Minimally Invasive Rhinoplasty Technique Using a Hyaluronic Acid Filler and Polydioxanone Threads: An Effective Combination

Presentation Patterns and Surgical Management of the Complications of Thread Rhinoplasty

“…First, although the threads were made of absorbable components, thick threads rarely dissolve in the nose tissue, where the soft tissue layer is rather thin. Second, when a filler is used concurrently with PDO threads, hyaluronic acid has been reported to block the chemical reaction between PDO and water, thereby prolonging the life of the PDO threads [ 6 ]. In our series, the combined use of fillers was unclear due to the lack of previous medical records.…”

“…Thread exposure at the tip is mostly caused by an incorrect insertion technique. To prevent thread extrusion at the tip, the threads must be inserted deep in the tissue between the medial crura and should not reach higher than the intermediate crus, retaining a sufficient cushion layer on the top of the upper end [ 6 ]. If the thread is not inserted deep enough or a longer thread is inserted, the chance for extrusion or a visible thread at the tip skin increases.…”

“…The threads can be inserted in the nasal dorsum, nasal tip, or both, with several threads inserted into each structure. For improved aesthetic outcomes, thread rhinoplasty is commonly combined with filler injection or fat grafting to supplement the deficient volume [4][5][6]. Nonsurgical rhinoplasty using barbed threads is emphasized as a safe and straightforward procedure free from anesthesia, the post-surgical recovery process, and surgery-related complications.…”

Non-Surgical Rhinoplasty with Polydioxanone Threads and Hyaluronic Acid Filler to Treat a Widened Nose after Repeated Injections of Hyaluronic Acid Filler

“…Kang et al [7] also reported that PDO threads were especially useful for the lifting of the tip of the nose and straightening of the columella-labial angle for a more satisfying and balanced appearance. Meanwhile, Jung [8] noted that when injecting both PDO threads and hyaluronic acid fillers, the threads acted as a scaffold for the filler and provided longer retention of the filler, compared to procedures with fillers alone. Moreover, the filler inhibited chemical reactions between PDO threads and water, thereby extending the life of the threads.…”

Use of injectables in rhinoplasty retouching: Towards an evolution of surgical strategy? Literature review

“…Nasal injections really developed in the 1980s with silicone and bovine collagen [23,24]. The recent emergence of new injectables such calcium hydroxylapatite (CaHA) and Hyaluronic acid (HA) has led to the concept of medical rhinoplasty [14,[25][26][27][28][29][30][31][32][33][34][35][36].…”