Title: Non surgical Rhinoplasty with HA-fillers and PDO collagen stimulated barbed and smooth methothreads

Biography:

Khrushch is a board certified plastic surgeon, board certified maxillofacial surgeon, international candidate of the American Society of Plastic surgeons and a member of MOSBT. In addition, she is a member of the OSEM and ASPS, a certified trainer of IPSEN, a specialist in injection techniques of the company ,Melis and she is a member of the Russian Association of Plastic and Reconstruction Surgery.

Abstract

The dorsal nasal artery anastomoses with the ophthalmic,intratrochlear and agular arteries.The widespread embolism through the connected blood vessels manifists as skin necrosis in geographic pattern . It is also a branch of ophthalmic artery so we should remember that propagation of the fillers embolus may cause eye symptoms. The nasal tip area is supplied primarily by the angular and the superior labial arteries,which are derived from the facial artery. In general,the angular artery,provides the lateral nasal artery,wich passes medially along the cephalic margin of the Lateral crura and gives off caudal branches toward the nostril rim. The superior labial artery originates from the columella to the region between the domes. The lateral nasal and columellar arteries then meet over the dorsal region,forming an alar arcade that runs along the cephalic margin of the lateral crura.This arcade runs superficial to the SMAS. Superficial to the alar arcade is the subdermal plexus of the nasaltip skin that is supplied by branches of bouth ophthalmic and facial artery system.