Correcting the shape of the nose is a popular aesthetic procedure in plastic surgery.
Sometimes, due to its poor quality, it may be necessary to correct keloid scars to eliminate possible unpleasant consequences for the patient's health and well-being. Such manipulations after rhinoplasty can be performed in different ways.
Causes of keloid scars after rhinoplasty
Correcting the shape of the nose involves the process of dissecting the tissues to further correct their location.
After the completion of the operation, the incision site, with poor processing, tends to bleed, which can subsequently cause scarring of the dermis. After a while, a scar forms at the site of scar formation.
The earliest cause of scarring is a poorly chosen surgeon with little experience or repeated, unsuccessful nasal reshaping practices. It should be understood that only a highly qualified specialist is able to achieve the desired aesthetic result.
The next item on the list of reasons for the appearance of scars is ignoring a medical recommendation during the rehabilitation period and skipping a routine examination.
The appearance of a scar after a nose correction is due to the type of operation. Rhinoplasty is of open and closed type.
Open type rhinoplasty carried out by an external incision of the nose area. After the completion of the surgical intervention, a thin scar is formed, which resolves according to medical practice after 1 year.
Open rhinoplasty
Closed rhinoplasty carried out by an internal incision of the nasal tissues. The operation does not imply the formation of external sutures as such. With this type of nose correction, internal scars may appear, which cause breathing discomfort.
Closed rhinoplasty
Necrosis and tissue infection, causing scar formation, appear gradually over a long period of time. The negative consequences should be dealt with by the introduction of hormonal injections, laser restoration and mechanical cleaning of facial tissues.
Keloid scars are a rather unaesthetic result of rhinoplasty, which brings many inconveniences... They go beyond the boundaries of the cut and tend to increase in size.
They are formed due to excessive proliferation of connective tissues in the place of violation of the integrity of the skin.
keloid scar photo
Keloids are characterized by a sharp visual highlight on the skin, a bluish or dark red tint.
The size and shape of the scars depends on the formation of fibroblasts, the function of which is to regenerate old tissue and form new ones.
Conservative correction of keloid scars
Keloid scars are removed both through surgery and therapeutically.
Conservative (therapeutic) correction is based on the transfer of a rough hypertrophic form of a scar to a normotrophic one, when the scars become visually invisible.
Corticosteroid use
The essence of the treatment of scars lies in the water of hormonal agents (triamcinolone (Kenalog-40) and a suspension of hydrocortisone acetate) in the form of injections into the sites of scar formation.
Lump formation is prevented with corticosteroid therapy. After 1.5 months, the patient's skin becomes smooth. Relapse can be avoided by regularly using corticosteroids.
Immunomodulatory therapy
Therapy is carried out by injecting alpha interferon and beta interferon. It is prescribed for persons whose scar formation occurred after undergoing surgery.
Immunomodulatory therapy reduces collagen fibers that contribute to tissue scarring. The first administration of immunomodulatory therapy drugs is carried out during the first surgical intervention.
Re-introduction is carried out after 14 days, and then every 7 days for 16 weeks.
Enzymes for the breakdown of hyaluronic acid
An enzyme that has the ability to break down hyaluronic acid is called hyaluronidase.
In cosmetology, 3 types of it are used:
ronidase;
lidaz;
longidaz.
But they are all aimed at breaking down hyaluronic acid, which is the basis of a keloid scar.
Correction of keloid scars after rhinoplasty is carried out by testicular hyaluronidase. The depolymerization of the enzyme stops the formation of collagen, increases the permeability of skin tissues.
As a result of the action of the enzyme, the elasticity of the dermis increases, the contour of the scars decreases, and their resorption occurs.
The introduction of this enzyme into the body is carried out to saturate it in the cells of the cytoplasm and the extracellular matrix. With the introduction of the enzyme, the optimal balance of hyaluronic acid in the connective tissues is maintained.
To visualize the first results, one injection is enough, however, to completely eliminate the scar, it is necessary to undergo a course of enzyme injection procedures in the amount of 8 to 25 visits.
Physiotherapy methods for the correction of keloid scars
If you want to completely get rid of the keloid scar, the best option for solving this problem is to remove it.
For this, the cosmetologist may resort to microcurrents with medicinal ointments or laser therapy.
Microcurrents with medicinal ointments or gels
The procedure for correcting keloid scars after rhinoplasty takes place in 3 stages:
Individual selection of cosmetic products depending on the condition and type of skin.
Application of a thin layer of ointment or gel for the procedure (application "Kontraktubeksa", "Mederma", "Kelofibraza", "Fermenkola", "Zaderma" or other cosmetic substance as prescribed by the beautician).
Exposure to the skin of electrical impulses. The pulse rate is adjusted by the beautician depending on the size of the scar.
After undergoing the procedure, a large number of intracellular processes are activated. Accelerated cell regeneration improves the structure of the skin, making it smooth and elastic.
It should be noted that the procedure is contraindicated for persons:
with purulent pathologies;
with oncological diseases;
with epilepsy;
internal organs of which have a severe pathology.
To completely remove the keloid scar, a course of 10 to 15 procedures is required.
Cost from 1000 to 3000 rubles. for 1 procedure.
Photos before and after rhinoplasty
Laser therapy for scars
After rhinoplasty, keloid scars can be corrected using laser therapy.
Laser therapy for scars is possible in two ways:
Ablative, during which coarse tissue is removed by evaporation. The most effective way to combat scars, however, it has a long rehabilitation period. Complete disposal of scars occurs after 6 procedures.
Non-ablative, which triggers the regeneration of deep skin epithelium. A more gentle, but less effective option for the skin. Complete removal of scars occurs after 12 procedures.
Ablative laser correction, in turn, is carried out as carbon dioxide (recommended for people with oily skin due to the fact that CO2 has a narrowing effect on the pores) and erbium (gentle, suitable for dry skin types).
Correction of keloid scars after unsuccessful rhinoplasty should not be used by people with epilepsy, psoriasis, dermatitis, low blood clotting, pregnant and lactating mothers.
The cost of the procedure is from 1500 to 8000 rubles.
Photos before and after rhinoplasty
Correction of keloids with cosmetic procedures
A poorly done rhinoplasty leads to the need to correct keloid scars. After 6 months, it is recommended to resort to cosmetic procedures.
Peeling procedures
When removing scars by peeling, the top layer of the hardened skin and healed tissue is destroyed. The procedure is carried out with retinoic, phenolic or trichloroacetic acid.
Both physical and mechanical peeling are based on the following processes:
Dissolving the coarse fabric is carried out with an acid and then sanded with a fine abrasive.
During the peeling session, the metabolic processes of healthy cells are activated, the formation of collegian fibers is normalized.
Exfoliation of scars occurs together with the top layer of the skin.
After 10 days, new smooth skin forms.
The peeling procedure is contraindicated in pregnancy and breastfeeding, individual intolerance to the peeling composition, oncological tumors, renal and hepatic failure, heart disease, rosacea, high blood pressure, diabetes mellitus.
The cost of the procedure is from 5,000 to 25,000 rubles.
Deep dermabrasion
With old or large scars, peeling may not cope with the task of removing them. In such cases, cosmetologists recommend resorting to skin dermabrasion.
Deep dermabrasion is used to remove very visible scars. When damaged, the tissue rises significantly above the surface of the face. Resurfacing takes place in stages, peeling off the hardened layers of the skin one by one. As a result, this leads to a comparison of the skin and an alignment of the color of the epithelium.
Dermabrasion should have a course approach, but the number of operations should not exceed 3 operations with an interval of 10 days. It should be noted that this method of removing scars is quite painful and is carried out under the influence of anesthesia.
The cost of the procedure is from 2000 to 8000 rubles.
Mesotherapy
Scars that are small in depth and size are recommended to be removed with the help of mesotherapy.
When a drug is injected, regeneration of the dermis is triggered, cell metabolism is activated and the scar is smoothed.
It is very important to select a highly qualified specialist both for prescribing injections and for administering them.
To remove scars, injections such as Restylane Vital (USA), Placentex Integro (Italy), IAL System (Spain), Revofil Aqua (Seoul).
The procedure can be carried out manually and by hardware. It should be noted that manual injection is more accurate than hardware injection.
The standard duration of the course is 10 procedures, but this figure can change both up and down on the recommendation of a cosmetologist.
The cost of the procedure is from 3,000 to 12,000 rubles. depending on the manufacturer of the injection.
Surgical correction is considered one of the fastest and most effective ways to remove scars.
The procedure for excision of postoperative scars is carried out only after the complete formation of the scar, after at least 3 months after its formation.
When the scar tissue is removed, the surgeon applies an intradermal cosmetic suture.
The process of surgical removal of keloid scars is carried out under both general and local anesthesia. The duration of the recovery period after surgery is 3 weeks.
The cost of the procedure is from 6000 to 35000 rubles.
Correction of keloid scars after rhinoplasty is a rather complicated procedure. But if you contact a highly qualified specialist in a timely manner, the result will delight for many years.
Useful video about the correction of keloid scars after rhinoplasty
Sometimes, due to its poor quality, it may be necessary to correct keloid scars to eliminate possible unpleasant consequences for the patient's health and well-being. Such manipulations after rhinoplasty can be performed in different ways.Correcting the shape of the nose involves the process of dissecting the tissues to further correct their location.
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They are formed due to excessive proliferation of connective tissues in the place of violation of the integrity of the skin.
Enzymes for the breakdown of hyaluronic acid
