What is facial contouring: indications, contraindications

In adolescents, the skin is smooth and soft, velvety, elastic - largely due to the fatty tissue that evenly covers the facial skeleton. As we age, we gradually lose fatty tissue; it can migrate, accumulating mainly in the lower part of the cheeks and in the submandibular area. In some cases, age-related changes can cause almost total loss of volume, especially in the superficial subcutaneous layer. Even the bones of the skull are subject to these changes: thinning and ptosis of the soft tissues flatten the maxillary region - and the eyes literally fall through.

What is contour plastic surgery?

There is another name for this procedure - contour modeling. Fillers filled with a gel-like liquid are injected under the skin of the face. With the help of thin needles, the gel penetrates deep into the dermis, is evenly distributed, smoothes wrinkles and moisturizes the skin. Contour plastic surgery is also used to add volume to the lips, eliminate facial asymmetry, and correct cheekbones. Fillers can be temporary or permanent; depending on the area of application of the drug, the density of the composition differs. In aesthetic medicine, contouring is the only method whose results are immediately visible.

When the active substances enter deep into the dermis, they begin to work in several directions: saturating the skin with oxygen, moisturizing, producing collagen and elastin, and removing accumulated toxins from tissues. After the contouring procedure, the face acquires a healthy, radiant shade, smooth structure and elasticity. Wrinkles and hyperpigmentation also disappear.

A common question is about the duration of the contour modeling result. The effect of introducing a filler gel lasts from 6 to 18 months, depending on the brand, composition and area of application. Today, there are a large number of fillers in the beauty industry, the most applicable of which are biodegradable gels. Such drugs are safe and have no side effects.

Correction of the lower part of the face

Another common problem faced by those with soft faces is jowls and a sagging jawline. The risk of developing jowls is especially high in those with “heavy” faces with a large amount of cheek fat. As a rule, these are overweight people and those who inherited large, plump cheeks.

One of the least radical methods of solving the problem is to reinforce the lower part of the face with special preparations. However, this method is controversial, since many doctors believe that it is wrong to reinforce shavings alone. They are a consequence of prolapse of soft tissues. Therefore, it is possible that you need to strengthen your face in the area of the cheeks, cheekbones and temples, which will pull the jowls up.

Drugs used

As mentioned earlier, the number of types of fillers produced increases every year, and in order to choose the right one and not make a mistake, we have prepared for you a list of the safest and most popular contouring preparations. For anti-aging purposes, vitamins and other components are added to the injections. After a period of time, they dissolve and do not harm the body.

Permanent fillers. This group of drugs belongs to outdated formulations that are not currently in use. Fillers are not able to dissolve and leave the body on their own, which causes many unpleasant consequences. Biodegradable gels are artificial polymers, i.e. foreign to a living organism, whose immune cells reject such a composition.
Silicone filler is one of the most famous in this group. Safe modern non-absorbable fillers are also known, which provide long-lasting action and do not require additional injections. But in such cases, complications are common: a capsule of connective tissue forms around the injection site, causing various compactions and deformation.
Biocompatible long-acting fillers. This group consists of surgical materials that combine natural and synthetic components. The main advantage of such compositions is the absence of side effects and a long period of resorption. This filler can remain in the body for up to four years without causing negative immune reactions.
Autologous fillers. This group of fillers is of completely natural origin; the material for the correction zone is taken from the patient himself. This can be your own fat, lipofiller, which is transplanted from one place to another. The effect is long-lasting and stable, and the likelihood of complications is extremely low.
Biocompatible fillers. Drugs that are fully compatible with the cells of the human body. A common component in such compositions is hyaluronic acid, which is a component of the intercellular fluid of connective tissues. In addition to it, lactic acid and collagen are used. The effect of fillers is possible thanks to synthesized polyhyaluronic acid, which is identical in characteristics to natural one. “Hyaluronic acid” participates in biodynamic processes and affects the restoration of cells and tissues. After time, the biodegradable gel breaks down into safe components and is completely absorbed. In the world of cosmetology, hyaluronic acid is actively used in injections due to its unique properties of attracting water molecules. This increases the level of moisture in the epidermis and stimulates the production of your own elastin and collagen in the layers of the skin. As a result, the complexion improves, the skin takes on a fresh look, active cell division occurs and the rejuvenation process begins. After the filler has completely left the body, the skin does not lose its velvety and moisture content, and the growth and deepening of wrinkles is delayed.

It is worth noting that injections based on hyaluronic acid are the most popular and in demand. Despite the fact that they quickly break down and do not have a long-term effect, the filler lasts up to 6 months. The formation of side effects such as hematomas, inflammation and compaction at injection sites is possible. Such a reaction may be the body’s response to the administered drug or an incorrect procedure.

Main varieties

Contour plastic surgery is good because it allows you to select an individual correction program for each type of aging. Today, cosmetologists use the following options for non-surgical rejuvenation:

classic filling - subcutaneous injection of preparations based on hyaluronic acid;
volumetric correction - volume restoration;
bioreinforcement - the introduction of biodegradable (completely decomposed) threads into the tissues of the face and neck;
hardware exposure to laser, ultrasound, low frequency currents.

Classic injections in cosmetology are used to eliminate small wrinkles and lip augmentation.

Volumetric correction allows you to get rid of sunken cheeks and sunken eyes, reduces the severity of nasolabial and tear grooves. Cannulas - soft needles with a rounded end - help to perform the procedure painlessly and with minimal damage. During penetration, they do not injure, but push the tissue apart, making it possible to place the filler at different levels.

Until quite recently, threads from various medical materials were used to strengthen sagging facial tissues. Modern high-density gels allow you to achieve a similar lifting effect - they create a kind of frame in the subcutaneous layer that keeps the tissues from sagging.

Properly performed bioreinforcement transforms the face: jowls disappear, nasolabial furrows are smoothed, the oval is tightened and the double chin disappears.

Drugs used

Permanent fillers. This group of drugs belongs to outdated formulations that are not currently in use. Fillers are not able to dissolve and leave the body on their own, which causes many unpleasant consequences. Biodegradable gels are artificial polymers, i.e. foreign to a living organism, whose immune cells reject such a composition.
Silicone filler is one of the most famous in this group. Safe modern non-absorbable fillers are also known, which provide long-lasting action and do not require additional injections. But in such cases, complications are common: a capsule of connective tissue forms around the injection site, causing various compactions and deformation.
Biocompatible long-acting fillers. This group consists of surgical materials that combine natural and synthetic components. The main advantage of such compositions is the absence of side effects and a long period of resorption. This filler can remain in the body for up to four years without causing negative immune reactions.
Autologous fillers. This group of fillers is of completely natural origin; the material for the correction zone is taken from the patient himself. This can be your own fat, lipofiller, which is transplanted from one place to another. The effect is long-lasting and stable, and the likelihood of complications is extremely low.
Biocompatible fillers. Drugs that are fully compatible with the cells of the human body. A common component in such compositions is hyaluronic acid, which is a component of the intercellular fluid of connective tissues. In addition to it, lactic acid and collagen are used. The effect of fillers is possible thanks to synthesized polyhyaluronic acid, which is identical in characteristics to natural one. “Hyaluronic acid” participates in biodynamic processes and affects the restoration of cells and tissues. After time, the biodegradable gel breaks down into safe components and is completely absorbed. In the world of cosmetology, hyaluronic acid is actively used in injections due to its unique properties of attracting water molecules. This increases the level of moisture in the epidermis and stimulates the production of your own elastin and collagen in the layers of the skin. As a result, the complexion improves, the skin takes on a fresh look, active cell division occurs and the rejuvenation process begins. After the filler has completely left the body, the skin does not lose its velvety and moisture content, and the growth and deepening of wrinkles is delayed.

All drugs are classified according to the duration of the effect, which lasts from 6 months to 4 years. The latter are used more often for medicinal purposes, for skin injuries, and not in aesthetic medicine, because have a number of serious side effects. Cocktails used in cosmetology have an average validity period of six to twelve months. Depending on the correction area, depth of wrinkles, individual characteristics and skin condition, the drug is selected separately for each patient.

The following brands top the ratings of the best drugs for contouring:

The Swiss composition “Restylane” is used to eliminate crow’s feet and smooth out wrinkles on the cheekbones and forehead. The effect lasts up to two years. American cocktail from Juvederm. It contains lidocaine to numb the procedure. It has a wide range of uses: gives volume to lips, changes their shape, smoothes out deep wrinkles, improves facial contour, lifting effect for up to six months or more.
French fillers “Surgiderm” and “Stylage” correct nasolabial folds, wrinkles on the forehead, and enlarge cheekbones and lips. "Teosial". A line of drugs that contain 7 different formulas that solve any defects in appearance - from small wrinkles to complete facial modeling.
Russian fillers “Cosmogel”. The effect of injections from domestic manufacturers is not inferior to foreign ones, and the price is much lower. But it is worth considering the fact that foreign brands add hyaluronic acid to the composition, and Cosmogel consists of synthetic fibers.

Types of facial contouring procedures

Contour plastic surgery will not only relieve you of age-related changes, but will also give you a more sensual oval shape of your face, cheekbones and lips. Capsule administration of the drug allows you to model the facial contour without disturbing natural facial expressions. Experts distinguish the following types of contour plastic surgery:

contour plastic surgery of cheekbones. Thanks to injections, the face becomes more elongated, highlighting the contour of the face or filling out the folds of the cheeks. Expressive, emphasized cheekbones can now be achieved without professional makeup, because the effect of the procedure lasts up to 12 months.
correction of the nasolacrimal groove. After 35 years, a depression forms from the inside of the eye towards the temporal lobe, which is called the nasolacrimal groove. Filling this area with fillers will increase density, correct unevenness and eliminate expression wrinkles.
fillers for the skin around the eyes. Over the years, the body produces a small amount of collagen, which is so necessary for moisturizing and elasticity of the skin. Fillers can eliminate dark circles, drooping eyelids, and crow's feet.
nose shape correction. This procedure is an alternative to rhinoplasty for those who are not ready to “go under the knife.” With the help of contour plastic surgery, it is possible to get rid of a deviated septum and hump, change the tip and width of the wings, and fill in scars and irregularities.
contour plastic surgery of nasolabial folds. Injections allow you to get rid of age-related changes in the corners of your lips by filling them with a gel composition. chin correction with fillers. You can model the oval of your face using injections based on hyaluronic acid. The procedure also eliminates sagging, evens out folds and wrinkles.
contour plastic surgery for lip augmentation. You can achieve sensual and voluminous lips not only with the help of Botox, fillers with hyaluronic acid will safely correct the shape and add shape.

Areas of use

Impact area	Effect
Lips	Hyaluronic acid is injected subcutaneously to create a voluminous shape, correct asymmetry, lift drooping corners, and get rid of dryness and cracks due to moisture deficiency.
Cheekbones	Fillers are used for sagging cheeks and deformation of the oval of the face. The drugs work in the middle and deep layers of the dermis, replenishing the contour and restoring cells.
Eyelids	They have thin, sensitive skin, so they age faster than other areas. The purpose of the injections is to smooth out fine wrinkles on the upper eyelids and remove tear grooves.
Forehead	Rhytidectomy (forehead surgery) is effective if you combine hyaluronic fillers and botulinum toxin preparations - Botox and Dysport. Complete smoothing of deep lines lasts up to a year or longer.
Nasolabial triangle	It is difficult to identify the cause of the appearance of folds in this area, since the problem is found even in young girls. The correction has no age restrictions and is carried out with thin microneedles. The result lasts for at least a year.
Nose	Cosmetologists are able to eliminate deformation of the base and wings without surgical intervention. Fillers can correct asymmetry, smooth out the hump and sharp protrusions on the bridge of the nose.

Important! Different zones require different volumes and densities of filler. The deeper the wrinkles, the greater the viscosity should be. Only a specialist can calculate this optimally.

Indications for injection contouring

The injection method of transformation is recommended for girls over 35 years of age in order to eliminate and prevent age-related changes. Indications for injection contouring are:

loss of clarity of facial contour;
deep wrinkles;
skin defects: traces of acne, scars, scars, hyperpigmentation;
unaesthetic appearance of lips and cheekbones;
loss of elasticity in the neck and décolleté area;
nasolabial and glabellar folds, tear grooves;
consequences of gravitational ptosis.

Age may be a contraindication for contouring. You must be 18 years old at the time of the procedure. Internal and dermatological diseases, pregnancy, lactation, psychological disorders, recent cosmetic procedures are reasons to refuse injections. Contraindications also include viral and immune diseases, poor blood clotting, and diseases accompanied by inflammatory processes.

Stages of torsoplasty - how a body lift is performed

Before carrying out this procedure, certain preparatory measures should be performed:

Visit a plastic surgeon. This specialist will describe the details of body lifting, the expected results, as well as possible exacerbations in the postoperative period.
Consult a therapist. It is this doctor who may prohibit a circular body lift due to the patient having certain contraindications. If certain pathologies are detected, the person may be referred for consultation to a related specialist. If there are chronic diseases, they seek compensation for them.
Have a conversation with the anesthesiologist. The specified doctor must find out whether the patient has hypersensitivity to certain medications.

The patient must undergo the following diagnostic measures:

Take a general blood and urine test. Favors the detection of infections in the body.
Donate blood for biochemical testing.
Rule out the presence of HIV infection, hepatitis B and C, and syphilis. For this analysis, venous blood is taken.
Get fluorography and ECG.
Examine the state of functioning of internal organs using an ultrasound machine.

Two weeks before plastic surgery, you should stop smoking, drinking alcohol, and not take medications that thin the blood.

A couple of days before the operation, it is necessary to arrange a fasting diet, and on the day of torsoplasty it is forbidden to eat or drink.

Among other things, 2-3 months before the operation the patient should adjust his diet and exercise. It is advisable to make such a style the norm and stick to it for the rest of your life.

A circular body lift is a rather complex procedure that requires special skills from a plastic surgeon. During the operation, this specialist works on various areas of the body where muscle mass and skin function differently.

For example, with back surgery, a lift is not performed. In the abdominal area, a lift is absolutely necessary.

Often, body contouring is combined with other procedures: liposuction, plastic surgery of the labia minora, correction of the mammary glands - and other manipulations, at the discretion of the doctor.

Because of this, the procedure in question may take 5-8 hours .

The torsoplasty algorithm is as follows:

Identification of problem areas and their marking.
Anesthesia. For this type of plastic surgery, general anesthesia is used.
According to the outlines made in advance, the operator performs a resection of an area of skin along with subcutaneous fat. First, they work with the lateral sections of the buttocks and thighs, then moving on to the back and lower back.
Tummy tuck. The excess skin with subcutaneous fat from the bikini area to the navel is eliminated. If there are fatty deposits in this area, liposuction is performed in parallel. The surgeon moves the navel to a new location in order to recreate a more natural silhouette. Next, the muscles of the anterior abdominal wall are tightened by suturing them.
Side lift.
Stitching the wound surface with surgical threads. To ensure the outflow of fluid, silicone drainage tubes are installed. The operated area is covered with a compression bandage or bandage.

Possible complications

This procedure has many advantages: minimal trauma, safety, hypoallergenicity, self-resorption of fillers, absence of serious consequences, quick results and natural appearance after injections. Despite all the listed advantages, it is important to pay attention to possible complications, which the cosmetologist should inform the patient about in advance. After the procedure for 4 days, the norm is for slight swelling to persist in the injection area.

If the skin is sensitive, then the formation of hematomas is possible. Special painkillers are individually prescribed by your doctor after the procedure. You are allowed to wipe your face with ice cubes to relieve swelling and apply anti-inflammatory ointments. Serious complications and reasons to consult a doctor include the following:

uneven distribution of the gel, which is expressed in noticeable compactions;
damage to the skin and blood vessels;
allergic reactions to drugs;
infectious and inflammatory processes.

Since injections seriously affect not only your appearance, but also your health, it is important to contact specialists in professional clinics with positive reviews and a proven reputation. Inquire about the availability of licenses, certificates for carrying out a particular procedure, diplomas.

Comparative advantages relative to other anti-aging procedures

For many years, the only method of facial rejuvenation and modeling was surgical plastic surgery. The advent of fillers changed everything. They are in no way inferior in effectiveness to a medical scalpel, but at the same time they have a lot of advantages:

speed and ease of execution;
low morbidity;
no anesthesia;
short recovery period that does not require significant restrictions;
availability of injections;
minimum contraindications;
quick result.

Another undoubted advantage of beauty injections is the reversibility of the procedure - if the doctor does not succeed, after a few months the gel will dissolve on its own and leave the body.

How much does contour plastic cost?

One of the significant advantages of contour plastic surgery is the cost-effectiveness of the procedure, compared to other hardware techniques and plastic surgery. The cost of the procedure depends on the drug used, the area of application, the level of the clinic and the region in which it is located. The volume of intervention is measured in milliliters or syringes. The minimum price range starts from 10 thousand rubles and can reach up to 30 thousand. It will be cheaper to have contour plastic surgery done in remote cities than in Moscow or St. Petersburg. Often the cost of the procedure does not include the use of anesthetic drugs.

Rehabilitation and care after filler injections

For a quick and painless recovery, it is necessary to take proper care of the skin of the face and the whole body. Cosmetologists give specific recommendations:

do not touch or rub damaged areas of skin with your hands;
minimize the use of facial muscles: smiling, kissing, etc.;
avoid thermal effects on the skin, i.e. do not visit the solarium, beach, sauna, bathhouse;
give up sports and heavy physical activity for a while;
do not drink alcohol or smoke;
do not take medications or resolve this issue individually with your doctor;
avoid hypothermia.

During the rehabilitation period, you should not use decorative cosmetics and aggressive skin care products, and refrain from cosmetic procedures for at least 14 days. If you follow the recommendations listed above, the effect of “beauty injections” will last longer, and you will not regret the operation performed and the inconveniences suffered.

Rehabilitation period

A safe rejuvenation procedure does not require a rehabilitation period. The patient feels well and immediately after the lifting and correction session can return home and lead a normal lifestyle. However, in order for the results to last for a long time, it is recommended to follow certain rules. On the first day after the procedure it is prohibited:

Touch and wet the correction areas with your hands.
Use cosmetics and perform cosmetic procedures.
Tighten your facial muscles - smile, wince.
Sleep with your face on a pillow, preferably on your back on the first night.

During the week after facial contouring, it is prohibited:

Remove crusts from injection sites if they have formed.
Use cosmetics.
Sunbathe and be in direct sunlight.
Visit a sauna, hot tub, swimming pool and other public places intended for swimming.
Intensely touch areas exposed to microinjections to avoid infection.
Take blood thinning medications.

The longest ban is imposed on facial massage - up to several weeks.

Contour plastic before and after photos

Reviews of the results of contour plastic surgery are positive. All clients are happy with plump lips, a clear oval face, older women forgot about the presence of deep and facial wrinkles, all patients ended up with a healthy, fresh complexion, elastic and moisturized skin. The improvement occurs so naturally that it is extremely difficult to notice traces of invasive intervention.

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