CosBeauty Magazine #80

Feature
Who is
a good
candidate?
Candidates for this procedure are
typically those with minor external
nasal deformities, depressions,
asymmetries or who have a collapsed
nasal bridge or saddle nose. It can
also be effective for post-surgical
rhinoplasty corrections, where the
result has been less than satisfactory.
Other applications for non-surgical
rhinoplasty are bridge augmentation,
correction of a hump on the dorsum
of the nose, making the nose rounder
if the bridge is squarish or beaky in
shape, and rounding and shaping of
the nasal tip. The tip of a drooping
nose can also be lifted by 1 or 2mm by
injecting the filler at the base of the
nose, so that it forces the tip upwards.
For many patients, including
Asians, non-surgical rhinoplasty
can offer an effective alternative to
surgery, often giving outstanding
results in suitable patients.
It’s important to note that nonsurgical
rhinoplasty cannot correct
impaired breathing caused by
structural abnormalities.
And the
results?
Unlike other areas of the face,
repeat treatments are often not
required as there is less movement
in this area. However in some cases,
a top-up treatment may be required
after a few years.
For suitable candidates without
extensive remodelling requirements,
non-surgical rhinoplasty offers an
effective alternative to traditional
rhinoplasty. CBM
What are
dermal fillers?
Dermal fillers are gel-like substances injected
into the skin to plump out wrinkles and
depressions on the face. They are also used to
augment areas of the face, such as the cheeks
and lips, where extra volume is needed.
More permanent fillers can be used to
reshape the nose and jaw line to create a
more balanced and harmonious face shape.
There is a large range of different fillers on the
market that vary in longevity, composition
and viscosity.
Hyaluronic acid (HA) gel, which is
biocompatible and biodegradable, comprises
the vast majority of contemporary dermal
fillers. Hyaluronic acid occurs naturally in the
body throughout connective, epithelial and
neural tissues and is particularly abundant in
the dermis. It can attract up to 1,000 times
its weight in water and is one of the main
agents in maintaining hydration and a fresh,
youthful appearance, as well as a major
component of tissue repair. Results can last
for around six months to a year, again
depending on the patient.
A ‘permanent’ filler option is Aquamid,
which many practitioners are using as a means
of enhancing facial features, creating a similar
effect to using facial implants. It can be used
to fill nasolabial folds, enhance cheekbones,
lips or the nose, and to smooth wrinkles
or folds in the skin. It is composed of 97.5
percent water and 2.5 percent polyacrylamide
and, once injected, it integrates with the
body’s tissue.
Aquamid does not migrate from the
injection site, is biocompatible, non-toxic and
non-absorbable, which means results last for
a number of years – as many as 10. Therefore,
practitioners usually advise patients take a
‘practise run’ with a different filler first, to
ensure they are happy with their new look.
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