Voluma is the latest filler from Allergan designed to be a thicker version of Juvederm and made up of hyaluronic acid. Voluma is almost like an injectable implant due to its viscosity. It is also said to last up to 2 years. Like other hyaluronic acid products, they can be reversed if necessary.
Voluma can be used in certain areas of the nose as a filler. Dr. Shah's experience with fillers in the nose is that hyaluronic acid products integrate well with soft tissues and the structure of the nose when placed appropriately.
In addition, hyaluronic acid can be turned into collagen and in some locations can be turned into scar tissue in the nose. This can be advantageous to the patient when a shadow needs to be softened.
A facial can be beneficial to your skin as it provides a nourished and improved complexion. But after a rhinoplasty, the nose is delicate and cannot be pressed too vigorously. More importantly, and depending on the type of rhinoplasty that was performed, certain areas can be more delicate than others.
Sometimes after a facial, the skin around the nose can become both clogged and dry. Since this can take several weeks to return to its normal, previous state, we recommend waiting until Dr. Shah clears you, if you are going to have a facial.
Dr. Shah's aestheticians communicate with him and have been trained by him, so they may be more knowledgeable whether or not you can have a facial at an earlier time.
Lasering blood vessels along the side of the nose can have some impact on blood supply. It is important for the nose to develop collateral blood supply to help prevent any vascular issues post lasering. Dr. Shah usually recommends waiting six months to a year for lasering as a conservative measure, but this can be altered depending on the type of rhinoplasty.
The projection of the nose is a term used to describe how far out the nose comes from the face. However, just as the Eskimos have more than one word for snow, projection can have different meanings depending on the area in question.
Projection can be subdivided into the nasal tip and the nasal base of the nose. This difference in projection is often seen best on the base view of the nose (looking up at the bottom of the nose). Here the columella of the nose can be seen as well as the nasal tip. The base of the nose corresponds to the portion between the subnasale and the nasal tip, roughly the nasal columella.