Preparations for contour plastics

Preparations for contouring plastics help to smooth out the skin's microrelief, smooth out wrinkles, create a young face contour and much more, what every woman dreams of preserving youth and beauty.

Contour plastic surgery involves the introduction of specific layers and skin zones of specific drugs - fillers - determined by the cosmetologist.

Filler (from the English word filler, filling) is a special gel that is injected into the problem areas as a microimplant.

Problems that solve the drugs for contouring:

• Local skin defects - alignment of the relief, skin folds, removal of scars, wrinkles.
• The creation of volume in the case of tissue atrophy - the formation of cheekbones, the genital area plastic (intimate plastic), lip augmentation, nose shape correction (nasal bridge).

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What types of fillers are used in modern cosmetology?

All drugs can be divided into the following groups:

• Fillers based on collagen.
• Synthetic fillers.
• Autofillers are drugs created from the patient's tissue.
• Preparations based on hyaluronic acid.
• Complex, combined fillers.

Also, fillers are divided into three categories according to the duration of exposure:

1. Temporary drugs:
   • Stabilized GK - the time of action from six months to one and a half years.
   • Fillers of animal origin on the basis of extracts from the cock's combs.
   • Fillers of biotechnological origin.
   • Combined fillers, in which hyaluronic acid and resorbable substances are combined.
   • Fillers based on collagen - valid up to 9 months.
2. Prolonged preparations for contour plasty - last up to 2 years:
   • Combined fillers, combining HA, collagen and non-resorbable substances.
   • Donor matrix of human skin.
   • Polysaccharide gel with calcium (hydroxyapatite calcium).
   • Polylactic acid.
   • Combined fillers, combining polyethylene oxide and carboxymethylcellulose.
3. Permanent preparations - valid up to 5-6 years:
4. Synthetic polymers.
5. Polyacrylamide gel.
6. Silicones.

It should be noted that long-acting drugs - more than 3 years, are used very rarely, only in cases where it is necessary to eliminate a clear defect after an injury. Such fillers have significant drawbacks, which are much more than advantages.

Than permanent fillers can be dangerous:

• This is a foreign substance that the body can perceive aggressively.
• Permanent preparations for contour plasty are not capable to be deduced independently from an organism.
• After the administration of the drug, local inflammation may develop, up to the formation of a fibrous capsule.
• The drugs are able to migrate into tissues located near the injection zone.
• An allergic reaction is possible.
• There is a risk of developing skin necrosis, as well as the formation of cysts and granulomas.
• Complications can develop in a delayed period, for example, a year after the procedure.

The most safe and popular are fillers based on hyaluronic acid, the effect of which lasts up to one year, and repeat the procedure can be as necessary without harm to the skin and the body of the client as a whole.

Cannulas for contour plastics

What are cannulas? This is a needle with blunt ends, made of special surgical steel, the needles have lateral, slightly rounded holes, through which the filler (filler) is introduced.

For the first time, the cannula for contour plastics was used by the French surgeon Herzog, five years ago, in 2009 the doctor was the first to apply a nontraumatic method of introducing fillers of HA into the dermis layers. Soft needles practically do not damage the skin, they are very flexible and unable to deform, adapting to any turn, bending during the plastic procedure. Cannula so easily penetrate into the layers of the skin, that do not leave a chance for the formation of even the smallest hematoma.

[2], [3], [4], [5], [6], [7]

How is the procedure using the cannulae?

The cosmetologist makes several punctures with a surgical needle (2-3, depending on the correction zone), then a cannula is inserted into the punctures, which gently enters the tissue between the tissues, absolutely not injuring them. With the help of the cannula, a drug is introduced into the doctor's zone in a retrograde way, which is evenly distributed in the desired area. Thus, the cannula in contour plastic can be considered an excellent alternative to a full-fledged plastic lifting with the help of surgery.

Advantages of the technique of using cannulas

• Absence of bruises and hemorrhages.
• Painless, which is especially important in the correction of the temporal zone, the zone of the lips.
• A unique opportunity to create the right volume in hard-to-reach, difficult areas.
• Cannulas are suitable for all types, types of preparations, since their diameter can be different - from 30 to 21 G.
• The possibility to introduce the filler is quite deep, the lower layers of tissues.
• Possibility to introduce fillers with a high degree of viscosity.

In what areas do the needles work better, and where is more appropriate to use the cannula for contour plasty?

Needles	Cannulas
Filling small, dynamic wrinkles (near the eyes - "crow's feet", small transverse wrinkles on the forehead)	If it is necessary to introduce large volumes of filler
If you need to introduce a small amount of the drug, usually it is necessary in the presence of fine wrinkles or for the correction of small areas, during repeated procedures	Correction of the frontal part - wrinkles between the eyebrows (glabella, and also with the plastic of the lips, the periorbital zone
Bioarmature of the contour of the face, for "sewing" of transverse wrinkles, to create a kind of "skeleton"	Reinforcement, correction of the neck zone, décolleté zone, plastic of the back surface of the hands
The use of the bolus technique of point correction (the point introduction of large doses of the drug into the deep layers of tissues).	Plastics of the zone of the corners of the mouth (wrinkles are "puppets"), plastic of the perioral zone.
When carrying out bolus technique, to perform point plastics in very deep layers of tissues	Filling the temporal zone with lipodystrophy
To neutralize scars and scars	Correction of the oval face, especially in the area of the chin
For complex correction - the corners of the lips, the introduction of the drug into the mucosa	Volumetric contour correction in places where the subcutaneous fat is clearly expressed, for example, in the area of the cheeks, to correct the cheekbones, as well as during the plasty of the maxillary groove or to create a volume on the back surface of the hands (brushes)
To correct the shape of the nose (contour rhinoplasty)	Contour plastic of the periorbital zone (contour blepharoplasty)

Thus, the cannula for contour plastics is the way to reconstruct the desired volume in problem areas, and this is the ability to accurately introduce the drug along the lines that create the supporting framework. The result after the procedure is visible immediately, in contrast to the effect of plastic surgery, when the patient has to wait for a whole month, until the hematomas and edema come down.

[8], [9], [10], [11]

Fillers for contour plastics

Fillers for contour plastics are drugs that are injected, means can be made from different materials, but they are all absolutely safe for the human body. 

Types of fillers:

• Temporary or biodegradable. These drugs are most adaptable to the body, they are able to be absorbed and completely eliminated, leaving no trace in the skin layers, or in the bloodstream, or in the organs.
• Constant or synthetic. These fillers create a lasting effect and hardly dissolve.
• Biosynthetic fillers with long-lasting effect. Such drugs are partially removed from the body after a certain period.
• Autologous drugs that are obtained from the donor material - from the patient's own fat tissue. In the contour plastic autologous means are not used, they are intended for plastic surgery.

The most effective and compatible with human tissues are fillers based on such substances:

• Hyaluronic acid is the leader in this group.
• Collagen.
• Poly-L-lactic acid.
• Hydroxyapatite calcium (combination of calcium and phosphorus).
• Synthetic polymethyl methacrylate, derived from bovine collagen.

Fillers for contour plastics have their indications, as well as contraindications.

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Why use drugs - fillers?

• Creation of a framework, reinforcement.
• Filling dystrophic areas of the skin - wrinkles, omission of bends (mouth, eyes).
• Create volume - chin, lips.
• Correction of the forms - the nose, cheeks, cheekbones.
• Neutralization of scars, scars, striae.
• Correction of asymmetry.
• Correction of flabby skin of the neck and décolleté zone.
• The creation of volume in the zones of the body is the chest.
• Correction of an intimate zone of a body 2.

Contraindications to the introduction of fillers

Absolute and permanent:

• diabetes;
• oncology;
• blood diseases, especially hemophilia;
• autoimmune diseases;
• allergy;
• hereditary disposition to the formation of keloid scars;
• previous correction with silicone.

Temporary, transient contraindications:

• period of pregnancy and lactation;
• viral diseases;
• fungal diseases;
• exacerbation of chronic pathologies;
• infectious diseases;
• menstrual cycle;
• contour plastic is not performed immediately after peeling or grinding with a laser.

Fillers for contour plastics should be selected only by a professional, a cosmetologist, depending on the task, the type of skin and the health features of the client. The ideal filler is a drug that adapts to the body, is compatible with it, is not capable of causing an allergic reaction and at the same time gives a lasting effect of rejuvenation and improvement of the appearance of a person. Almost all modern drugs meet the above requirements, so any woman can afford such a procedure.

[14], [15], [16], [17], [18]

Contour plastic gel

Preparations for contour plastics are often called gels. A gel is a filler or aggregate, a specific microimplant that is administered by a needle, that is, injectively. Contour plastic gel is necessary for linear alignment of the dermis (wrinkles) or to create the right volume in the subcutaneous tissue (cheekbones, lips, cheeks, nose shape, labia, chin). Gel, introduced into the skin, lifts the skin, thereby leveling it, or forming a volume in a given zone. More often cosmetologists use in practice natural gels, which do not have side effects and do not cause allergies. Such fillers are short-lived, after a certain period of time they are completely removed from the body, but the procedure can be repeated without too much risk, therefore, a limited result should not be considered a disadvantage.

[19], [20], [21]

What is the purpose of the contour plastic gel?

• Wrinkles in the nose bridge.
• Omitted corners of the lips.
• Nasolabial folds.
• Correction of the shape of the lips (increase).
• Correction of wrinkles in the neck and décolleté zone.
• Chin formation.
• Giving the volume of the cheekbones.
• Correction of the sunken cheeks.
• Intimate contour plastic.

Filler injections are not suitable for all clients, contraindications may include such diseases and conditions:

• Violation of blood clotting.
• Pregnancy.
• The period of breastfeeding.
• Diseases in the acute stage.
• Infectious diseases, especially herpes.
• Oncoprocess.
• Diabetes.

There are no age limits for contour plastic gel, of course, such procedures are not carried out for children or very young girls whose appearance does not require correction for understandable reasons. Age features may be related more likely to the type of skin that is prone to aging, as well as the severity of the problem - the depth of wrinkles, the level of insufficiency of subcutaneous fat and so on. The more difficult the correction, the deeper the wrinkles, the denser the consistency will be the injected gel.

The procedure involves the use of the thinnest needle, with which the gel is injected into the skin in the correction zone. Depth of injection can vary depending on the task - leveling or volume creation. The gel substance immediately reacts with the cells of the skin, the exchange process begins, the result of which is stimulation of the production of its own collagen and elastin, as well as the alignment of the skin relief.

After the session, it is not recommended to visit public places - baths, saunas, avoid swimming in the river or pool. In order to avoid a possible skin reaction to ultraviolet radiation, it is necessary to avoid exposure to sunlight and protect the skin with special protective creams. Such precautions are taken within 1-2 weeks.

Volumetric contour plastic

If the soft facial tissues, the body lose its elasticity, the volume, which is almost inevitable phenomenon of the withering and aging process, the volume contour plastic helps to restore the lost youth and fill the necessary zones. Such procedures beauticians call softlifting - measures to fill the lost volume by introducing fillers into the fabric. The gel is injected into the optimal depth for each specific task, and the volume recovery effect is visible almost immediately after the procedure. Thus, the client receives a visible result of rejuvenation, according to reviews the person looks at least 10 years younger.

What can a three-dimensional contour plastic?

• Lifting and contouring of the median area of the face.
• Correction of the volume of the cheekbone part of the face.
• Correction of the shape of the mouth.
• The ability to raise the lowered corners of the lips.
• Neutralization of nasolabial folds.

The volume correction is suitable for any age category of the client, since the age of 18, such procedures are perfectly combined with other anti-age measures and can often completely replace surgical plastic.

What do professionals recommend to achieve maximum effect in terms of restoring lost volumes and correcting atonic sites of the face?

Experienced cosmetologists prefer to use a complex approach to the rejuvenation process. The combination of injection methods with hardware makes it possible to consolidate, extend the result. For example, if the client has a dry type of skin and there are signs of atony, sluggishness of the skin in principle, it is advisable to conduct radiofrequency therapy, eliminating pastoznost. After the hardware procedures, you can enter the filler, which acts as a modeling filler, while at the same time unable to "overload" soft facial tissues.

Bulk contouring involves the use of biodegradable drugs, most often based on hyaluronic acid. All fillers are distributed according to the degree of viscosity, which allows you to accurately select the filler, corresponding to the specified area of the face. These truly unique drugs have the following advantages:

• Help restore the clarity of the contour, the oval face.
• Quick and visible effect.
• Lack of a long period of rehabilitation.
• Stable result - from six months to one and a half years.
• Absence of surgical incisions.
• Affordable cost of the procedure.
• The possibility of repeating procedures without the risk of complications for the body.

Softlifting, volume correction is practically painless, after such rejuvenation, hematomas or other unpleasant consequences are absent, the only caveat can be refusal to visit the pool, sauna, beach for 10-14 days. Non-surgical methods of rejuvenation have become a trend of modern cosmetology, and this pleases virtually all customers, because manufacturers provide the widest choice of fillers for eliminating almost any defects of the skin and subcutaneous tissues, and the procedure for bulk contouring takes no more than 25-30 minutes.

Injection contour plastic

Modern woman not only has time to build a career, personal life, but also to look after her appearance, which is a kind of indicator of success and a real full life. All these tasks require a high pace of action and completely do not leave time for rest. But even here new technologies come to the aid of fine ladies, including in the field of aesthetic medicine. To such innovations it is possible to carry an injection contour plasty - a method of correction and elimination of age or birth defects of a skin. This method is much safer than full-fledged surgical plastics, since it does not require a rehabilitation period, while at the same time, injection correction is no less effective and effective.

Intradermal injections of fillers are in demand not only as a recovery of the volume of wilted, atrophied tissues (lips, cheekbones, cheeks), but also suitable for smoothing the skin's relief, eliminating wrinkles - both shallow and deep. Injection contour plastic is a breakthrough in anti-age cosmetology, in addition to the visible result and painlessness, such procedures are now available to almost every woman seeking to improve her appearance, restore youth and freshness of the skin.

The history of the development of injection procedures for beauty is very interesting. The first injections of beauty were made almost a century ago, these procedures were accompanied by a high risk of complications and obvious failures. At first, physicians practiced lipolifting, which produced an effect, but often implants from donor fat did not adapt, did not settle down to the body, in addition, these substances migrated under the skin, creating ugly knolls. Then in the USA the first preparation on the basis of bovine collagen (Ziplast) was obtained, which was more adaptable and safe, but could cause an allergic reaction. Only at the end of the last century, fillers appeared on the basis of hyaluronic acid, it was a real breakthrough, a revolution in aesthetic medicine. Such substances were widely used in veterinary practice and ophthalmology, it was these medical spheres that pioneered the unique natural implant, which in 1986 was first released for cosmetic needs under the trade name "Restylane." Since then injection contour plastic is unthinkable without fillers based on HA (hyaluronic acid), which have become the most popular and popular among doctors and among numerous clients. Today, fillers are produced with the help of biotechnology, that is, they do not contain material of animal origin, this significantly reduces the risk of any complication, including allergy.

An ideal tool for injections of beauty must meet the following requirements:

• Biocompatibility with human tissues is not less than 85%.
• Hypoallergenicity.
• Complete lack of gene material.
• Complete absence of cytotoxicity.
• Guarantee of a fast visible result.
• Efficiency and affordability.
• Guarantee of corrective effect - not less than 3 months or more.
• Non-animal origin.

Thus, injection correction of appearance can now be carried out not only to correct defects according to vital indications (after accidents, burns, injuries), but also as a way to satisfy the aesthetic demands of any client.

What tasks can injection contour plastic solve?

1. Elimination of facial wrinkles.
2. Alignment of the relief of skin with fine wrinkles.
3. Elimination of age-related pigmentation.
4. Correction of atonic skin.
5. Neutralization of local defects, such as tightening of the skin of the breast, décolleté, skin of the eyelids, back of the hands.
6. Intimate contour plastic.
7. Alignment of the relief of the skin in combination with Botox or Disport.
8. Increase the volume of certain zones - the lip, cheekbones, cheek area.
9. Contour plastic back of the nose, chin.

Preparations for contour plastics act as linear "assistants" in case of neutralization of creases, wrinkles, and also as a substance that creates volume in tissues, when there is sagging, loss of turgor (volume of lips, cheeks, cheekbones, alignment of nose shape).