Contrary to other types of rhinoplasty, minimally invasive rhinoplasty is a ‘closed’ rhinoplasty which shortens the duration of healing and bruising and leaves minimal to no evidence that a rhinoplasty was performed. Invariably, this gives some form of natural result post-surgery. By virtue of this, it is a difficult procedure. As all incisions are made internally, there appears to be zero evidence on the outside, a scar or a discolouration. Indications include rhinosculpturing, correction of contour defects after rhinoplasty, treatment of the ageing nose, and ameliorating selected nasal impairments.
Radiesse can be injected into dorsum of the nose to correct humps or augment the nose bridge. This can be done by using a linear threading, fanning or a cross-hatching technique.
Radiesse is a semi-solid, cohesive, biodegradable, and deep subdermal implant. It contains CaHA, the principal mineral constituent of bones and the teeth. However, when injected, CaHA is absolutely biocompatible, non-toxic, non-irritating, and non-antigenic. The injection of CaHA provides framework for the growth of collagen and prolongs the duration of the effect.
The method adopted depends on the area under treatment. By placing a needle at an angle of 450 to the skin, a subcutaneous track is created. About 0.5 ml is deposited on the bridge of the nose depending on the level of augmentation or botox to be achieved. In the nasal root, radiesse is deposited in the supraperiostal plane using the linear threading technique. This increases the nasofrontal angle.
However, in the nasal dorsum careful inspection of the reflex of the light from an upright position reveal irregularities in the dorsal contour. Because of the sensitivity of the nasal tip, the injection point should be properly thought through. By starting from the midsection and cadually to the tip-defining points, a larger surface area can be achieved by a single needle puncture. But then, injection while the needle is withdrawn effectively corrects a bifid tip while enhancing tip projection.
In sculpturing the nasal tip, it influences the refinement, inclination, length and width of the nose. But by changing the nasal tip contour, both the apparent nasal length and the dorsal height will be altered.
By implication, radiesses rhinosculpturing is an easy procedure that spares operation and provides increased patient satisfaction. Although much can be achieved by minimally invasive rhinoplasty, One must be conscious of the fact that when selecting alternatives to address some deformities, proper patient selection, detailed systematic analysis of the anatomical variables, artistic perception and precise execution are of imperative.