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Comparison with the type of treatment by injecting hyaluronic acid into the nose ・ Precautions fo...

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Comparison with the type of treatment by injecting hyaluronic acid into the nose ・ Precautions for not failing

Hyaluronic acid is a viscoelastic substance that originally exists in the body and has the effect of supplementing the volume of the skin at the injection site.Therefore, in cosmetic medicine, treatments mainly aimed at improving wrinkles and contours of the nose and chin Used in formation. By injecting hyaluronic acid into the nose, you can expect the effect of rhinoplasty to raise the height and shape the nose.

However, there are many different types of hyaluronic acid infusions, so you need to know the nature and duration of each infusion when considering a rhinoplasty procedure. In addition, some areas of the nose are not recommended for hyaluronic acid injections, so depending on your ideal nasal finish, you may need to consider surgery instead of hyaluronic acid injections.

Hyaluronic acid injection is easier to receive than surgical cosmetic surgery because there is almost no downtime . On the other hand, if the injection amount or injection site is incorrect, there is a risk of moving to another site or causing blood flow obstruction. By knowing the correct hyaluronic acid injection method that suits your nose condition and your worries, you can reduce the risk of failure and aim for your ideal nose.

Ingredients and effects of hyaluronic acid injection

Hyaluronic acid is a viscoelastic substance called mucosaccharide, which is mainly present in the skin, cartilage, and eyeballs.

Since hyaluronic acid is naturally present in the human body, it is considered to be a foreign substance when taken into the body from the outside, and the risk of causing an allergic reaction is low . Therefore, in cosmetic medicine, it mainly supplements the volume of the skin. It is used in the procedure of injecting into the desired part.

Various types of hyaluronic acid injectables (fillers) are manufactured in various countries and manufacturers, and the hardness changes depending on the size of hyaluronic acid particles.

Characteristics of injections used for rhinoplasty by hyaluronic acid injection

Hard hyaluronic acid is mainly used for contouring the nose and chin, and soft hyaluronic acid tends to be used for injecting into the grooves of fine areas such as wrinkles and nasolabial folds.

When soft hyaluronic acid, which is used to improve wrinkles during rhinoplasty, is used, it loses its shape due to the lateral flow of the injection agent under the pressure of the skin trying to restore the injected site to its original shape. There is a possibility that it will end up. Therefore, the following elastic and hard hyaluronic acid is mainly used in the treatment of rhinoplasty by injecting hyaluronic acid.

Maker Injectable Hyaluronic acid hardness Approval of public institutions
Allergan Jubiderm Vista Voluma XC Moderate hardness Approved by the Ministry of Health, Labor and Welfare
AESTURA Cleviel Contore Hard KFDA approval
Meditox Neuramis Moderate hardness KFDA approval

Hyaluronic acid is gradually absorbed into the body over the years, so the injected site will eventually return to its original shape.

In the unlikely event that hyaluronic acid shifts to an unintended site, hyaluronidase, an enzyme that decomposes hyaluronic acid (degrading enzyme preparation), is injected to decompose the injected hyaluronic acid into water and carbon dioxide. It can be excreted from the body.

If you re-inject hyaluronic acid immediately after injecting hyaluronidase, it will be decomposed by enzymes, so it is common to make corrections at intervals of about one week. Hyaluronidase is said to exert a decomposing effect by injecting the same amount or more as hyaluronic acid, and has the property of reacting only with hyaluronic acid.

Rhinoplasty by injecting hyaluronic acid aiming for the ideal nose

The nose has multiple cartilage such as the nasal bone and lateral nasal cartilage (nasal dorsal cartilage), alar cartilage, and alar cartilage, but their shapes and sizes are different. Rhinoplasty by injecting hyaluronic acid aims at the ideal nose by injecting hyaluronic acid into the nasal muscles and the base of the nose according to the shape and height of the nose, which are affected by different bone shapes and sizes. It is a treatment.

Areas of the nose where hyaluronic acid can be injected and types of rhinoplasty

Rhinoplasty, which aims to shape and raise the height of the nose by injecting hyaluronic acid, has different injection sites depending on the nasal problems that you want to improve. In addition, regardless of the part of the nose to be injected, internal bleeding may cause redness or swelling for about 2 days from the day of treatment.

Nose problems I want to improve Site to inject
I want to improve the nose (eagle nose) Nose root
I want to give height to my nose Nose root / nasal muscle
I want to improve my nose (bent nose) Nose
I want to improve the pig nose and dumpling nose Nose pillar

Treatment of stair nose (eagle nose) by injecting hyaluronic acid

Treatment of stair nose (eagle nose) by injecting hyaluronic acid The "nasal bone" in the central part of the nasal muscle protrudes from the "lateral cartilage (nasal dorsal cartilage)" located below, and when the nose is viewed from the side, the nasal bone protrudes and is stepped. The condition is called the step nose (eagle nose).

By injecting hyaluronic acid into the base of the nose, which is the base of the nose, according to the height of the protruding nasal bone, the step due to the protrusion of the nasal bone is filled and improvement of the nose can be expected.

However, hyaluronic acid treatment is not a treatment that changes the shape of the bone itself, so if you want to maintain the effect semi-permanently with one treatment, there is also a surgical treatment method that scrapes or removes the bone.

Rhinoplasty with hyaluronic acid injection

The procedure to raise the nose is also called "Ryubijutsu", and there are many medical institutions that describe the procedure to raise the nose by injecting hyaluronic acid without using a scalpel as "Petit nasal procedure". In nasal prosthesis by injecting hyaluronic acid, by injecting hyaluronic acid into the base of the nose and the nasal muscle near the inner corner of the eye, the height of the nose is raised, and the so-called nasal muscle can be seen through .

However, if you put too much injection into the base of the nose, the dents in the base of the nose will disappear, and the line from the forehead to the tip of the nose (the tip of the nose) may become flat and the shape of the nose may look unnatural. Therefore, it is important to listen carefully to the doctor's advice when deciding the injection amount.

Treatment of oblique nose with hyaluronic acid injection

An oblique nose refers to a nose with a bent nose, most of which is caused by a trauma such as a traffic accident, but some people are born with abnormal bones and are bent. There are two types of nasal oblate: osseous oblique nose with a bent nasal bone and achondroplasia with a bent "septal cartilage" that divides the nasal hole into two parts.

For any oblique nose, hyaluronic acid can be injected into the recessed area of the nasal muscles to make the curvature of the nose less noticeable . Since it does not change the shape of the bone like the nose treatment, it is difficult to maintain the effect semi-permanently with one treatment.

Extension (descending) of the nasal column due to hyaluronic acid injection

Description of the nasal column

The nasal column (Hanabashira) is a flat part like a wall between both noses. If the nasal column is above (back) the nose, the nose will be visible from the front. By injecting hyaluronic acid under the skin of the nasal column and extending the nasal column toward the lower part of the nose , the philtrum from the tip of the nose to the upper lip can be made to look shorter , and the nose can be seen from the front. The holes will be difficult to see .

However, if the amount of hyaluronic acid injected is large, the nasal column may appear thick or the nose may appear large . Please consult your doctor's advice when deciding the amount of hyaluronic acid to inject to prevent unnatural finishes.

Duration / injection amount and fee of rhinoplasty by hyaluronic acid injection

Rhinoplasty by hyaluronic acid injection can be felt immediately after the procedure. In addition, the duration of the effect of shaping the nose and aiming for a raised nose by the procedure depends on the injectable used as follows.

Duration of rhinoplasty by hyaluronic acid injection

Injectant name duration
Volume xc About 24 months
Cleviel 12 to 15 months
Neuramis 6-12 months

Hyaluronic acid injected into the body has no lasting effect and is naturally absorbed into the body over time. If the hyaluronic acid injected into the nose is no longer effective, you can re-inject it to aim for the ideal nose again.

Long-term sustainability can be expected by repeating reinjection

Since hyaluronic acid is gel-like rather than solid, it has a maximum effect of supplementing the volume of the injected site for up to 2 years, and its shape cannot be maintained permanently.

However, there is no limit to the number of times hyaluronic acid can be reinjected, and by repeating the procedure, the amount of hyaluronic acid injected last time is piled up in layers, which indicates that it can be expected to last for a longer period of time. There is also an institution.

Rhinoplasty injection volume and price quotes from hyaluronic acid injection

The amount of hyaluronic acid used for rhinoplasty depends on the condition of the individual's nose, but to prevent the risk of unnatural finish due to excessive injection, 0.2cc per treatment regardless of site. ~ 1cc is a guide.

In addition, depending on the medical period, in order to prove that hyaluronic acid is not diluted, the person undergoing the treatment purchases a preparation containing 1 cc of hyaluronic acid at a medical institution and then uses it in the treatment for the next treatment. In some cases, you may have to bring it to a medical institution and use the remaining injectables when you receive the medicine.

Injectant name Per 0.1cc Per one
Volume xc 10,000 yen to 16,500 yen 55,000-99,000 yen
Cleviel 6,000 to 12,000 yen 60,900 yen-98,000 yen
Neuramis From 3,750 yen to 59,080 yen 38,500 yen to 50,000 yen

Rhinoplasty by injecting hyaluronic acid is basically a free medical treatment that is not covered by insurance, so the treatment fee will be paid at your own expense.

Rhinoplasty other than hyaluronic acid injection

In addition to hyaluronic acid injection, there are the following methods for rhinoplasty in cosmetology. While scalpel surgery can be expected to have a permanent nasal contouring effect, it tends to have longer downtime compared to infusion surgery.

Surgery name Trouble that can be expected to improve Estimated progress after surgery
Hump excision Step nose (eagle nose) Swelling: 2 to 12 weeks Cast fixation: Approximately 2 weeks Thread removal: 1 to 2 weeks later Finish: 4 to 6 months later
Prosthesis insertion Pass through the dumpling nose, pig nose, step nose, and nose muscle Swelling: 2 days to 2 weeks Cast fixation: 2 days to 3 days Finish: 2 to 3 weeks later
Auricular cartilage transplant Dumpling nose / pig nose Swelling: 2 to 36 weeks Thread removal: Approximately 5 days later (ear)
Finished: 1 to 2 weeks later
Nose wing shortening Garlic nose, dumpling nose / pig nose Swelling: 7-10 days Cast: Approximately 1 week Finish: 2-3 months later
Nose tip formation Dumpling nose / pig nose Swelling: 7-10 days Cast: Approximately 1 week Finish: 2-3 months later

Hump excision

The hump is the central protruding part of the nasal muscle that causes the appearance of the nose. Hump surgery is a surgical procedure that removes or scrapes the protruding nasal bone and dorsal cartilage to smooth out the unevenness of the nose. If the protruding part is small, the skin is incised through the hole in the nose and then the dorsal nasal cartilage is sanded to eliminate the protrusion and improve the nose.

On the other hand, if the protruding part is large, not only the dorsal nasal cartilage may be scraped, but also the protruding hard nasal bone may be removed with a scalpel. However, if the hump disappears, the nasal muscles may look thicker, so if you are concerned about the thickness of the nasal muscles, you can remove the nasal bones and perform a "nasal bone cutting width adjustment" to move the bones to the center. You can make it look thinner.

Prosthesis insertion

A prosthesis is an artificial cartilage, and silicone prostheses are often used in medical institutions. Silicone used in medical institutions is also used in artificial blood vessels, and is a material that has a low risk of adverse effects even if it is kept in the body.

There are two types of prostheses used for rhinoplasty: type I, which is used to pass through the nasal muscles, and type L, which is used when you want to change the shape of the tip of the nose in addition to passing through the nasal muscles.

If you want to improve your nose (eagle nose), use a type I or L prosthesis. Insert the prosthesis from the base of the nose to the tip of the nose, remove only the prosthesis of the protruding part of the bone, and adjust it to the height of the protruding part of the bone to make the nose less noticeable.

If you want to change the shape of the tip of your nose, you can use an L-shaped prosthesis to make the nasal muscles visible and improve the dumpling nose and pig nose. However, when using an L-shaped prosthesis, the L-shaped horns hit the thin nose, so there is a risk that the horns will break through the skin and be exposed when a strong impact is applied to the nose. If the tip of your nose becomes reddish or discolored after inserting the prosthesis, consult a medical institution.

Auricular cartilage transplantation (extension of nasal septum)

Surgery to surgically collect the tragus or auricle, which is the cartilage of the ear, and transplant it to the tip of the nose to aim for a raised nose is called "auricular cartilage transplantation". After adjusting the shape of the collected ear cartilage, you can adjust the insertion angle and transplant it to the tip of the nose to match the ideal shape of the tip of the nose.

Even if a part of the cartilage of the ear is removed, it does not interfere with the function such as hearing. In addition, by using cartilage that is a part of one's body, it is unlikely that the body will recognize it as a foreign substance and cause an exclusion reaction when transplanted to the nose, so the use of ear cartilage is recommended. I will.

Those who want to pass through the nose muscle can also undergo surgery in combination with the prosthesis, but if the prosthesis is inserted from the base of the nose to the tip of the nose, the line of the nose will be fixed and it will be difficult to move the tip of the nose freely. I will. On the other hand, in the case of auricular cartilage transplantation, the cartilage collected from the ear is transplanted only to the tip of the nose, so the tip of the nose can be moved freely.

Nose wing shortening

Nose wing shortening is surgery aimed at reducing the nasal wings, which means the nose. There are two methods for shortening the ala of nose: the lateral method, in which the skin on the outside of the ala of nose is excised and reduced, and the medial method, in which the skin in the nose hole is cut into a triangle and the incised part is sutured to reduce the nose.

Since nasal wing shortening is an operation that involves excision or incision of the skin, it may leave scars, but shortening the nose makes the nose hole less noticeable and can be expected to have the effect of making the entire nose look sharper.

Nose tip formation

Nose tip formation is an operation to shape the tip of the nose, which means the tip of the nose, and can be expected to improve the dumpling nose. A dumpling nose is a nose that appears to have a rounded tip that spreads sideways, and it is said that if the ala of nose cartilage, which is one of the bones that make up the nose, spreads to the left and right, it tends to become a dumpling nose.

There are two types of nasal tip formation: the open method, which involves an incision in the nasal column, and the closed method, in which the skin is incised through the nasal hole. It is possible to aim for. With either method, if you have a lot of fat in your nose and your skin is thick, you may need to remove the fat or skin at the tip of your nose.

In addition to nasal tip formation, if you want to increase the height of the tip of the nose, you can also use auricular cartilage transplantation.

Types and methods of rhinoplasty by injection

In rhinoplasty with an injectable agent, you can aim for a state in which the nasal muscles can be seen through by injecting the injectable agent into the dented nasal root. Although the duration of the effect of one treatment is limited, regular treatment can sustain the effect of rhinoplasty.

Treatment name Expected rhinoplasty effect component duration
Lady Esse Through the nose Calcium hydroxyapatite About 24 months
Elance Through the nose PCL (Polycaprolactone) About 24 months
MISKO Get the height of the tip of the nose and the nose PDO (Polydioxanone) 6-12 months

While Lady Esse and Elance each tend to last longer than hyaluronic acid injections, there are no injectable components and no degrading enzyme preparations that break down the injectable.

Lady Esse

Lady Esse is a highly viscous injection because it has larger particles than hyaluronic acid. The main ingredient is "calcium hydroxyapatite," which is also a component of bones and teeth. Besides cosmetic medicine, it is also used for reconstruction of the skull, hands and toes in plastic surgery.

In addition, about 20% of a soft absorbent material called carrier gel is blended to inject calcium hydroxyapatite into the body. Since the carrier gel is absorbed into the body in about 2 weeks, the volume of the injected nasal root may decrease quickly, but hydroxyapatite remains subcutaneously for more than 1 year.

Elance

The main component of Elance is finely processed PCL (poly-caprolactone), which is the raw material for medical sutures. It has the property of being gradually absorbed into the body over a period of about two years, and in addition to supplementing the volume of the skin, it also promotes the production of collagen.

Elance tends to last about 2 years longer than hyaluronic acid, has a high viscosity, and is an injectable that is used in many medical institutions for nasal and chin contouring. However, like Lady Esse, there is no degrading agent, so it cannot be corrected immediately after injection.

MISKO

MISKO is one of the threads used in the nose lift (thread nose) of rhinoplasty that supplements the height and shape of the nose by inserting a special thread that is caught in the tip of the nose or the streak of the nose . The surface has deep notches in two directions, and both ends of the thread have a structure in which fine fibers spread like a broom in a fan shape. When inserted subcutaneously, the protrusions on the surface of the thread and both ends The fan-shaped fibers are firmly hooked on the subcutaneous tissue, and play a role in supporting and holding the position of the subcutaneous tissue at the insertion site.

By inserting it into the nasal septum or the nasal streak, which separates the left and right nostrils, the subcutaneous tissue is supported and the tip of the nose and nasal muscles are expected to be held at a higher position than the original height. I can do it. The material of the thread is PDO (polydioxanone), which is also the material of sutures used in medical practice all over the world, and it has the property of reacting with water in the body and gradually decomposing, and the duration is 6 months to 12 Month is a guide.

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