Augmentation Rhinoplasty (Filler)
The advent of injection therapy has brought with it the ability to minimize invasive procedures for many indications.
Injectable fillers is one choice of injectable material. Dermal fillers have been used to fill divots and defects or soften a pinched nasal tip. They can also help to shape or improve a low or shallow bridge.
Types of Dermal Fillers:
Several classes of dermal fillers are marketed in the world today. They include: collagen based fillers (i.e. Zyplast and Cosmoderm), hyaluronic acid based fillers (i.e. Restylane and Hylaform), calcium hydroxyl apatite fillers such as Radiesse ,and hydrogel such as Aquamid. Moreover, promising dermal fillers are in development that will offer superior capabilities in the future.
The ideal dermal filler should be easy to administer, provide reproducible cosmetic results, remain in the dermis for a significant period of time, and have a superior safety profile. Injection of fillers usually requires the use of either a topical numbing cream or a local injection of numbing medication. Then, using a small needle, the dermal filler is injected into each wrinkle or scar that requires treatment. Some mild burning and stinging is normal and quickly resolves.
The results can last from three months to five years, depending on the filler being used. Collagen provides the shortest duration with effects lasting anywhere from three to six months. Restylane tends to last a bit longer with effects lasting from six months to one year. Radiesse can provide results that last greater than 3 years. Aquamid can long lasting result that more than 5 years.
Side effects are uncommon but can include limited allergic reactions (hypersensitivity), ulceration, reactivation of herpes infection, bacterial infection, localized bruising, and granuloma formation.
Hypersensitivity reactions to the older collagen-based dermal fillers were frequent and required skin testing ahead of the treatment, but are becoming less common with the use of human collagen (Cosmoderm, Cosmpolast) instead of cow derived collagen (Zyderm, Zyplast).
Ulceration is rare and occurs when the filler is injected into a blood vessel; cutting off the blood supply to the overlying skin. Bacterial infections are rare and may be treated with antibiotics. Localized bruising is temporary and may be reduced by applying ice before and after injection. Granuloma formation is a rare complication that may require steroid injections, or surgical extraction of the granuloma.
AQUAMID (polyacrylamide) is a hydrogel, making it a dynamic implant with a constant exchange of water molecules between the gel and surrounding tissue. It is non-immunogenic, non-allergenic, atoxic, biocompatible, long-lasting, immediate in effect and simple to use.
Studies have shown that it is an ideal treatment for those patients whose noses do not require extensive remodeling.
AQUAMID is a permanent filler. It is a revolutionary product on the world market and has been thoroughly tested over 10 years on more than 100,000 patients. Clinical trials in Europe have proved that any side effects are few and harmless. At first, the treated area may be a little swollen, but this usually subsides spontaneously after one or two days.
AQUAMID is injected under the skin as a soft filler with a fine needle. Together with the doctor you can decide, in front of the mirror, what the final cosmetic result should be. It is performed in the doctor's rooms with hardly any discomfort and no down time. After the injection you can go home or back to work immediately.
AQUAMID is a non re-absorbable, long-lasting product for facial correction. It does not become hard once injected and does not migrate from the point of injection. Scientific research has shown that the gel will stay in its place unchanged for a least10 years and there is no reason to expect any change after this period. The cosmetic result is satisfying for both you and the doctor and the procedure does not have to be repeated once the desired result is achieved. In 80% of cases this is after one or two procedures. Progressive ageing of the skin does continue and if required, AQUAMID extra can be injected as necessary.
The Best Candidates for Injectable Treatment
• Individuals with defect , low bridge or small tip projection
• In good physical health
• Psychologically stable
• Wanting to improve their appearance
• Realistic in their expectations
• Aware of their options
Type of Anesrhesia
The amount of pain during any cosmetic surgery varies from patient to patient. However, the discomfort associated with injectables is normally relatively mild. In many cases, injections are performed with local anesthesia.
The Surgery
Filler is injected under the skin as a soft filler with a fine needle. Amount of filler depend on degree of defect or needed correction
After Your Surgery
Immediately following treatment, you may notice some minor discomfort, stinging or throbbing in the injected area. Occasionally some bruising or swelling will occur, but it is usually minor. Any redness that appears in the injected site usually disappears within 24 hours. However, in some individuals, particularly fair-skinned patients, this redness may persist for a week or more. Tiny scabs may also form over the needle-stick areas; these generally heal quickly.