Nose augmentation is an area of great interest in Asians as well as our local population. A large proportion of Asian people have under-projected, poorly defined nose bridges and many desire to look like their Caucasian counterparts with high and sharp noses. Some individuals may also have an irregular shaped nose or previous scar or injury leading to a crooked nose that he/she wants to straighten and correct.
There are two non-surgical ways in which nose augmentation can be achieved:
- Nose Threads
- Injectable Fillers
What is Nose Thread Lift?
Nose thread lift is performed using PDO (Polydioxanone) threads of varying lengths inserted via a cannula through a small puncture point on the nose tip. A number of threads are serially inserted (usually 6-8) and stacked on one another to achieve incremental raising of the nose bridge to the desired height. Short threads can also be inserted into the columella to increase the projection of the nose tip.
|Pros of Nose Thread Lift||Cons of Nose Thread Lift|
|Can achieve higher and sharper result||More painful and traumatic|
|Lasts 1 year to 1.5 years||Higher risk of bruising and post-procedure swelling|
|No risk of vascular occlusion/blindness||Risk of puncture wound on nose tip becoming a permanent depressed scar|
|Irreversible once performed|
|Leads to fibrosis and distortion of nasal anatomy making subsequent nose filler procedures more difficult|
|Less able to correct nasal deformities e.g. dorsal hump|
|Higher risk of infection/delayed healing especially at point of thread insertion at the nose tip possibly due to incomplete thread insertion|
What are Nose Fillers?
Nose fillers are also known as liquid rhinoplasty and is commonly done with hyaluronic acid fillers, either via direct needle injection technique or using a cannula. Hyaluronic acid fillers are temporary fillers that last between 6 months to 2 years depending on the type of filler selected.
|Pros of Nose Fillers||Cons of Nose Fillers|
|Reversible via dissolution with hyaluronidase injection||Not as long-lasting as threads|
|Can correct specific deformities of the nose/easier to modify nose shape and angle||Usually gives a less sharp and more natural result|
|Less traumatic/painful||Small risk of vascular occlusion/compromise|
|Softer, more natural result|
In my practice, I prefer to use injectable fillers for nose augmentation. I believe that with skilled and safe injection methods, injectable fillers can be used in a more versatile fashion than nose threads to produce a customized and natural result for every patient while keeping the risk of complications such as vascular compromise to a minimum.
AUTHOR: Dr Ng Hong Yi, Aesthetic Doctor, Cove Aesthetic Clinic