of natural components: collagen, elastane, hyaluronic acid.
do not provoke an allergic reaction.

Flaws:

Contouring with hyaluronic acid

Safe Alternative surgical intervention - contour plastic surgery with hyaluronic acid. This component is found in the human body, but there are injections based on acid of animal origin and its synthetic analogues. The density of the substance depends on the problem area. The puncture is carried out using a specially shaped needle - a cannula. It ensures painless administration of the drug. The procedure time varies between 40-60 minutes.

Advantages:

natural ingredients that do not cause an allergic reaction;
long-term effect (6-12 months);
skin recovery time no more than 5 hours;
painlessness of the procedure.

Flaws:

Face contouring with threads

Facial contouring with threads is an ultra-modern technology in the field of aesthetic cosmetology. The specialist acts on the skin using threads that have a biorevitalization effect, which are introduced through a cannula puncture. There are 3 types of lifting threads:

with fixation;
3D thread;
masonite.

All threads have a unique structure and composition. They can be absorbable or non-absorbable. The effect of thread lifting appears after a few months and lasts for 12 months. The threads stimulate the production of natural collagen fibers, trigger tissue regeneration, so the skin subsequently copes with problem areas on its own.

Advantages:

punctures are invisible (hidden by hair);
short procedure time;
without the use of anesthetics;
short rehabilitation period.

Flaws:

pain in the place where the thread is fixed;
formation of hematomas;

Possible facial asymmetry.

Preparations for contouring

Thanks to positive feedback specialists and photographs of patients after the procedure, the following fillers for contouring are in demand:

Some brands of fillers produce preparations of different densities to correct different areas of the skin of the face, neck, and create additional volume on the cheekbones, cheeks, and chin. There are fillers for a certain age category. Drugs from the same line may have different concentrations. Contour plastic procedures are carried out using needles of different diameters.

Price for facial contouring

The cost of the procedure includes the price of the drug and specialist services. Information on how much facial contouring costs in Moscow clinics is presented in the table:

Drug name	Volume, ml (unit of measurement)
Drug name	Volume, ml (unit of measurement)	Capital Medical Clinic	Medical center "VitaMed"	Clinic "Diavax"
Injections
Biocompatible
Teosyal First Lines
Teosyal Ultra Deep
Teosyal Touch Up
Teosyal Ultimate
Surgiderm 24xp


Permanent
Botulinum toxin (Botox)
Semi-permanent

Thread lifting
SilhouetteLiftsoft	(1 thread 8 cones)
SilhouetteLiftsoft	(2 threads 16 cones)

Contraindications for contour plastic surgery

A few days before plastic surgery, it is forbidden to carry out cosmetic procedures, for example, chemical peeling or mechanical/laser resurfacing. A doctor must conduct an examination and issue a prescription. List of contraindications for contour plastic surgery:

pregnancy, period of breastfeeding;
inflammation of the skin;
predisposition to scar formation;
sensitivity to the drug;
Availability malignant tumors;
hemophilia;
diabetes;
epilepsy;
autoimmune diseases.

Video: facial contouring with hyaluronic acid

The phrase “contour plastic surgery” evokes unpleasant and even scary associations among many uninformed people. As you know, fear has big eyes, and the rich imagination of overly impressionable people paints terrible pictures: a scalpel, bruises, wounds on the face, but in reality everything is completely different. Problems that were once solved only with the help of surgery are now easily eliminated in a short time without radical measures. In modern cosmetology there are injection methods correction of age-related skin defects and a scalpel are completely out of place here.

One of these methods is contouring with hyaluronic acid. Moreover, in the practice of contouring, it is considered advisable to use not only hyaluronic acid, but also preparations based on other substances. In order not to be intimidated by a procedure about which ordinary people know little, let's figure out what contour plastic surgery is, how it is performed, to whom this procedure is recommended and to whom it is contraindicated, what side effects and complications may arise after it is performed.

What is contour plastic surgery and how is it performed?

Contour plastic surgery is an injection procedure that fills wrinkles, folds, and hollows on the face to give it a clear contour, firmness and elasticity. The introduction of implants gives the sunken areas of skin the necessary volume. There is an improvement in skin characteristics and significant rejuvenation. The main drug for the procedure is hyaluronic acid, but other drugs are also used, which we will discuss below. There is nothing complicated or scary about this procedure.

Before the procedure, the doctor examines the patient to identify concomitant diseases and contraindications to the use of drugs used in contouring. The patient must inform the doctor about the presence of chronic and other diseases (if any), whether he has previously undergone contour plastic surgery, and if so, with what drug.

Immediately before starting the procedure, apply local anesthesia which is carried out with a special cooling gel or cream. Also carry out antiseptic treatment skin.

How is the procedure carried out? Contour plastic surgery is carried out using fillers (fillers). Fillers are thin sterile syringes, ready for use. Fillers are used both to linearly smooth out the skin texture and to give additional volume to tissues (cheeks, lips). In therapeutic cosmetology, fillers are used in small volumes - no more than a few milliliters.

Large volumes of fillers are used in reconstructive surgery (when it is necessary to restore facial tissue from burns, benign formations etc.). When a filler is injected into the skin, a volume is filled, which mechanically lifts the tissue above it. Wrinkles and dips in the skin seem to be pushed out from the inside, making the surface of the skin even and smooth.

Injections are made intradermally or subcutaneously, various drugs have their own characteristics of introduction. Most often, the needle is inserted into the area requiring correction or in close proximity to it. To administer the filler, the thinnest needles are used, but sometimes blunt cannulas are used. For many specialists, the choice of a cannula is preferable, since the cannula is less associated with trauma to tissues and blood vessels. Upon completion of the procedure, the correction area is gently massaged to ensure uniform distribution of the drug. In cases of excess of the administered substance, the massage is performed more intensely.

What substances are used in fillers?

We said above that not only hyaluronic acid is used in contouring. Fillers are:

based on collagen;
based on hyaluronic acid;
synthetic;
autologous, obtained from the patient’s own tissues;
combined.

For a long time, the most common procedure in cosmetology was collagen injections. Now hyaluronic acid has taken the leading role, but collagen is not going to give up its position. Collagen is a protein that forms the basis connective tissue in the human body. Collagen literally means glue (from the Greek kollo - glue). Collagen makes up 70% of the skin protein and, due to its structure, is capable of strong stretching. A thick layer of collagen gives the skin firmness and elasticity. It is this property that is highly valued and used in cosmetology.

Collagen fibers envelop tissues like elastic networks, which prevents them from deforming. We can say that collagen is a framework that “keeps” facial tissues in an elastic state. But, unfortunately, during the aging process, collagen fibers lose their ability to function as a framework and cease to “hold” the skin with the same strength. The process of collagen breakdown prevails over its synthesis. In order to restore skin elasticity, it is necessary to introduce exogenous (from the outside) collagen, which can trigger the synthesis of endogenous (own) collagen. For these purposes, collagen-based fillers are used.

Autologous drugs are obtained from the patient’s own tissues. The most famous autologous drug is fat. Injections based on your own fat have been known in cosmetology for quite a long time. Fat is taken from “fat depots”, which are located on the hips, abdomen, buttocks and knees. The harvested fat is slightly modified. Selected fat cells used in dermal fillers.

What is the advantage of autologous drugs? A significant advantage of these drugs is their endogenous origin. That is, the drug is released from the patient’s own tissues. This is a “native” substance that is recognized by the body as its own. It is not rejected, does not infect the body with foreign viruses and does not cause allergic reactions.

Synthetic drugs are called permanent fillers (non-biodegradable). They are called non-biodegradable for the reason that they are not excreted from the body. Permanent fillers are gels based on synthetic polymers. Synthetic drugs are the most unfavorable in terms of the number of side effects and complications. One of the most dangerous complications, which is observed when introducing fillers, is the migration of the gel from the injection site. Allergic reactions and rejection of foreign substances by the body are also observed.

Contour plastic surgery with hyaluronic acid is the most common procedure in modern cosmetology. Hyaluronic acid is synthesized by our body, but over the years the amount of hyaluronic acid produced decreases sharply. Hyaluronate deficiency immediately affects appearance skin. It becomes flabby, dry, thinned and wrinkled.

Aging skin is not able to prevent gravitational ptosis (drooping) of the oval of the face. The oval of the face is deformed and literally merges with the chin. Sometimes the metamorphoses are so significant that it is difficult to recognize the former beauty in a woman. It is clear that such changes are not at all pleasing to the eye. And here the “star” of cosmetology No. 1 comes to the rescue - hyaluronic acid.

Thanks to its amazing properties, hyaluronic acid can eliminate age-related changes skin, restore youth and freshness to it. Hyaluronate fills the intercellular space, giving the skin firmness and elasticity. Its ability to bind water in the body gives the skin a hydrated and fresh look. In a word, hyaluronic acid is a truly magical substance that scientists have been able to reproduce artificially.

It should be noted that it does not matter at all by what method the hyaluronic acid was obtained. Its molecule is universal and, regardless of its origin, successfully copes with the assigned tasks. Today, both stabilized (chemically modified) hyaluronic acid and unstabilized (native, natural) are used. Stabilized hyaluronic acid is used in fillers to add additional volume to tissue. Unstabilized hyaluronate is a hydro-reserve preparation and is used for long-term tissue hydration.

Combined preparations are long-acting fillers created on the basis of two materials: synthetic and natural. The number of side effects is the same as with completely synthetic substances: gel migration, abscesses, rejection, necrosis. It should be recalled that in European countries and the USA these drugs are not used; they are prohibited due to the high risk of complications and side effects that cause serious problems with health and even deaths. Correction of side effects and complications after using synthetic and combined drugs is possible only through surgery.

Based on the duration of action in the body, fillers are divided into three groups:

temporary;
long acting;
permanent.

Temporary fillers are biodegradable (absorbable) preparations, most often based on stabilized hyaluronic acid, which remain in the body for 6-12 months and are then completely removed from the body.

Long acting fillers are combination drugs, based, as a rule, on two materials: synthetic and natural, which remain in the body for 1-2 years.

Permanent fillers are drugs of synthetic origin that remain in the body for 5 years and forever.

Nowadays, most experts share the opinion that the use of permanent fillers is recommended only for selected patients who undergo contouring to correct defects caused by traumatic injuries, past diseases or reconstructive surgery.

Indications for the procedure

Naturally, contour plastic surgery, like any other procedure, has its indications and contraindications. Contour plastic surgery is recommended for the following skin defects:

the presence of wrinkles;
in all cases of age-related skin aging;
with deformational ptosis of the oval face;
with deep nasolabial folds;
in the presence of traces of post-acne and scars.

Concerning age restrictions, then they are not there. It is unacceptable for persons under 18 years of age to carry out such a procedure. For everyone else, if recommended by a cosmetologist, the procedure is considered acceptable. Contour plastic surgery is very effective on early stages the formation of wrinkles when they are not present calm state, but they are already being laid. It is much easier to correct such conditions at the very beginning and you should not wait for the “ripening” of wrinkles, as many people incorrectly believe.

Contraindications to the procedure

for autoimmune and oncological diseases;
for infectious and chronic diseases in the acute stage;
for allergic diseases;
in case of individual intolerance to the drug on the basis of which the procedure is carried out;
during pregnancy and lactation;
in immunosuppressive conditions;
in cases where silicone preparations from a previous procedure are already present in the skin;
for conditions associated with blood clotting.

Side effects and complications

The contour plastic method has many advantages and positive benefits, but this does not mean that it does not have side effects and complications. Side effects always happen when it comes to an invasive method of treatment, since in this case there is still a violation of the integrity of the skin and interference with the functioning of the body.

Side effects - normal reaction the body to external intervention, they should be, but complications are completely undesirable, they simply should not exist. Complications occur due to low levels vocational training a cosmetologist, as well as when using low-quality drugs of dubious origin as fillers. Let's look at which side effects are considered normal and which are considered a complication.

The following side effects may occur during contouring:

swelling of the face;
bruises and microhematomas at puncture sites;
microtrauma of blood vessels.

Side effects are usually not serious and disappear within a few days. Complications are another matter.

After the contour modeling procedure, the following complications may occur:

delayed allergic reactions;
immediate allergic reactions;
gel migration;
Tyndall effect (gel contouring under the skin)
fibrosis (tissue hardening);
necrosis (after vessel embolism);
granulomas (nodular seals).

Hyaluronic acid is biocompatible with our body, but it often happens that the body itself identifies it as foreign and triggers a defense mechanism against “external invasion”. As a result, an inflammatory process occurs, and granulomas and fibrosis form at the puncture sites. The occurrence of foci of bacterial inflammation after contour plastic surgery indicates gross violations rules of asepsis.

Very dangerous and unpleasant symptom– migration and protrusion of the gel. In some cases, the gel may bleed out, forming bumps and irregularities. If the gel was injected deeply, it moves to neighboring areas of the face, thereby distorting its proportions. Also, in some cases, the gel contours under the skin in the form of blue or purple stripes. This is the so-called Tyndall effect.

These complications can be eliminated only through another injection session, but with a different drug – hyaluronidase, which has the ability to break down and remove hyaluronic acid from the body.

To avoid slow or immediate allergic reactions, skin tests should be performed before the procedure.

The most serious complication is vessel embolism. Vessel embolism is the entry of a drug (usually hyaluronic acid) into the bloodstream. Typically, vessel embolism occurs directly during the procedure. The doctor must recognize the embolism in time and take a number of actions to avoid adverse consequences - tissue necrosis. To do this, intensive massaging of the area where the vessel embolism occurred and the introduction of hyaluronidase are carried out.

How often can the procedure be performed?

Ideally, the procedure is carried out once every six months. But still, the frequency of the procedure depends on what fillers for contouring were used in the process of modeling the face.

Let’s say that if you used synthetic fillers that are non-biodegradable, then they remain in the body forever. In this case, it is not advisable to repeat the procedure, especially if there are no serious indications for this. Well, if temporary or long-acting fillers were used, then the procedure is performed after the substance has completely dissolved in the body.

The advantage of contouring over other injection methods

The biggest advantage of contouring is the absence of a recovery period.

After the procedure, you can immediately return to the normal rhythm of life, there is no need to limit yourself active image life, follow bed rest or diet.

There are also a number of significant advantages that allow you to give preference to contour plastic surgery. Let's call them:

lack of pre- and post-procedural measures;
immediate improvement in skin characteristics;
low pain of the procedure;
minimum side effects and complications;
a good alternative to surgical plastic surgery;
good compatibility with other cosmetic procedures.

What can be corrected with contour plastic surgery?

Rarely does a woman look at herself in the mirror and be satisfied with her appearance. There is always a desire to change something. Contour plastic surgery provides this opportunity. Most often corrected:

lip contour and volume;
nasolabial folds;
dips and wrinkles on the cheeks;
area between the eyebrows;
ptosis (drooping) of the corners of the mouth;
labiomental folds and wrinkles around the mouth;
nasolacrimal groove;
wrinkles around the eyes (crow's feet);
cheekbone area, oval face, increased skin tone.

Based on the above, we can say that contour plastic surgery is a worthy alternative to a scalpel. And it even surpasses surgical plastic surgery in terms of the speed of skin regeneration in the post-procedure period and the effectiveness of the results obtained.

Below we will talk in more detail about which skin defects are most often corrected using contouring.

Lip contouring

The ultimate dream of any woman is moderately plump and sensual lips. Unfortunately, Mother Nature does not give everyone such a gift, but what if you don’t have it, but really want it? This is where contour plastic comes to the rescue. In the past, in order to increase the volume of the lips and improve their contour, it was necessary to go under the surgeon’s knife, but nowadays such a procedure takes about 30 minutes. Dermal fillers for contouring can easily increase the volume of the lips, more clearly define their contour, and give them expressive swelling.

For lip contouring, fillers based on hyaluronic acid are used, as well as polymer gels and collagen. Hyaluronate-based fillers are temporary and biodegradable. After their expiration date, they disintegrate and are eliminated from the body naturally. This may seem like a minus and a plus at the same time. Hyaluronic acid is a natural component of our body, but do not forget that our body also contains an enzyme called “hyaluronidase”, which tends to break down hyaluronic acid.

There is a kind of running in a circle: on the one hand, hyaluronic acid is necessary for our body, on the other hand, it is successfully broken down by the enzyme hyaluronidase. Why is that? And what's the point? Most of the functions that hyaluronidase performs are related to its ability to increase tissue penetration by reducing the viscosity of the intercellular matrix. An excessively viscous intercellular environment does not allow many reactions to take place in the body. For example, hyaluronidase ensures the penetration of sperm into the egg. It becomes clear why our body constantly needs hyaluronic acid and why, after some time, drugs based on it are eliminated from the body.

Lip contouring is fine jewelry work. Excess gel can ruin natural beauty women and even disfigure her. The specialist performing such a procedure must have not only experience, but also a sense of proportion.

Contour plastic surgery of nasolabial folds

Nasolabial and labiomental folds are very often formed in quite at a young age. It's hard to name the reason why this happens. Either a genetic predisposition, or the active use of facial expressions, malocclusion or features of the facial structure, but the problem is there and it needs to be eliminated.

To eliminate this skin defect, fillers based on hyaluronic acid are used. Hyaluronic acid, getting under the skin, creates the necessary volume, which pushes out the nasolabial fold from the inside, thereby smoothing out the skin above it. Nasolabial folds disappear in a matter of minutes, but eliminating nasolabial folds alone cannot achieve large-scale rejuvenation. To do this, it is necessary to adjust all nearby areas.

Restoring facial oval using contour plastic surgery

Elimination of wrinkles on the forehead, in the eye area and correction of nasolabial folds lose their effectiveness without an elastic, clear oval of the face. In the past, facial contour correction was carried out exclusively through surgery. Nowadays, thanks to progress, it has become possible to correct the shape of the face without drastic measures. The procedure for restoring the oval of the face is carried out using fillers based on hyaluronic gel.

The cavities are filled with fillers, which leads to a significant correction of facial features, elimination of hollows on the cheeks and general rejuvenation. This procedure is also supported by the speed and simplicity of the method, the absence of a rehabilitation period and the absence of the need for anesthesia. The result is noticed within 1-2 days (depending on skin type). Contour plastic, unlike other injection techniques, such as mesotherapy, is carried out in just one procedure, and the effect of the procedure lasts from six months to a year.

Contour plastic of the tear trough

The area around the eyes is a delicate and delicate area. It is in this zone that the first wrinkles and bags under the eyes form, the upper eyelids become deformed and a tear trough appears. Wrinkles in this area can greatly spoil the overall appearance of the face. Sometimes it is enough just to eliminate obvious wrinkles around the eyes and tear trenches to restore your face to its former prettiness and freshness.

In the past, this eye skin defect was eliminated only with the help of blepharoplasty, but now it can be removed in a matter of minutes with the help of contour plastic surgery. The tear trough fold is filled with hyaluronate fillers. Fillers use tiny needles or cannulas to fill the fold along the sulcus. The procedure is quick and does not require a rehabilitation process. Usually it takes from 6 months to a year, after which the procedure should be repeated.

To summarize, we can say that contour plastic surgery is a wonderful innovative technique for facial rejuvenation and elimination of skin defects. It literally works wonders and easily eliminates problems that in previous times were solved by the most radical measures. The patient's main task is to find good clinic and an experienced specialist.