Contour plasty of the nasolacrimal groove. Before and after photos, complications, reviews

The nasolacrimal sulcus is a fold of skin that arches from the inner edge of the eye to the outer edge, below the lower eyelid. Its appearance is noted mainly after 30 years, along with the first mimic wrinkles.

To eliminate this defect and return the youthfulness of the skin, a variety of methods are used (cosmetic anti-aging creams, surgical interventions or injection of fillers). Due to its high efficacy and less likelihood of side effects, skin rejuvenation by injection (contouring) is more popular.

What is the nasolacrimal groove, why does it appear?

The nasolacrimal groove is the skin bend under the lower eyelid, which, as a result of physiological changes (especially age-related), forms a kind of outer border of the "bags" under the eyes. The appearance of the fold is due to the loss of elasticity and tone of the epidermis, as well as the downward displacement of the subcutaneous fatty tissue.

These changes can be caused by:

• aging of body tissues;
• hereditary predisposition;
• low position of the lower eyelid;
• the presence of chronic diseases that disrupt metabolic processes in the tissues of the body;
• smoking or frequent consumption of alcoholic beverages;
• lack of sleep and rest, as well as frequent stress;
• improper skin care or lack thereof;
• frequent use of aggressive cosmetics;
• impaired renal and cardiovascular system;
• facial injuries;
• frequent infectious diseases;
• unhealthy diet (frequent diets, eating junk food, lack of nutrients in the diet);
• sharp elimination or a set of extra pounds.

The nasolacrimal groove is the first sign of facial aging; therefore, various methods of smoothing the epidermis in this area are often used to restore the "youthfulness" of the skin. The most popular is contour plastic (wrinkle reduction is carried out by injecting different formulations under the skin).

Indications for contour plastics

Contouring of the nasolacrimal groove is prescribed by cosmetologists in the following cases:

• the presence of pronounced dark circles or "bags" under the eyes;
• the appearance of a vascular "mesh" under the eyes;
• pronounced depression in the lower eyelid;
• increased skin laxity in the area of ​​the nasolacrimal groove;
• early appearance of mimic wrinkles.

The procedure is allowed for patients over 18 years of age.

Contraindications to intervention

Contour correction is not a completely safe procedure, therefore there are restrictions and contraindications for its implementation:

• the presence of fatty hernias in the lower eyelids. Pathology is characterized by the accumulation of fat cells in the subcutaneous layer.When carrying out contour plastics, there is a high probability of the composition flowing into the hernia, as a result, the severity of the nasolacrimal groove will increase;
• excessive stretching of the skin in the area of ​​the nasolacrimal groove;
• the presence of chronic pathologies, especially in the acute stage;
• violation of the withdrawal of excess fluid from the body (can develop due to kidney disease or due to abnormalities in the functioning of the lymphatic system);
• degeneration or complete deterioration of elastin or collagen fibers;
• the presence of silicone in the area under the eyes;
• violation of the integrity of the skin or the development of inflammatory processes at the injection site;
• increased pressure indicator;
• intolerance or allergic reaction to substances in the injection solution;
• the presence of infectious dermatological diseases in the injection zone;
• violation of the process of blood coagulation or the use of drugs to thin the blood;
• a predisposition to scarring even from injection punctures;
• fever or colds;
• the presence of malignant and benign tumors;
• epilepsy or other diseases accompanied by seizures;
• recent eye or eyelid surgery.

During the period of gestation and breastfeeding, the procedure is not recommended. Since the effect of the injection on the fetus has not been studied. And also the procedure itself (due to nervous experiences) can cause an increase in the tone of the uterus in a pregnant woman and provoke a miscarriage / premature birth.

Types of drugs for plastic

Nasolacrimal groove contouring is performed with fillers (injections used as a filler to eliminate skin imperfections), which have a different composition and duration of action. It is not recommended to make the choice of the tool yourself. It is necessary to consult not only a cosmetologist, but also a therapist.

Types of drugs for contour plastics:

When choosing a filler group, it is important to take into account not only the duration of action, but also contraindications and the likelihood of side effects.

Correction of the nasolacrimal groove with fillers

Contour plastic allows you to achieve a quick result with minimal tissue trauma, both in order to eliminate mimic or deep wrinkles, and nasolacrimal groove.

Benefits of the procedure

Cosmetologists often recommend removing the nasolacrimal sulcus using fillers, which have the following advantages (when compared to surgery or laser procedures):

• eliminate cyanosis under the eyes;
• in the injection zone, the tone of the skin is normalized;
• effectively eliminate the nasolacrimal groove;
• the tone and elasticity of the epidermis is restored;
• wrinkles (mimic and deep) are smoothed;
• the skin is tightened near the lower eyelid;
• minimal damage to the epidermis. Only punctures from the needle;
• the activity and nutrition of the facial muscle tissue is not disturbed;
• soreness during the procedure is minimal;
• the risk of severe swelling and hematomas is minimal;
• the likelihood of vascular damage is also minimal;
• can be combined with most wrinkle reduction treatments;
• side effects develop in rare cases;
• the list of contraindications is less than with surgical intervention.

Additionally, there is a minimum rehabilitation period and almost no preparation for the procedure.

Preparatory stage

Before carrying out contour plastics, it is necessary to visit a therapist, to exclude the presence of contraindications to the procedure, as well as a cosmetologist. It will determine the severity of the nasolacrimal groove, the need for additional elimination of mimic wrinkles.

After that, the required dosage of the selected composition for injection will be calculated and the cost of the session will be announced.

Also required:

• withstand 14 days after visiting the dentist;
• aggressive face cleansing is prohibited for 2 weeks;
• avoid prolonged exposure to the sun and do not visit the solarium a week before the session;
• stop using blood thinners a week before the procedure;
• with a tendency to hematomas, it is recommended to drink ascorutin for 14 days, the dosage can be discussed with the therapist;
• physical activity and alcohol consumption are prohibited a day before contouring;
• do not use cosmetics on the day of injection.

Sometimes the beautician can discuss additional details of preparation and skin care features during the recovery period.

Markup

Marking during injection is required for more accurate and even injection of the composition under the skin. And also allows you to avoid getting the needle into dangerous areas (places where blood vessels and nerve endings pass). For its implementation, the master uses a special marker and applies small dots on the skin, future puncture sites.

Staged filling of the nasolacrimal sulcus with filler

Contouring of the nasolacrimal groove is performed in the following order:

1. The client is seated in a special chair in a half-sitting position.
2. They clean the face from dirt with a special composition.
3. Disinfect the treatment area
4. Make a markup.
5. The injection sites are treated with an anesthetic cream or gel. After that, you need to wait 15-20 minutes for the onset of the anesthetic effect. Pain relief is performed at the request of the client. Also, anesthesia can be excluded if lidocaine is included in the filler, which after the first injection anesthetizes the entire treated area.
6. Using special thin and short needles, the injection is injected under the skin. It is allowed to inject no more than 0.5 ml of the drug into one nasolacrimal groove. Cannulas can also be used. For the introduction of the composition with their use, 2 points of influence are sufficient.
7. After completing the administration of the drug, a light massage is required. It allows the composition to be distributed evenly, without the formation of tubercles. Harsh and deep pressure is prohibited.They can cause the development of puffiness, bruising and uneven distribution of the product under the skin.
8. The injection zone is treated with a disinfectant. A cooling compress can be applied at the request of the patient.

Finally, a revitalizing and soothing cream is applied. If the beautician accidentally injected a large portion of the product or developed an allergic reaction, then it is necessary to immediately inject hyaluronidase subcutaneously. It helps to quickly neutralize the filler and remove it from the body.

Duration of procedure, patient feeling

The duration of filler injection under the skin is 15-20 minutes. When using an anesthetic, the same amount of time is required for the drug to take effect. Additionally with preparatory work, marking and finishing procedures, the duration of the contour correction may take 60 minutes.

During the application of the anesthetic gel / cream, the patient feels a slight coolness on the skin. Further, the process is completely painless. If anesthesia is not performed, the client may feel a little soreness at the moment the needle pierces the skin.

Recovery period

The rehabilitation period begins immediately after the end of the session and consists of the following rules:

• the face needs to be wiped with a disinfectant several times a day (prescribed by a cosmetologist), in addition, you can use cooling compresses. It is enough to carry out these manipulations for 3 days. This will quickly eliminate the swelling and prevent infection from entering the injection site of the needle / cannula;
• face massage, solarium and baths are allowed after complete restoration of the skin. Not earlier than 2 weeks after the procedure;
• for 5-7 days you can not sleep face down and do physical activity;
• do not touch the face unnecessarily and do not scratch the healing puncture sites;
• to prevent an increase in puffiness for 7 days, it is not recommended to use moisturizers;
• do not use decorative cosmetics for 5 days;
• to eliminate bruises, use specialized medicinal ointments;
• with increased puffiness, the use of diuretics is allowed;
• exclude the use of alcoholic beverages within 5 days after the procedure, as well as air travel;
• to prevent the development of allergies, take antihistamines for 10 days.

Before walking, you must use sunscreen (up to 30 days), otherwise there is a possibility of developing skin pigmentation. The duration of the recovery period varies from 10 to 20 days (depending on the individuality of the organism).

Possible complications and methods of their treatment

Contouring of the nasolacrimal sulcus in rare cases may be accompanied by the development of side effects.

The reason for the appearance of which may be the following factors:

• use of an expired or low-quality filler;
• low qualification of a specialist;
• violation of the rules during the recovery period;
• ignoring contraindications.

A negative reaction of the body can be expressed in the following manifestations:

• swelling. The appearance of a slight edema at the injection site for 2-3 days is a physiological reaction of the body to the intervention. It occurs due to a violation of the integrity of the skin, damage to capillaries and a slight deformation of muscle tissue. But if in the process of performing the contouring an infection was introduced or a large dose of filler was injected, then this can cause impaired blood flow in the vessels and the development of an inflammatory reaction. This error is expressed by swelling, which lasts more than 10 days. To eliminate it, a visit to the salon is required;
• soreness. In the first 5 days, this phenomenon is also considered the norm, since the integrity of the skin was violated.Pain is especially severe in people with a low pain threshold and sensitive skin. Soreness can be observed for a long time if, during the manipulation, the specialist touched or damaged the nerve endings or, due to the uneven distribution of the composition, soft tissues were displaced;
• inflammation. It is noted extremely rarely and can be caused by the reaction of the immune system to the filler, since it is a foreign body and the body must determine what kind of substance got into it. But if an infection was brought in at the time of administration of the drug, then the inflammatory process will not go away on its own. Drug treatment will be required;
• tissue necrosis (necrosis). The process can be caused by a filler if it gets into a blood vessel and clogs it, or soft tissues, as a result of exposure, pinch several capillaries. Necrosis is manifested by the development of swelling, inflammation, redness of the skin, as well as the appearance of bruises, which increase in size. An immediate visit to a specialist is required;
• contouring of the gel. It can manifest itself due to the low qualifications of a specialist (a large amount of the drug was introduced or contraindications were not taken into account). It is manifested by a shift in the composition under the skin and the formation of new folds. It is recommended to make a light massage to evenly distribute the composition or introduce hyaluronidase, which will destroy the filler and accelerate its removal from the body;
• hematomas. Small bruises may persist for up to 4 days. Their appearance is due to damage to the capillaries by the needle at the time of puncture of the epidermis. An increase in bruising in size means damage to the vessel, an examination by a specialist is necessary.

In rare cases, rejection of the filler by body tissues is possible. The phenomenon is accompanied by an increase in temperature, the development of edema and inflammation. An urgent appeal to a specialist is required to remove the drug (hyaluronidase or surgery).

Can I get a massage?

Massage after the session is prohibited for 1.5 months. After that, if necessary, the procedure, it is important to exclude exposure to the areas of filler injection. But if the composition under the skin is unevenly distributed or there are small bumps, then a light massage for 5 days is recommended, but with a specialist.

The procedure can be performed in the same salon where the injections were performed.

Duration of the effect of the correction of the nasolacrimal sulcus

The duration of the preservation of the effect of the procedure depends on the choice of the type of filler (synthetic - up to 10 years or more, biosynthetic - up to 5 years or biodegradable - up to a year). And also on the age of the patient, the individual characteristics of the body and compliance with the rules of the rehabilitation period.

Contour plastic prices

The price for the procedure depends on:

• the cost of the ampoule with filler;
• salon class;
• specialist qualifications.

The price also includes the price for additional materials used (painkillers and anesthetics). The average price for a session in Russia is 14,000 rubles.

A nasolacrimal sulcus can appear after 30 years and greatly age the appearance. To prevent its appearance (especially with a genetic predisposition), it is recommended to use anti-aging creams (course application, discussed with a beautician).

When the skin fold is neglected, the following options can be chosen: laser plastic surgery, fillers, or surgery. Due to the smaller list of contraindications and the low likelihood of side effects, the advantage remains with the contour plasty.

Author: Kotlyachkova Svetlana

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