Introduction
The feature of the face that attracts the most attention, without a doubt, is the nose since it gives personality and leads to facial harmony by being located in the center and being the most prominent part. Some people have imperfections in the nasal structure, but they do not dare to go through an operating room for fear, of the price, or the postoperative period among other reasons. Fortunately, there are certain irregularities that today can be corrected without the need for rhinoplasty, quickly and safely with rhinoplasty.
What is Rhinomodelation?
Rhinomodelation is a non-invasive technique with a lower cost than rhinoplasty, which has become a worldwide trend due to its easy application and the ability to avoid an operating room. Its function is to correct small irregularities in the nasal contour, as indicated by the professionals of the
This aesthetic treatment is the second most performed procedure after the application of botulinum toxin. It consists of retouching certain parts of the nose thanks to the infiltration of filling material such as hyaluronic acid or calcium hydroxyapatite, which are resorbable. Although it does not represent as important a change as surgery, this technique is capable of correcting imperfections and avoiding the scalpel.
A study carried out in 2017 showed that rhino modeling progressed by 20%, which shows that more and more people decide to undergo this treatment to modify their noses temporarily or permanently. The cause is always to improve your self-esteem by changing the appearance of your face. According to this same study, 90% of patients who go to a surgeon do so to change the shape of their nose, 55% being women and 45% men, both aged between 18 and 55 years.
Its application is a safe practice when performed by a professional who has knowledge of facial anatomy and experience in filler applications to ensure that the procedure is safe and effective.
How do I know if I am a candidate for treatment?
This procedure is performed by those patients who require not-so-serious corrections in their nose and who do not want, either for reasons of time, money, or fear, to undergo a surgical procedure.
According to professionals, children under 17 should not undergo this type of treatment as they are still growing and the shape of their nose may vary. The exception could be for a serious accident you have suffered or for breathing problems.
La indicates that it is ideal for people unhappy with their nose, they have a small hump, or the tip of the nose drop slightly.
How do I choose my doctor?
This type of technique must be performed by a qualified doctor who, in addition to having experience and good artistic ability, must know very well the substances of synthetic fillers that are injected around the nose, because a manipulation done by people with little training in this procedure or using materials that are not absorbable, can have catastrophic consequences.
The professionals of the Miramar Medical Institute point out that it is necessary to have professionals who have experience, but who also use the best fillers to do this work.
We recommend visiting the website of the Spanish Society of Aesthetic Medicine to verify that your doctor has the necessary aesthetic medicine degree to perform this procedure.
What is the first appointment with the doctor like?
Before deciding on rhino modeling, the doctor can perform a test on the patient that consists of applying a filler with a special serum that is absorbed in a day and gives the appearance of how the nose will be after the intervention, being able to choose with greater certainty whether or not you are satisfied with the results and make up your mind or decline the treatment.
The specialists indicate that a personal and photographic study of the patient is necessary, to assess their nasal anatomy and identify the different points where the filling is going to be implanted, or instead, to know if it requires another technique that does not is necessarily the rhino modeling.
The patient must be informed about the indications, precautions, contraindications, and adverse reactions that injectable products may present. Although facial filler materials are clinically and histologically safe substances for daily use in medical practices, all of them can have negative effects because the patient’s defenses react differently depending on the different materials.
It is important to know if the patient has hypersensitivity or allergy to any of the products to be injected, since, after the injection, infections, asymmetries, or unsatisfactory cosmetic results may occur.
How is rhino modeling done?
Resorbable fillers, such as hyaluronic acid, are used in rhinomodelation. It is a 100% outpatient intervention. The experts indicate that its duration does not exceed half an hour.
With this operation, small imperfections are corrected but it must be borne in mind that after a while the body will reabsorb the fillers and their effects will disappear. The duration time will vary according to each patient since each person reabsorbs the substances that are injected differently. Rhino modeling will only be used when it comes to noses that require a small remodeling, but this procedure will never reduce the size of a nose or correct a bridge, or fix a nasal septum.
As the procedure is quick, the patient can continue with their usual routine, although it is recommended that at the time of the intervention they are accompanied by a family member or friend who can help them when it is finished in case of any eventuality.
It should also be borne in mind that once the filling has been placed, and because each nose has different anatomies and characteristics, bad nasal breathing and inflammation may occur. This should improve in the next few hours, but if it does not happen, you should go to the doctor again.
When you want to touch up the tip of the nose, it must be treated with small volumes since the injection plane is deep compared to other facial areas. Therefore, constant cutaneous perfusion reviews should be made to avoid adverse effects since the vascular compromise of the skin at the nasal tip is high, so injection by filling under pressure should be avoided to prevent vascular occlusion.
Fillers used in rhino modeling
The fillers used can be:
- Temporary: They are the most used today. They last less than 18 months and the most used are hyaluronic acids, collagen, poly-L-lactic acid, and calcium hydroxyapatite.
- Permanent: They last at least 18 months and are polyacrylamide, silicone, PMMA, and polymethylmethacrylate gels.
When a patient undergoes rhinomodelation for the first time, it is advisable to use a resorbable product that can last for about a year. If after this time the patient still likes the way his nose looks, the procedure can be done again but with a more durable product.
When choosing a filling, you must take into account:
- Viscosity
- Elasticity
- Hydrophilic ability
It is recommended that a hyaluronic acid with very little cohesiveness be used, that is, a hyaluronic acid that gives us projection and that is not flexible or very cohesive.
In case of allergies to infiltrated hyaluronic acid, it can be removed with an enzymatic preparation based on hyaluronidases that breaks down the molecules of this acid, facilitating its reabsorption and disappearance.
Rhinomodelation or rhinoplasty?
Rhino modeling can turn an aquiline nose into a completely straight one, also elevating the tip of the nose with results that can be temporary by doing hyaluronic acid infiltrations for results from eight months to a year, or permanent, using the same hyaluronic acid technique but with synthetic filling, without surgeries, and with immediate effect.
It uses different fillers capable of being absorbed by the body working by addition and not by subtraction. Likewise, as indicated by, it can be done with a resorbable implant (hyaluronic acid) or permanent (Poly-methyl-methacrylate).
For this case, the patient must comply with the appropriate profile and not have many imperfections that are relatively marked, since it is an uncomplicated styling process that consists of filling the parts of the nose that are necessary with biocompatible products, Afterwards, it is molded so that it is in harmony with the rest of the features without the need to use bandages, and whose intervention does not last more than 30 minutes.
Rhinoplasty, on the other hand, completely modifies the nose through a surgical intervention by opening it and removing part of the bone, reducing its size, or modifying the septal deviations. Allowing the improvement of the size, appearance, and shape of the nose, reducing or increasing its dimensions, improving the opening of the nostrils, correcting congenital defects, and improving breathing problems.
It is a very common surgery in the world of aesthetics and requires a lot of experience on the part of the surgeon who must achieve harmony between the features by providing finer features and in itself a nose that is as perfect as possible.
Benefits of rhino modeling treatment
The professionals of the Miramar Medical Institute show us the following list of benefits:
- Immediate results
- There is no pain
- It only involves 1 or 2 sessions
- It is reversible
- Recovery time is very fast
How is the recovery of the rhinomodelation?
With the necessary care, the results will be as expected and the level of complications will decrease considerably. On the other hand, the experts point out that a review is needed after 15 days in case a touch-up is necessary.
S and caution should be exercised with the sun, because if any redness or hematoma occurs, to the influence of sun rays, spots may occur at the injection site. Therefore, during the first month, you should avoid the sun by all means and use protective creams. It is also necessary to postpone intense exercises for at least two weeks to avoid sudden movements or any injury.
After the intervention, a series of medications consisting of analgesics and anti-inflammatories will be prescribed, with which rhinomodelation is made a bearable and painless process.
If there are problems such as bleeding, fever, and intense and constant pain, the specialist should be sought to investigate what is happening and solve any problem immediately.
Daily activities can be exercised without any problem, this means that it is not necessary to request rest days at work or stop attending activities that are pending, these can be carried out as normal, as long as they are met with all the care mentioned above.
- Do not apply heat to the injected area as this increases inflammation.
- Avoid massages after the procedure as they can affect the fixation of the product and affect its duration.
- Prevent any maneuver that could injure the area such as blows or very strong pressure.
- Avoid glasses that rest on the nose for at least 10 days.
- Sleep on your back as much as possible to avoid possible deformations.
- Do not wear makeup for 24 hours
Results
The results are immediate. The patient discovers his new nose, in harmony with his face. However, since these are absorbable products, it is important to note that the results are not definitive. They will last approximately 1 year, up to 2 years in some cases, and will need to be renewed to maintain results.
The results that can be obtained with rhino modeling are the following:
- Nose with more symmetry
- The tip of the nose is more aesthetic and in line with the rest of the face
- Improve the easel
- Fill the backs
- Correct slight unevenness in the nose
However, there are some cases, where over the years hyaluronic acid injections have stimulated the natural production of collagen, so the injections are no longer necessary.
Complications or possible side effects
Although it should always be thought that any cosmetic procedure will be the best, it should be taken into account that there are complications that can occur in any patient, and although some are mild including pain at the site where the injection was applied, the appearance of Palpable but not visible nodules, there are others that must be taken into account. On the other hand, the medical staff reminds us that in case of an error, the procedure is reversible.
It is worth mentioning that some early complications include pain, anaphylactic reactions, hypersensitivity, edema, ecchymosis, erythema, infections, pruritus, skin necrosis, over-correction of the defect, asymmetries, amaurosis, and more.
Late complications consist of the formation of nodules and granulomas in percentages of 0.1 to 1%, due to an exaggerated reaction of the body’s defenses developing 2 years after the injection and affecting all treated areas. Tissue necrosis can also occur, mainly affecting the tip of the nose, and occurs through mechanisms such as arterial embolization or occlusion, congestion of the dermis and epidermis, and vascular compromise due to extrinsic compression of the arterial vessels.
Other difficulties can be an external compression arter is presented in areas such as the tip and alae since in these places there is a subdermal plexus covering the whole area. Congestion of the dermis and epidermis caused by the injected intradermal filling that was not performed in the supraperichondrium or supraperiosteum, producing venous ectasia and subsequent dermal necrosis.
Frequent questions
- Is rhino modeling with implants recommended? No, the idea is to use fillers. Implants tend to become infected and are uncomfortable.
- Does rhinomodelation correct functional problems of the nose? No, it only has purposes of a purely aesthetic nature; it is not used for other situations.
- Is rhino modeling permanent? No, it is made with hyaluronic acid, which is a material that is resorbable by the body.
- What types of hyaluronic acid are used in rhino modeling? There are several types, but surgeons recommend using an acid with G’high and very low cohesiveness, such as hyaluronic acid.
- I had a hyaluronic rhino made 3 months ago, I wanted to know if I can already do a deep skin cleansing because I have many blackheads on my nose enough time has passed for you to perform a skin cleansing, so there would be no problem. Anyway, we recommend that you mention it to the clinic where you had the rhino modeling done since they surely know your case and the result of the treatment much better, to validate that you can perform cleanings or other facial treatments.
- Is it normal to have bruises after a rhinomodelation? during the hours and days after the treatment, it is normal for small bruises to appear on the nose, and these usually disappear in less than a week.
- Is rhinoplasty after rhinoplasty compatible if it was with metaphor? in these cases the ideal is a personal assessment since you have to see how the nasal structure is both in terms of soft and hard tissues to achieve a correct change of shape, There must be good quality and elasticity of soft tissues that adapt to the filling, and underneath a bone structure that allows the support and projection of the filling that is put on. We have made multiple repairs to failed rhinoplasty noses, with great success, but everything lies in a good previous examination of the patient to see if the treatment is viable or not.
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