Contouring products

Contour plastics preparations help to even out the skin's microrelief, smooth out wrinkles, create a youthful facial contour and much more, something that every woman dreams of, striving to preserve youth and beauty.

Contour plastic surgery involves the introduction of specific preparations - fillers - into layers and areas of the skin determined by a cosmetologist.

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

Problems solved by preparations for contour plastic surgery:

• Local skin defects - smoothing of relief, skin folds, elimination of scars, wrinkles.
• Creating volume in case of tissue atrophy – cheekbone formation, genital area plastic surgery (intimate plastic surgery), lip augmentation, nose shape correction (nose bridge).

What types of fillers are used in modern cosmetology?

All drugs can be conditionally divided into the following groups:

• Collagen-based fillers.
• Synthetic fillers.
• Autofillers are preparations created from the patient's tissue.
• Preparations based on hyaluronic acid.
• Complex, combined fillers.

Fillers are also divided into three categories according to the duration of action:

1. Temporary preparations:
   • Stabilized GC – duration of action from six months to one and a half years.
   • Fillers of animal origin based on extracts from cockscombs.
   • Fillers of biotechnological origin.
   • Combined fillers that combine hyaluronic acid and resorbable substances.
   • Collagen-based fillers - last up to 9 months.
2. Prolonged-release preparations for contour plastic surgery - effective for up to 2 years:
   • Combination fillers that combine HA, collagen and non-resorbable substances.
   • Donor matrix of human skin.
   • Polysaccharide gel with calcium (calcium hydroxyapatite).
   • Polylactic acid.
   • Combination fillers that contain polyethylene oxide and carboxymethylcellulose.
3. Permanent preparations - validity period up to 5-6 years:
4. Synthetic polymers.
5. Polyacrylamide gel.
6. Silicones.

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

What are the dangers of permanent fillers:

• It is a foreign substance that the body can perceive aggressively.
• Permanent preparations for contour plastic surgery are not able to be eliminated from the body on their own.
• After 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 area.
• An allergic reaction is possible.
• There is a risk of developing skin necrosis, as well as the formation of cysts and granulomas.
• Complications may develop at a later stage, for example, a year after the procedure.

The safest and most popular are considered to be fillers based on hyaluronic acid, the effect of which lasts up to one year, and the procedure can be repeated as needed without harm to the skin and the client’s body as a whole.

Cannulas for contour plastics

What are cannulas? These are blunt-ended needles made of special surgical steel, the needles have slightly rounded side holes through which the filler is injected.

The French surgeon Herzog was the first to use cannulas for contour plastic surgery five years ago, in 2009, the doctor was the first to use a non-traumatic method of introducing HA fillers into the layers of the dermis. Soft needles practically do not damage the skin, are very flexible and are not able to deform, adapting to any turn, bend during the plastic procedure. Cannulas penetrate the layers of the skin so easily that they do not leave a chance for the formation of even the smallest hematoma.

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How is the procedure performed using cannulas?

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 between the tissues with a progressive movement, without damaging them at all. With the help of the cannula, a drug is injected into the zone determined by the doctor in a retrograde manner, which is evenly distributed over the desired area. Thus, cannulas in contour plastic surgery can be considered an excellent alternative to full-fledged plastic lifting with the help of surgery.

Advantages of cannula technique

• Absence of hematomas and hemorrhages.
• Painlessness, which is especially important in the correction of the temporal zone and lip area.
• A unique opportunity to create the desired volume in hard-to-reach, complex areas.
• Cannulas are suitable for all types of drugs, as their diameter can vary from 30 to 21 G.
• The ability to inject filler quite deeply, into the lower layers of tissue.
• Possibility to introduce fillers with a high degree of viscosity.

In which areas do needles work better, and where is it more appropriate to use cannulas for contour plastics?

Needles	Cannulas
Filling of 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 it is necessary to inject a small volume of the drug, this is usually necessary in the presence of fine wrinkles or for the correction of small areas, when performing repeated procedures	Correction of the frontal part - wrinkles between the eyebrows (glabella, as well as in lip plastic surgery, periorbital area
Bioreinforcement of the facial contour, for “stitching” transverse wrinkles, to create a kind of “framework”	Reinforcement, correction of the neck area, décolleté area, plastic surgery of the back of the hands
Application of bolus technique of point correction (point injection of large doses of the drug into deep layers of tissue).	Plastic surgery of the corners of the mouth (marionette lines), plastic surgery of the perioral area.
When performing the bolus technique, to perform point plastic surgery in very deep layers of tissue	Filling of the temporal zone in lipodystrophy
To neutralize scars and marks	Correction of the face oval, especially relevant in the chin area
For complex correction - corners of the lips, injection of the drug into the mucous membrane	Volumetric contour correction in areas where subcutaneous fat is clearly expressed, for example, in the cheek area, for cheekbone correction, as well as for maxillary groove plastic surgery or to create volume on the back of the hands (hands)
To correct the shape of the nose (contour rhinoplasty)	Contour plastic surgery of the periorbital area (contour blepharoplasty)

Thus, cannulas for contour plastics are a way to recreate the desired volume in problem areas, and it is also an opportunity to accurately inject the drug along the lines that create a supporting frame. The result after the procedure is visible immediately, unlike the effect of plastic surgery, when the patient sometimes has to wait a whole month for hematomas and swelling to subside.

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Fillers for contour plastics

Fillers for contour plastics are preparations that are injected; the products can be made from various materials, but all of them are absolutely safe for the human body.

Types of fillers:

• Temporary or biodegradable. These drugs are the most adaptive for the body, they are able to be absorbed and completely eliminated, leaving no trace in the skin layers, in the bloodstream, or in the organs.
• Permanent or synthetic: These fillers create a long-lasting effect and are virtually non-absorbable.
• Biosynthetic fillers with a long-lasting effect. Such drugs are partially eliminated from the body after a certain period of time.
• Autologous preparations, which are obtained from donor material – from the client’s own fatty tissue. Autologous products are not used in contour plastic surgery; they are intended for plastic surgery.

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

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

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

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What are filler preparations used for?

• Creation of the frame, reinforcement.
• Filling of dystrophic skin zones – wrinkles, drooping of folds (mouth, eyes).
• Creating volume - chin, lips.
• Correction of shapes - nose, cheeks, cheekbones.
• Neutralization of scars, stretch marks.
• Correction of asymmetry.
• Correction of loose skin on the neck and décolleté area.
• Creating volume in body areas - chest.
• Correction of the intimate area of the body 2.

Contraindications to the introduction of fillers

Absolute and constant:

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

Temporary, transient contraindications:

• pregnancy and lactation period;
• viral diseases;
• fungal diseases;
• exacerbation of chronic pathologies;
• infectious diseases;
• menstrual cycle;
• Contour plastic surgery is not performed immediately after peeling or laser resurfacing.

Fillers for contour plastic surgery should be selected only by a professional, a cosmetologist, depending on the task at hand, skin type and the client's health condition. 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 long-term effect of rejuvenation and improvement of a person's appearance. Almost all modern drugs meet the above requirements, so any woman can afford such a procedure.

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Contour plastic surgery with gel

Preparations for contour plastics are often called gels. Gel is a filler or filler, a specific microimplant that is inserted with a needle, i.e. by injection. Contour plastics with gel are necessary for linear alignment of the dermis (wrinkles) or for creating the desired volume in the subcutaneous tissue (cheekbones, lips, cheeks, nose shape, labia, chin). Gel injected into the skin lifts the skin, thus smoothing it out, or creating volume in a given area. Most often, cosmetologists use natural gels in their practice that have no side effects and do not cause allergies. Such fillers are short-lived, after a certain period of time they are completely eliminated from the body, but the procedure can be repeated without much risk, so a limited-time result should not be considered a disadvantage.

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What is gel contour plastic surgery intended for?

• Wrinkles in the bridge of the nose area.
• Drooping corners of the lips.
• Nasolabial folds.
• Lip shape correction (enlargement).
• Correction of wrinkles in the neck and décolleté area.
• Shaping the chin.
• Adding volume to the cheekbones.
• Correction of sunken cheeks.
• Intimate contour plastic surgery.

Filler injections are not suitable for all clients; contraindications may include the following diseases and conditions:

• Blood clotting disorder.
• Pregnancy.
• Breastfeeding period.
• Diseases in the acute stage.
• Infectious diseases, especially herpes.
• Oncoprocess.
• Diabetes mellitus.

There are no age restrictions for contour plastic surgery with gel, of course, such procedures are not performed on children or very young girls whose appearance does not require correction for obvious reasons. Age-related features may be associated rather with the type of skin that is subject to aging, as well as with the severity of the problem - the depth of wrinkles, the level of insufficiency of subcutaneous fat, and so on. The more complex the correction, the deeper the wrinkles, the denser the consistency of the injected gel will be.

The procedure involves using a very thin needle, with which the gel is injected into the skin in the correction area. The depth of the injection can vary depending on the task at hand - alignment or volume creation. The gel substance immediately reacts with the skin cells, a metabolic process begins, the result of which is stimulation of the production of collagen and elastin, as well as smoothing of the skin relief.

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

Volumetric contour plastic surgery

If the soft tissues of the face and body lose elasticity and volume, which is an almost inevitable phenomenon of the aging process, volumetric contour plastic surgery helps to restore lost youth and fill the necessary areas. Cosmetologists call such procedures softlifting - measures to fill the lost volume by introducing fillers into the tissue. The gel is injected to the optimal depth for each specific task, and the effect of volume restoration is visible almost immediately after the procedure. Thus, the client receives a visible result of rejuvenation, according to reviews, the face looks at least 10 years younger.

What can volumetric contour plastic surgery do?

• Lifting and contouring of the mid-face area.
• Correction of the volume of the cheekbones.
• Correction of mouth shape.
• The ability to lift the drooping corners of the lips.
• Neutralization of nasolabial folds.

Volumetric correction is suitable for any age category of the client, starting from 18 years old, such procedures are perfectly combined with other anti-age measures and can often completely replace surgical plastic surgery.

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

Experienced cosmetologists prefer to use a comprehensive approach to the rejuvenation process. The combination of injection methods with hardware methods makes it possible to consolidate and prolong the result. For example, if the client has dry skin and there are signs of atony, flaccidity of the skin in principle, it would be advisable to conduct radiofrequency therapy to eliminate pastosity. After hardware procedures, you can inject a filler, which will act as a modeling filler, at the same time not being able to "overload" the soft tissues of the face.

Volumetric contour plastic surgery involves the use of biodegradable preparations, 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 a given area of the face. These truly unique preparations have the following advantages:

• They help to restore the clarity of the contour and oval of the face.
• Fast and visible effect.
• No long rehabilitation period.
• Sustainable results last from six months to one and a half years.
• No 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 there are no hematomas or other unpleasant consequences, the only warning may be a refusal to visit the pool, sauna, beach for 10-14 days. Non-surgical methods of rejuvenation have become a trend in modern cosmetology, and this pleases literally all clients, because manufacturers provide the widest selection of fillers to eliminate almost any defects of the skin and subcutaneous tissues, and the procedure of volume contour plastics takes no more than 25-30 minutes.

Injection contour plastic surgery

A modern woman not only has time to build a career, personal life, but also to take care of her appearance, which is a kind of indicator of success and a truly fulfilling life. All these tasks require a high pace of action and leave absolutely no time for rest. However, here, too, new technologies come to the aid of beautiful ladies, including in the field of aesthetic medicine. Such innovations include injection contour plastic surgery - a method of correction and elimination of age-related or congenital skin defects. This method is much safer than full-fledged surgical plastic surgery, since it does not require a rehabilitation period, at the same time, injection correction is no less effective and efficient.

Intradermal injections of fillers are in demand not only as a restoration of the volume of withered, atrophic tissues (lips, cheekbones, cheeks), but are also suitable for smoothing the skin relief, eliminating wrinkles - both small and deep. Injection contour plastics is a breakthrough in anti-age cosmetology, in addition to the visible result and painlessness, such procedures are now available to almost every woman who wants to improve her appearance, restore youth and freshness to her skin.

The history of the development of injection beauty procedures is very interesting. The first beauty injections were made almost a century ago, these procedures were accompanied by a high risk of complications and obvious failures. At first, doctors practiced lipofilling, which was effective, but often the implants from donor fat did not adapt, did not take root in the body, in addition, these substances migrated under the skin, creating ugly bumps. Then in the USA, the first drug based on bovine collagen (Ziplast) was obtained, which was more adaptive and safe, but could cause an allergic reaction. Only at the end of the last century, fillers based on hyaluronic acid appeared, this was a real breakthrough, a revolution in aesthetic medicine. Similar substances were widely used in veterinary practice and ophthalmology, these medical fields became the pioneers of a unique natural implant, which in 1986 was first released for cosmetology needs under the trade name Restylane. Since then, injection contour plastic surgery is unthinkable without fillers based on HA (hyaluronic acid), which have become the most popular and sought-after among both doctors and numerous clients. Today, fillers are produced using biotechnology, that is, they do not contain material of animal origin, which significantly reduces the risk of any complication, including allergies.

The ideal product for beauty injections should meet the following requirements:

• Biocompatibility with human tissues is not less than 85%.
• Hypoallergenic.
• Complete absence of genetic material.
• Complete absence of cytotoxicity.
• Guaranteed fast visible results.
• Cost-effectiveness and accessibility.
• The corrective effect is guaranteed for at least 3 months or more.
• Non-animal origin.

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

What problems can injection contour plastics solve?

1. Elimination of expression wrinkles.
2. Smoothing out the skin's texture with fine wrinkles.
3. Elimination of age pigmentation.
4. Correction of atonic skin.
5. Neutralization of local defects, such as tightening of the skin of the chest, décolleté area, eyelid skin, and the back of the hands.
6. Intimate contour plastic surgery.
7. Skin relief smoothing in combination with Botox or Dysport.
8. Increasing the volume of certain areas - lips, cheekbones, cheek area.
9. Contour plastic surgery of the bridge of the nose and chin.

Preparations for contour plastics act as linear “helpers” in the case of neutralizing 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 the shape of the nose).