Planimetric plastics of nasolabial folds

The planimetric plastics is a procedure of filling of wrinkles with special gels (fillers). This technique is applied to correction of area of cheekbones and a face form, folds and wrinkles of any depth, change of a form and volume of lips, and also underlining of their contour.

Procedure of planimetric plastics of nasolabial folds

Before holding a procedure suitable drug is selected, and also the volume necessary for introduction is calculated. The amount of gel varies from 0,5 to 2 ml, and sometimes and more.

At planimetric plastics of nasolabial folds the needle is entered under a zone of retraction or a wrinkle vnutrikozhno. Actually gel is injected at the exit, filling with that missing volume and raising a fold over skin level.

Technology of introduction can be various that depends on the place of an injection. For example, at correction of a shape of lips at first the contour, and already is, as a rule, created then their volume is adjusted. After that the doctor accurately masses a zone of administration of gel for its hypodispersion in fabrics.

According to reviews, at planimetric plastics of nasolabial folds there are painful feelings that it is quite explainable as injections enter directly into skin. For anesthesia conduction anesthesia (pricks) or cream with anesthetic is offered to patients.

It should be noted that use of anesthetics provokes development of severe hypostasis that levels effect of the procedure a little. Today there are fillers on the basis of lidocaine and hyaluronic acid that allows to reduce bleeding at planimetric plastics.

The result received from the procedure remains 6-12 months. It depends on many factors: depths of administration of gel, viscosity of drug, the adjusted zone, a way of life and specific features of the specific patient. In mimic active zones to which also nasolabial folds belong drugs resolve quicker. The effect of the procedure lasts only several months if the patient has an expressed xeroderma or he has diseases of a thyroid gland.

Fillers for planimetric plastics of nasolabial folds

Most often correction of problem zones is carried out by fillers on the basis of hyaluronic acid (Restilayn, Surdzhiderm, Yuviderm). According to reviews, these drugs as they are absolutely safe best of all are suitable for planimetric plastics of nasolabial folds and do not cause an allergy. Nevertheless, gels on the basis of hyaluronic acid have minuses: repeated correction will be required in 6 months.

Less often for planimetric plastics use fillers on the basis of a gidroksipatit of calcium, for example, of Radiyess. Process of administration of gel does not differ from injections of hyaluronic acid, a difference only in structure of active ingredient. The analog of a gidroksipatit of calcium contains in a bone tissue therefore drugs on its basis are also safe. Advantage of this connection is that it promotes independent production of collagen a human body, and, as we know, this protein – pledge of healthy and beautiful skin. Minus of drugs on the basis of a gidroksipatit of calcium is fragility of the gained effect – only 6-12 months.

Contraindications for carrying out planimetric plastics

There are no age restrictions for holding a procedure. It is much simpler to correct wrinkles at early stages of their bookmark.

However the procedure of planimetric plastics of nasolabial folds nevertheless has some contraindications:

• Allergic reactions to drug components;
• General autoimmune diseases;
• Exacerbation of viral and infectious diseases;
• Tendency to formation of keloid and hypertrophic cicatrixes;
• Exacerbation of chronic diseases of skin;
• Reception of some drugs (for example, anticoagulants);
• Diseases of internals;
• Diabetes mellitus;
• The chemical, laser or mechanical peeling postponed shortly before the procedure;
• Pregnancy and lactation.

At the slightest suspicion on existence of contraindications, or in case of the unfavourable forecast of the doctor it is necessary to refuse holding a procedure as the risk can be unjustified.

Complications after planimetric plastics of nasolabial folds

Though the percent of undesirable effects from correction by fillers is small and makes only 1-5% of cases, even before holding a procedure it is necessary to get acquainted with possible complications after planimetric plastics of nasolabial folds:

• Strong pain. It is possible to reduce sensitivity, applying fillers with lidocaine;
• Hypostases and hematomas. For their prevention it is necessary to be treated in advance with drugs which strengthen vessels. If hypostases and hematomas nevertheless developed, it is necessary to use gels with heparin, a nonsense or extract of a horse-chestnut;
• Inflammations, formation of fibrous capsules and granulomas. The dermatologist has to pick up filler and its dosage, proceeding from skin type. Antibiotics and antiinflammatory drugs are sometimes appointed. Good prevention of a complication is elementary observance of rules of hygiene, and also holding a procedure in specially equipped room. In that case when the inflammation did not manage to be avoided, surgical intervention can be required;
• Allergic reactions. At their emergence it is important to give timely help to the patient, having made an injection of corticosteroid drugs;
• Protrusion or migration of gel. It is possible to eliminate this complication of planimetric plastics of nasolabial folds only by means of a session of injections of hyaluronidase which is capable to split and bring the entered earlier hyaluronic acid out of an organism. In case of use of fillers on the basis of a gidroksipatit of calcium, treatment can drag on;
• Vascular embolism. When squeezing vessels filler of low viscosity or at its too deep introduction within a day there is a painful reddening and puffiness flowing in a necrosis with scarring. In case of a vascular embolism symptomatic therapy is appointed.

Knowing the reasons of complications, and also methods of their elimination it is possible to control process and to be quiet for success of the procedure.

Prevention of complications after planimetric plastics

It is possible to reduce risk of undesirable effects of planimetric plastics of nasolabial folds practically to zero if to take care of prevention which is carried out before the procedure. Preventive measures include:

• Address to experienced specialists. The doctor has to consider specific features of the patient and possible contraindications and, proceeding from it, pick up drug and an optimum technique of its introduction;
• Aspiration test before a filler injection;
• Use of blunt-pointed cannulas;
• The sparing way of administration of drug;
• Use of anesthetics with Epinephrinum;
• Introduction of all volume of drug small doses for several sessions;
• Imposing of a hladopaket after manipulations;
• The completing massage of a zone of correction.

Deciding on planimetric plastics of nasolabial folds, it is necessary to learn as much as possible that results of the procedure only pleased about this method of rejuvenation.