Is it possible to tighten the oval face with fillers? (English)

Preserving freshness and youth is the main task of aesthetic medicine. Modern procedures allow you to safely and effectively get rid of wrinkles and sagging, without breaking away from the usual dynamic rhythm of life. The use of innovative formulas forces us to activate renewal processes at the cellular level. Correction of facial contours with fillers helps to achieve external perfection in just 1 procedure. The composition of the preparations improves the structure and color, maintains hydrobalance, and heals the skin. Injection plastic allows you to fill voids, add volume, smooth out creases, the effect is observed immediately after injection. A prolonged result is also noted, rejuvenation processes occur in the deep layers of the skin, nutritional functions and fibroplast synthesis are restored.

Indications for use

Correction with fillers can be performed at any age, not only to tighten the oval shape, but also to add relief and restore symmetry. Modern biodegradable materials are safe for use; the hypoallergenic composition does not lead to tissue rejection. Active ingredients help increase collagen synthesis and improve the overall condition of the skin. Prescribed from 30 to 60 years of age, it can be combined with various injection procedures, the effect can be compared to surgical lifting.

Indications:

initial stage of ptosis;
blurred oval contours;
fine wrinkles around the eyes, lips, eyelids;
asymmetry of facial features;
unexpressed cheekbones, chin;
drooping eyelids, corners of the mouth;
insufficient volume in the cheekbones and lips.

attention! To carry out the procedure, the patient’s desire to improve his appearance is sufficient. To combat more pronounced age-related changes, fillers are successfully used with thread lifting and Botox injections.

Efficiency

The most pronounced result is observed between the ages of 35 and 50 years. Visually, you can look 5–10 years younger, the structure and color of your skin improves. Previously used to correct areas of the face - cheekbones, lips, chin. The introduction of the drug is effective not only against fine wrinkles, it is possible to remove deep nasolabial folds, and correct the shape and volume of the lips. The result is a natural, fresh appearance of the face, without disturbing the proportions.

It will not be possible to achieve the desired effect with pronounced ptosis, jowls, a sagging double chin, or deep folds. In such cases, a comprehensive anti-aging program is required, and endoscopic lifting is possible. They are not used with previously implanted permanent fillers, which remain in the tissues for life.

Types of fillers

Princess Volume — the Austrian drug is of high quality and painless. The formula is represented by hyaluronic acid of non-animal origin. The risks of developing allergies and side effects are reduced; a special feature is the long-term preservation of the result - from 8 to 12 months. Allows you to cope with nasolabial folds, increase the volume of lips and cheekbones.

Juvederm Volume - produced in France, the composition contains hyaluronic acid, as well as a lidocaine solution. Allows you to fill deep wrinkles and restore a clear oval line. The result of facial modeling lasts from 4 to 12 months.

Surgiderm 30 xp — the composition contains synthetic hyaluronic acid, provides a short recovery period, and there is no risk of side effects. The effect lasts about 18 months and is available in the form of a syringe.

Ellanse — the filler contains polycaprolactone, which ensures complete biodegradation after 6–12 months. Suitable for patients intolerant to hyaluronic acid. Stimulates collagen synthesis and the formation of elastin fibers. The result lasts from 2 to 4 years.

Sculptra — based on polylactic acid, it is well accepted by tissues, does not cause rejection or side effects. The result of the correction is a pronounced lifting effect; the filler formula also allows you to model your face and possibly get rid of deep wrinkles. It has a prolonged effect, the final version can be assessed after 2–4 months, and lasts for about 3 years.

Preparation for the event

Before correction with fillers, the doctor surveys the patient about previously performed cosmetic procedures, observed allergic reactions, and general health. In some cases, you will need to take tests to determine clotting parameters and check for an allergy to the drug. Recommendations help prevent side effects and shorten the recovery period.

Preparation:

You should avoid procedures that injure the skin;
exclude semi-finished products, snacks, marinades from the menu due to the high salt content;
a week before the event, stop smoking, drinking alcohol, strong tea, coffee;
reduce physical activity and sports;
stop taking medications at least 2 weeks before the procedure.

Administration technique

The procedure is performed by a dermatocosmetologist or aesthetic surgeon. It is necessary to fill out an injection passport indicating the name of the drug, volume, injection zones, and date of administration. This document remains with the patient and is provided to the cosmetologist for subsequent corrections. It is also necessary to check the certification of the drug and expiration dates. The volume of filler, as well as the placement zones, are determined individually; no more than 2 ml is injected per procedure.

Stages:

The face is cleaned of cosmetics and dust and treated with an antiseptic.
Emla anesthetic cream is applied and will take effect within 20 minutes.
Then the filler is injected, possibly classically using needles or cannulas. The latter are blunt, hollow tubes that push apart facial tissue rather than pierce it. From one hole it is possible to fill the areas of nasolabial folds, cheeks, lips, chin, and the area above the lip. The use of cannulas leads to minimal trauma and accelerates the healing process.
During administration, the patient may feel a burning sensation; the discomfort is associated more with the psychological aspect than with real pain.
Afterwards, re-treatment with an antiseptic is carried out. The doctor massages the face to evenly distribute the drug in the tissues and give the desired relief.

The correction lasts from 30 to 60 minutes, then the patient can go home.

Photos before and after

Healing period

After injection correction, the face looks swollen, reddened, and some patients report painful sensitivity. After a few days, all symptoms go away on their own. You can evaluate the final version of the procedure in a week; the duration of the result depends on the choice of drug, and lasts from 2 months to 4 years. To achieve the desired effect, it is important to follow all medical recommendations.

How is the recovery going:

During the first days, you should not touch your face with your hands; contact with any surface should be limited. Sleep on your back, change your pillowcase regularly;
During the first 24 hours, you cannot use skin care cosmetics; after that, hypoallergenic foams and tonics are used for cleansing. The punctured areas are treated with an antiseptic solution; Panthenol will help speed up healing;
After the procedure, you cannot plan air travel for about a week;
limit physical activity and sports. Baths, saunas, solariums are prohibited;
protect the skin from exposure to ultraviolet radiation, use cream with SPF factor;
To speed up recovery, you should avoid drinking alcohol, strong tea, coffee, and foods high in salt. Smoking also negatively affects the condition of the skin and leads to long-term persistence of bruises.

Attention! Hardware techniques and massage neutralize the effect of fillers; mesotherapy and Botox injections can be used after healing is complete.

How much does the procedure cost?

Correction services using fillers are offered by many cosmetologists working in private offices. But You can only trust an experienced dermatocosmetologist or plastic surgeon; injections are administered exclusively on an outpatient basis.

Prices depend not only on the prestige of the medical center, the qualifications of the doctor, but also on the chosen drug. Also, depending on the volume and complexity of the work, the cost increases when using additional anesthesia and using cannulas instead of a syringe.

A doctor’s consultation is paid separately, the cost is from 1500 to 3000 rubles. The price range for oval correction varies from 15,000 to 50,000 rubles, the filler formula is selected individually.

Precautionary measures

The likelihood of developing side effects depends directly on the drug. Biodegradable ones rarely cause allergic reactions, the healing process takes place quite quickly. The risks of persistent discomfort symptoms are higher when using polymer fillers, which remain in the subcutaneous layers for life. The final result depends on the doctor’s experience, as well as the patient’s compliance with the rules of the rehabilitation period.

How to prevent the development of complications:

contact only a trusted clinic and a qualified doctor;
use of anesthesia with epinephrine;
administration through blunt cannulas in small doses;
the use of an aspiration test to prevent the drug from entering the vascular bed;
Immediately after the procedure, a massage is performed to evenly distribute the filler.

Mild symptoms during the first 5 days are considered normal - painful sensitivity, swelling, bruises. The administered drug should not migrate or gather in nodules. If discomfort persists for a long time and worsens after 3 days, you should consult a doctor. The sooner correction of unsuccessful filler injections begins, the more successful the result will be. In the case of silicone compounds, if the placement technique is violated, only surgical intervention is possible.

Side effects:

puffiness, swelling;
tissue fibrosis;
protrusion, migration of the drug;
tissue rejection, abscess;
allergic reaction;
vascular embolism, necrosis;
formation of keloid scars;
violation of facial symmetry.

Contraindications for this procedure:

pregnancy, breastfeeding;
malignant tumors;
infectious, acute, chronic diseases;
autoimmune pathologies;
failures of the cardiovascular system;
inflammation on the face.

Comparison with other correction methods

Fillers provide a pronounced effect after one procedure; the advantage is a short recovery period. The effect lasts for several years, depending on the formula of the drug and the characteristics of the patient’s lifestyle. Combines well with other injection techniques and has no age restrictions. Provides a lasting anti-aging effect, the ability to correct aesthetic imperfections, and improve the overall condition of the skin. The development of side effects and allergic reactions is minimal.

Pili ngi — used for unexpressed ptosis, stimulate the processes of synthesis of collagen and hyaluronic acid. They require long-term recovery, special skin care; the traumatic and painful procedure can be prescribed even after 60 years.
Plasmolifting — patient plasma is used for correction. A fairly expensive cosmetic method, the effect lasts up to a year. Thanks to injections, it is possible to activate metabolic processes and increase skin density.
Thread lift carried out between the ages of 30 and 50 years. They are used as biodegradable and non-absorbable materials. The result lasts from 3 to 7 years, with a short recovery period due to administration through micropunctures. Allows you to cope with different degrees of ptosis, improve facial features, and correct asymmetry.
Hardware procedures can be combined with various biological products. For a pronounced effect, a course of therapy is required. The effect is aimed at the synthesis of fibroplasts, as a result of which an increase in the number of collagen and elastin fibers. Maintaining the results depends on subsequent skin care and the individual characteristics of the patient.
Botulinum therapy used to correct the upper part of the face. Helps smooth out medium and fine wrinkles and prevent the development of ptosis. The effect lasts for about 8 months, combination with other injection techniques is possible.
Surgical facelift requires preparation, the use of general anesthesia, there is a high risk of side effects. The recovery period lasts more than a month, the result lasts about 10 years.

How to neutralize the effect

It is not always possible to achieve the desired result; in addition to the lack of result, asymmetry, migration of material, and the development of side effects are possible. Neutralization methods depend on the composition of the administered drug:

Hyaluronic acid - biocompatible material, rarely causes side effects. You can neutralize the effect with the help of massage, microcurrent, and hardware procedures that enhance lymphatic drainage. You can also quickly eliminate the consequences using hyaluronidase injections.
Collagen fillers corrections are more difficult. To eliminate the consequences, electrophoresis and ultrasonic massage are prescribed. It can be quickly eliminated by using glucocorticosteroids, but there is a high probability of developing complications after hormonal drugs.
Calcium hydroxyapatite - refers to heavy fillers of synthetic origin. The only way to neutralize the results of a cosmetic procedure is through surgery.

Advantages and disadvantages

The use of fillers to form an oval is one of the modern cosmetic methods of rejuvenation and correction. The effect can be assessed immediately, and the rehabilitation period takes only a few days.

Important! It is worth noting the safety of the formulations used; the patient can choose the optimal drug to solve a whole range of aesthetic problems. The results of the procedure look natural; the injection procedures will not be noticeable to others.

Advantages:

quick achievement of results;
1–2 procedures are sufficient for correction;
the ability to improve the overall condition of the skin and stop the aging process;
short healing period;
natural result of rejuvenation;
combined with other invasive techniques;
the effect lasts up to 4 years.

Flaws:

high price;
there are risks of developing side effects;
the result depends on the experience and qualifications of the doctor.

Opinions of cosmetologists

On forums, professionals share their experience of working with fillers.

The user writes that the result can be assessed only after 2 weeks; an overdose is unlikely when administering hyaluronic acid in a volume of 1.5 ml.

The review describes ways to cope with the side effects of the injections; the user assumes that the cause was a periosteal injury.

The participant asks how long the result will last and what factors influence it.

Patient reviews

There are mostly positive reviews about oval correction with fillers among patients.

The review describes long-lasting results after Juvederm injections, even with an active lifestyle.

A user writes about the need to choose different fillers to achieve contouring and add volume.

A participant writes about the painlessness of filler placement.

There are also not very positive reviews. A participant writes about side effects such as dark circles under the eyes after using Restylane.

Other opinions can be found on the forum.

Useful videos

Modeling the oval face.

Sculpted cheekbones, rounded cheeks, arched eyebrows and a clear oval face are the most reliable markers of age. It is the youthful roundness of features that we lose first of all. Under the influence of gravity, soft tissues shift downwards, the upper part of the face flattens, the lower part becomes blurred, hernias and a double chin appear. These age-related changes cause much more wrinkles, which attracts the attention of cosmetologists and plastic surgeons to various methods of correcting facial contours.

Method 1: Infraorbital implants.

There has been a new addition to the “family” of shape-forming implants. As you know, they have been used for quite a long time to restore the volume of the face: they allow you to enlarge and change the shape of the cheekbones, make the chin more convex, and give a clear contour to the oval of the face. And now infraorbital implants have appeared against the effect of “sunken eyes”.

Depressions under the eyes often appear at a young age, giving the face a tired and painful appearance. “Before the advent of implants, there were two ways to correct the oval of the face,” explains plastic surgeon, Doctor of Medical Sciences Elchin Mamedov. — Redistribution of the volume of the patient’s own fat packets during lower blepharoplasty and filling the cavities with fat during lipofilling. However, with strong retraction, their aesthetic results left much to be desired. When fat was redistributed, its volume was often insufficient. During lipofilling, the fat introduced in large quantities did not always “lay down” smoothly, clumped into clumps, itself creating an uneven relief. The use of infraorbital implants does not have all these disadvantages. They allow you to fill even very deep depressions. The infraorbital area looks perfectly smooth.” Implants in the form of two crescents are made of a special bioinert material. Correction of facial contours with the help of implants is carried out without visible scars: the incisions pass through the mucous membrane of the lower eyelid or are hidden in the mouth. They are attached quite reliably to bone structures using special screws.

Minuses! In Russia, the installation of infraorbital implants is actively promoted by the famous American surgeon Michael Yaremchuk. According to him, he has been using this technology for several years, and always with very good results. The opinion of other surgeons is not so optimistic: like other shape-forming implants, they are capable of displacement, contouring, and causing the growth of fibrous tissue.

Method 2: Botulinum toxin injections.

The use of botulinum toxin has long been not limited to the correction of wrinkles. Cosmetologists and contour plastic specialists are finding new uses for it.

One of the current trends is the effect of botulinum toxin on agonist and antagonist muscles, known as “botulinum toxin rejuvenation.” It is based on the discovery that many of our muscles work “in pairs”: relaxation of some leads to tension in others. These muscle relationships, called reciprocal, are quite common. Thus, when the swallowing center is excited, the chewing center is inhibited, the swallowing reflex inhibits inhalation, the excitation of the inhalation center inhibits the exhalation center, and so on. The long-used technique of the so-called chemical or non-surgical eyebrow lifting is based on the injection of botulinum toxin into the antagonist muscles of the upper third of the face. “The activity of the frontalis muscle, which does not meet resistance from antagonists, increases by approximately 20-30%. Even at rest, the rise of the eyebrow line is up to 2-3 mm,” says plastic surgeon Vladimir Avtonomov. Today, similar changes with the help of botulinum toxin can be achieved in the lower third of the face: lift the corners of the lips, smooth out the nasolabial and chin-labial folds, and make the oval of the face clearer. The orbicularis oris muscle alone has 11 dilators (antagonists), not including the subcutaneous muscle of the neck, which also belongs to them.

Minuses! Such work with muscles requires the doctor to have a good knowledge of anatomy, muscle interaction and the ability to choose the right dose. And the injection of botulinum toxin into the lower third of the face belongs to the area of risky correction. Unfavorable treatment outcomes include raised, drooping or asymmetrical eyebrows, ptosis of the upper eyelid, diplopia, insufficient closure of the lower eyelid, asymmetrical smile, and articulation disorders.

Method 3: Deep injection of fillers.

Good facial sculpting is the key to his youth. It has been noted that in people with good projection of the cheekbones, the tissues retain volume better, and the effect of ptosis is less pronounced. This fact became the basis for deep – at the level of the periosteum – injection of fillers. Today, this technique allows you to increase the volume of the cheekbones, eyebrow area, temple area, align the infraorbital sockets, and increase the projection of the lower jaw and chin. What is very important to keep in mind here? “There are two ways of supraperiosteal injection of fillers - in a single block and layer-by-layer,” says Vera Malakhovskaya, plastic surgeon, MD. — When administered as a single block, the degree of lifting of surface tissues is higher, the drug lasts longer. On the other hand, there is greater pressure on the tissue, and the likelihood of migration increases. At one time we saw this with the example of such a gel as Pharmacryl. In contrast, preparations based on hyaluronic acid do not have a toxic effect. However, when introduced in large quantities, they are just as capable of migrating. Therefore, I personally prefer layer-by-layer and fractional injection of fillers. An equally important point: when deeply introducing gels, it is very important to feel the tissue. So far, surgeons have a better understanding of this than dermatologists.”

Minuses: The introduction of fillers in large volumes means a large volume of sales, which is what drug producing companies are interested in. Patients wishing to change the shape of their face should first of all be concerned about the absence of side effects. These include: gel migration, contouring, visualization (especially in the infraorbital area), swelling.

Method 4: Thread lifts.

New items among facelift threads confirm: everything in our lives moves in a circle. The two models that have appeared are again proposed to be used not by surgeons, but by cosmetologists, whose experience in this area was once considered not very successful. The two largest manufacturers of threads assure that the thread lifts they developed are not particularly difficult and have a high degree of safety. New threads are made of absorbable material, that is, they are biodegradable. Easily inserted and secured using special needles. And their structure promotes uniform tissue tightening.

The prospect of rejuvenating quickly and for less money certainly looks very tempting. However, it is worth asking the question: what aesthetic effect can we expect when correcting the oval of the face? thread braces? The threads that cosmetologists have to work with are located under the skin. Surgeons often work with threads for the so-called ligature facelift. The threads are inserted deeper into the soft tissues and secured to the bone structures. It is this approach, according to experts, that is most consistent with the tasks of lifting and remodeling: regrouping, moving tissues and securing them in a higher, “young” position.

Minuses: No matter how perfect thread lifts are, their superficial location has a number of serious disadvantages. These include contouring, uneven tension of the fabric, retraction of the skin at the places where the threads are attached.

Method 5: Endotins.

Changing the oval of the face during plastic surgery has long been possible using a technique called plication: tissues are stitched and tightened (“gathered”) with surgical thread. Now this can be done with the help of endotins - they are used for periosteal lifting of the eyebrows, forehead, middle zone and lower third of the face. Endotins are plates made of a special biodegradable material, a copolymer of polylactic and glycolic acid, with three or five teeth measuring 3–4.5 mm: the tissues are “slung” onto the teeth and move upward. The material does not cause rejection and is completely absorbed in the patient’s body within six to nine months. During this time, the tightened area of the face is securely “fixed” in its new position due to the formation of connective tissue. The teeth on the surface of endotins allow tissue to be evenly grouped and redistributed, provide the necessary tension vectors, and provide surgeons with wide options for choosing the fixation force. And fastening to bone structures makes this fixation very reliable. Depending on the installation location, there are different types of devices.

“The use of endotins during facial contour correction surgery makes it possible to easily adjust the position of soft tissues and securely fix them. The fixation process itself is very simple and accessible, which reduces the time spent on the operation. Excessive tension and disruption of the blood supply to tissues, overloading of sutures, which occurs when tissues are pinned with threads, are prevented. In addition, it opens up new possibilities for correcting the middle zone of the face, eyebrows, and necks without making additional incisions and using expensive equipment,” says Elena Karpova, plastic surgeon, Ph.D.

Minuses: The main disadvantage is the high price. The use of endotins significantly increases the cost of surgery. The disadvantage of the technique is also the possibility of palpating endotins under the skin for some time.

What is contour plastic surgery?

Fillers are special gels that are injected under the skin to smooth out the dermis.. This filler can create volume anywhere on the face while lifting and tightening the skin.

When using fillers based on hyaluronic acid to shape the oval of the face, it is possible not only to make it more attractive and youthful, but also to stimulate the body to produce its own elastin and collagen, which significantly rejuvenates the skin. You can find out more about whether it is possible to rejuvenate yourself using facial contouring with hyaluronic acid here.

Is it harmful?

Previously, only synthetic fillers were used, which had a lot of contraindications and side effects. When using them, unpredictable migration of the filler was often observed, while the body turned on the defense system and rejected the foreign body. These consequences could only be dealt with surgically. You can learn more about the consequences after fillers in this material.

At the moment, the safest fillers are used, the active substance of which is hyaluronic acid. Hyaluronic acid component is found in human tissues:

Hyaluronate serves as a link for water molecules in the lower layers of the dermis, helping to improve skin turgor and provide abundant hydration. Besides the component improves cellular immunity and protects against the effects of free radicals.

As soon as the aging process begins in the body, the concentration of hyaluron in the body drops sharply, while the skin begins to experience a moisture deficiency and loses its former elasticity. Small and then deep wrinkles, sagging contours, loss of shape, and ptosis gradually appear.

To correct the contour of the face, dense fillers are used, which increase the volume of the cheekbones, chin, and cheeks. This process is called bioreinforcement using hyaluronic acid.

When is it recommended and how is the procedure performed?

Contour modeling of the oval face using hyaluronic fillers has certain indications for which the best effect is achieved. Indications for the procedure:

ugly chin shape;
thin, asymmetrical lips with a blurry outline;
sunken cheeks;
creases and wrinkles of different origins and depths;
asymmetry or deformation of facial contours resulting from injuries or operations.

We invite you to watch a video about how the contouring procedure is performed:

Lift

Filler injections for this type of correction can be injected into different areas, it all depends on what result the patient wants to get. The filler is injected deep under the skin. Injections are carried out using ultra-thin needles that leave virtually no marks on the skin. Before sending a woman for the procedure, the cosmetologist will select a filler depending on the patient’s wishes, for example, if you need to tighten up your shave, the filler can be injected into both the cheekbones and cheeks (you can find out more about the specifics of using fillers in the cheeks here). When changing the shape of the chin, the filler is introduced into this area in a fan manner.. You can find out more about chin correction with fillers here.

Correction

It is performed for facial asymmetry, sunken and sagging cheeks. The whole procedure is carried out in the same way as during a lift, only the filler is injected exactly into the place that is to be corrected. When performing this procedure, different types of drug administration can be used in order to achieve maximum effect.

The correction procedure can last up to 40 minutes - it all depends on the amount of the drug injected and the areas to be corrected.

Getting rid of a double chin

The procedure is performed without anesthesia, but if you have a very low pain threshold, the doctor can numb the skin at the injection sites with a special gel or spray. Duration of filler injection is 15-20 minutes, and the result will be noticeable after the swelling goes away.

For wrinkles

The most common and popular procedure at the moment in cosmetology clinics is the removal of wrinkles by introducing hyaluronic acid directly into the fold area.

The estimated cost of contour modeling in Moscow, taking into account the price of the drug, is 11,500 rubles, in St. Petersburg – 9,000 rubles.

Types of gels

Fillers are a group of drugs that are often used to correct the face and body. There are three types of fillers.

Synthetic

The active substance in these drugs may be:

Benefits of the drugs:

long-lasting effect - these fillers do not dissolve and do not interact with the skin;
low and affordable cost.

Disadvantages of drugs:

often cause allergies and inflammatory processes;
may begin to migrate under the skin;
are not excreted from the body, and if the effect is unsatisfactory, then fillers can only be removed surgically.

Biosynthetic

They differ significantly from the first type in that the substances used in their production are most compatible with the skin.

Main Components:

insoluble polymethyl methacrylate;
collagen;
carboxymethylcellulose;
hydroxyapatite;
polycaprolactone.

Biosynthetic fillers dissolve, but only slowly - over 2-3 years, and there is no need to inject them again.

Flaws:

over time, severe swelling may be localized at the site of filler injection;
vascular occlusion and necrosis;
ability to migrate.

Biodegradable

The safest and most effective group of fillers, which has a minimum of contraindications and side effects. The components of drugs in this group are completely absorbed and excreted from the body. Even if side effects occur, the drug can be effectively removed from the body by using antidote injections.

It is worth noting that Preparations based on hyaluronic acid have disadvantages only from incorrect administration, otherwise there are no side effects.

We invite you to watch a video about the types of preparations for facial contouring:

You can read more about the types of fillers in this material.

Administration techniques

The cosmetologist chooses the filler injection technique, depending on what effect needs to be achieved with facial oval contouring.

Let's look at the most common ones:

Linear-retrograde. This technique is used if you need to strengthen a specific area. In this case, the filler is injected intradermally or parallel to the dermis.

A maximum of 4 rays are retracted; however, the needle cannot be removed, it is simply unrolled. This method is used to inject the drug into the corners of the lips, to enlarge and lift the chin and cheekbones (you can find out more about fillers in the cheekbones here).

Net. This method follows a linear principle, but the injections are made in small lines that are 3 mm apart. Then a second row of drug administration is performed, but only perpendicular to the first - a mesh is obtained. Thanks to this method, plastic surgery of the cheekbones, chin and oval of the face is performed. Sandwich technique. This is a layer-by-layer introduction of the drug, and the density of the layers is different, which makes it possible to perform a 3D lifting procedure.

Aftercare after modeling

After the contouring procedure is completed, the cosmetologist gives the patient a memo with recommendations, which states:

do not touch injection sites with your hands;
do not visit solariums, saunas and baths;
for the first 2 weeks, use only professional facial care products;
Avoid prolonged exposure to the sun.

We invite you to watch a video on how to care for your skin after the procedure:

The best drugs

Juvederm – highly concentrated fillers based on hyaluronic acid, used for contouring, and its use is advisable only if it is necessary to create a pronounced effect.
Restylane the drug is created on the basis of natural hyaluronic acid, which practically eliminates the risk of developing undesirable consequences. They are used to correct facial contours, remove deep creases in the nasolabial area, and enlarge lips (you can learn more about filler injections into nasolabial folds here, and you can read more about lip contouring in this material).
Surgiderm (Surg >Many cosmetologists consider Surgiderm the best filler, and capable of ousting its competitors from the cosmetic market in the near future.

What should you avoid?

Once the procedure for correcting the oval of the face has been carried out, you cannot take a horizontal position for 4 hours.
Also try not to lean forward.
Do not rest the lower part of your face on your hand - the gel may shift.
Do not drink alcohol for 2 weeks, limit coffee in the morning.
Don't sleep with your head buried in your pillow.

Side effects

Possible side effects:

Swelling and pain at the filler injection sites.
Extensive bruises and large hematomas.
Inflammation.
The appearance of compactions.
Fibrosis.

We invite you to watch a video about what complications are possible after the procedure:

What are the contraindications?

Low blood clotting.
Tendency to form keloid scars.
Diseases of the immune system.
acute respiratory infections and acute respiratory viral infections.
Chronic diseases during exacerbation.
Herpes.
Pregnancy and breastfeeding period.

We invite you to watch a video about contraindications for the procedure:

Alternatives

Photorejuvenation – with the help of light pulses they act on the epidermis, rejuvenation takes place at the cellular level.
Laser lifting – the skin is exposed to a high-frequency laser pulse.
Vacuum massage - An excellent tool for tightening the contour of the face.
Ultrasound – not only tightens the oval of the face, but also deeply cleanses the skin.

We invite you to watch a video about what photorejuvenation is:

We also suggest watching a video about what laser lifting is:

Conclusion

At this time, it is very simple to do facial oval contouring without using surgical methods. It is enough to contact a trusted cosmetology clinic to administer fillers.

Is it possible to tighten the oval face with fillers? (English)

Is it possible to tighten the oval face with fillers?