Nose Filler?!?! Nose Thread?!?! Filler VS Thread?!?! Again….?!?!

Hold your horses…!!!

Hold you horse

We know and we understand… this is probably the hundredth time an article or blog is written pitting nose filler against nose thread lift. But we feel it is necessary to try to provide more information the public as we receive so many questions about them from our patients. We will try to break this down so it is easier for patients to understand and to make a decision.

Nose Augmentation
Nose augmentation is one of the most popular procedures in many aesthetics clinics and plastic surgery clinics. Augmenting the nose can be done by one of the followings:

  1. Nose implant surgery or better known as “nose-job” (Rhinoplasty)
    This can only be done by plastic surgeon. There are variety of implants available made of different materials. But there are two basic shapes of nasal implants – dorsal implant or combined dorsocollumelar implant (L-shape).
    There will be significant “down-time” with rhinoplasty.
    Hold you horse
  2. Nose Filler
    For those of you who do not have the courage to go under the knife, nose filler or thread lift will be the next best thing.
    Filler substance is placed by either a series of injection along the nose or using a blunt cannula inserted from the tip of the nose.
  3. Nose Thread Lift
    This is gaining popularity in the last few years, made famous by the Koreans. It is usually done using Korean PDO (polydioxanone) threads.

What is the “perfect” nose?
Fortunately, there is no perfect nose out there. However, there is what we call as “ideal nose” for each and every one.

The “ideal” nose if the nose that is harmonious with the other favourable facial features. Hence, this celebrity A’s nose may not be the right one for you.

Hold you horse

NOSE FILLER (Lunch-time “rhinoplasty”)
Nose filler was probably the most popular aesthetic procedure in Asian Countries in the recent years. Us Asians, are blessed with good skin but some of us are not so blessed in the nose counterpart. Some tend to have low nose bridge, bulbous nose tip or even some bony “hump” along the nasal ridge.

Nose flat

Types of nose filler:

  1. Hyaluronic acid – brand name Juvederm, Belotero, Restylane
    Hyaluronic acid is a natural substance found in our body.
  2. Calcium hydroxylapatite – brand name RadiesseCalcium hydroxylapatite is found naturally in human bones and is a mineral-like compound. Calcium hydroxylapatite is biosynthetically produced, hence there is rarely any case of allergy
  3. Polyalkylimide – brand name AquamidPolyalkylimide is a semi-permanent dermal filler. It is also biocompatible, as it has very little reaction with human tissue. It can last from 2-5 years.

Nose filler is able to give excellent result in the hands of skilled practitioner. There are however, some risks associated with filler injection that you need to know of before deciding to get nose filler augmentation.

Nose filler

Although rare, blindness is possible when the filler is injected into the blood vessel that supplies the eye area. Hence, excellent anatomy knowledge is essential. The other risks like vascular compression, skin necrosis (damage due to tissue death), or even infection also are rare but all patients need to be informed prior to undergoing the procedure.

Nose Thread Lift

Nose thread lift utilizes advanced PDO (Polydioxanone) barbed threads which are placed under the skin to improve the contour of the nose. Depending on each individual, 6-10 threads may be used for lifting the nose bridge and 3-8 threads may be used for the nose tip area. Local anaesthetic is usually injected at the entry point (nose tip) and dorsal nose-bridge prior to the threads insertion. With the anaesthetic injection, the whole process is usually quite comfortable.

Nose filler

Nose thread lift must be performed by skilled practitioner. If inserted too superficially, the threads may be visible or palpable. On the other hand, if inserted too deep, there may be more discomfort and the threads may not be able to give the lift that they are meant to.

There is no risk of vascular compression or blindness with nose thread lift but infection risk is still present with this procedure. As nose thread lift is not reversible, if you do not like the result, you just have to endure it for the next 1-2 years. Hence, if you are still unsure about what type of nose augmentation you would like, this may not be the most ideal procedure for you.

Nose filler

So if we put them head to head against each other

Nose Filler Nose thread lift
How it is done Series of micropunctures along the nose or with blunt cannula Multiple threads inserted from the nose tip
Duration of the procedure 15-30 minutes 30-45 minutes
Pain level Low to Moderate Low (Only local anaesthetics injection will be causing some discomfort )
Price Usually charged per syringe – from $600 – $1200 From $600 – $1800
Vascular complications Rare but possible Less likely
Reversability HA filler injection can be reversed with Hyalase injection. Other types of filler are non-reversible Non-reversible
Nose contour Excellent improvement Excellent improvement
Risk of spread (widening nose bridge) Common with HA filler None
Nasal “hump” Able to be improved with filler better May be improved but not as well as with nose filler
Longevity 6-18 months (Aquamid gives result that may last for 2-5 years) 1-2 years

So, which one is the winner?

Actually, neither is.

Both have their own pros and cons. And one is better for certain group of patients whereas the other is better for other groups of patients. There are also some patients which may benefit from having both procedures done for better augmentation. A combination of nose filler and thread lift is now gaining traction as a better 3D lift for the nose. At the end of the day, initial evaluation and consultation is necessary before deciding on whether you would like to have one or the other done.

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