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Are thread lifts suitable for all kinds of noses?

Are thread lifts suitable for all kinds of noses?

Remember when nose fillers were all the rage for non-surgical nose augmentation? They still might be now, but with the presence of a very fierce competitor — nose thread lifts.

Most might know that I am a firm believer of nose thread lifts and do not really recommend nose fillers for nose augmentation. While we can argue all day long about longevity and results between the two, there are two main reasons why I don’t recommend fillers:

1. The risk of blindness

There already have been multiple cases worldwide of patients experiencing complications like skin necrosis and blindness from fillers. This devastating side effect is due to vessel occlusion, when filler materials block and penetrate blood vessels in the nose.

2. Avatar nose

Nose fillers can spread sideways and widen the nose bridge, especially if too much fillers are used or injected inappropriately. This creates the appearance of a wide nose bridge or Avatar nose, which beats the whole point of getting nose fillers in the first place.

Nose thread lifts — the treatment of choice for nose augmentation

A nose thread lift is a nasal augmentation procedure where short surgical threads are inserted into the nasal bridge or tip through a cannula. The threads are then used to shape the exact nose definition, shape and height desired. The result comes from the “stacking” effect from multiple threads used and takes just 15 minutes — hence nose thread lifts is considered a lunchtime procedure.

Thread lifts have revolutionised the aesthetic industry, as they can provide:

1. Instant lifting effect

Upon insertion into the nose, the threads prop up the nose tissues wherever they are placed. A nose thread lift enhances and lifts the nose bridge by two mechanisms:

  • Mechanical lifting effect — the threads act as a scaffolding structure to lift up the nose bridge and tip. This brings up the height of the nose bridge for a taller and more defined nose bridge. When inserted into the nose tip, the nose tip becomes smaller.
  • Biochemical lifting effect — one huge advantage nose thread lifts have over nose fillers is that the threads, fully bio-compatible with our tissues, stimulate the nose to produce natural collagen. This means that results will be sustained and improved even after the treatment is over.

2. Almost no downtime

As mentioned, a nose thread lifts is considered a lunchtime procedure due to the quick and fuss free treatment process. I commonly receive patients who pop over for a session during their lunch break — that’s how convenient this treatment is. Because they are all busy working individuals, they wouldn’t have the time to take a few weeks off to recuperate. With nose thread lifts, most patients are able to resume their daily activities almost immediately without anyone even knowing they had their nose done! At most, full recovery takes 3-5 days.

3. Collagen producing effect

Threads used in thread lifts are made from either polydioxanone (PDO), poly-L-lactic acid (PLLA) or polycaprolactone (PCL). They are bioresorbable, meaning they dissolve in 6-9 months, 12-18 months or 15-24 months respectively. When dissolved, they turn into water and carbon dioxide and will not leave any long term side effects. On top of that, they trigger the skin cells to produce collagen and elastin around the threads, forming a stronger collagen network and causing a rejuvenation effect.

This means that patients who undergo nose thread lifts not only benefit from the instant lift, but also benefit from the extra collagen production 3-6 months post treatment.

Can nose thread lifts work for all noses?

Absolutely — and to be honest, results will vary and work better depending on your nose shape and request. Let me explain.

If you want a contoured nose:

Nose threads are highly effective if you want a defined, sharp and more contoured nose. It is achieved by lifting the nose bridge till the tip, and the effect is similar to a well-contoured nose done by makeup.

If you want a smaller nose tip:

Compared to nose fillers, nose thread lifts are a lot more effective at creating a sharper nose tip. This is because most nose threads come with tiny anchoring points or cogs along the threads, which lift the nose and make the nose tip appear smaller. Nose threads also produce a smaller and more subtle increase in volume, resulting in a more natural look.

If you want a straighter nose:

Some people have dents or dorsal humps on their noses; nose thread lifts can fix that depression.

If you want a higher nose bridge:

This depends on how flat your nose is. While nose thread lifts can provide volume and shape, they don’t produce very dramatic results. The beauty of nose thread lifts is that they give natural-looking and subtle results. Of course, if you want a very noticeable increase, it can be done with more threads which might not be very cost effective.

If you have an Avatar nose from nose fillers:

I would advise to get your doctor to first dissolve the fillers with hyaluronidase, and then insert nose threads after 5-7 days. The end result is a more defined, elegant and slimmer nose.

Conclusion

I believe nose thread lifts will be here to stay for a very long time, and I’m excited to see how ongoing advancements in the aesthetics industry will further catapult this non-surgical treatment!

Have a question?

If you have any other questions, please leave us a message anytime and we will be happy to answer them!
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Nose fillers: Everything you need to know

Nose fillers: Everything you need to know

In Asia, adults commonly choose to augment their noses first, as our noses are often the weakest link — lacking in definition and height combined with unsightly nostril sizes. Augmenting the nose is a delicate affair; besides choosing a doctor that understands your facial anatomy and structure, the right type of procedure also matters.

For those looking for a permanent fix and don’t mind undergoing surgery, a rhinoplasty is your best bet. However, there have been cases of botched jobs, such as the patient not liking the final result or implant infections. Revision rhinoplasty, in case you might not know, is very costly and even more complicated than a first-time augmentation. Hence, the risk of nose jobs are relatively high.

Enter the next best option, nose fillers. Nose fillers are an effective and non-surgical way to enhance the nose. They can also correct deformities and asymmetries, including saddle nose, a complication from rhinoplasty where the nose bridge sinks downwards. Best of all, nose fillers allow you to achieve results in as fast as 15 minutes.

Ready to find out more? Here’s everything you need to know about nose fillers.

How do nose fillers work?

Nose fillers contain hyaluronic acid, a natural compound found in our body responsible for stimulating collagen production, aiding tissue repair and lubricating joints. When injected into the nose, nose fillers can fill out areas that are “deficient”.

For example, if you want a higher nose bridge, nose fillers can be injected to add volume and definition to your nose bridge. If you want a sharper nose, nose fillers can be injected at your nose tip for a sculpted look.

There are various brands of fillers out there, including:

  • Juvederm
  • Restylane
  • Belotero

Each comes with their own properties like different firmness and viscosity. Hyaluronic acid nose fillers can last 9-12 months.

There’s also a second and newer type of filler that’s considered an in-between of dermal fillers and nose threadlifts. They’re known as bio-stimulating fillers, which are non-hyaluronic acid based. When injected into the nose, they add volume to the nose bridge and tip and stimulate collagen production.

Bio-stimulating filler brands include:

  • Ellanse
  • Radiesse
  • Sculptra

Bio-stimulating nose fillers can last for at least 2 years.

How long does the procedure take?

On average, a nose filler treatment takes about 30 minutes to perform. Due to how fast the process is, nose filler treatments are commonly known as ‘lunchtime procedures’, as you literally can get the job done during your lunch break.

Typically, a treatment is performed like this:

  • Consultation with the doctor to discuss your goals, determine the type of filler to be used and ask any questions
  • On the day of the appointment, a numbing cream is applied to your nose to for about 15 minutes to reduce any pain or discomfort during the treatment
  • Fillers are injected into the treatment areas via a thin needle or cannula. A little massaging is then done to mould and even out the fillers to achieve the desired results.

Upon injection of nose fillers, results are immediate. Patients can therefore see volume and definition in areas that are deficient.

Collagen-stimulating fillers, however, might require a little more time. This is because unlike hyaluronic acid fillers that fill up deficient areas by themselves, collagen-stimulating fillers take effect only once the body generates collagen for volumisation.

Are the results reversible?

Yes! Unlike a rhinoplasty, the results from nose fillers can be reversed easily. This is done either by dissolving the acid or through the body’s natural mechanism, which is a breakdown of the acid over a period of 9 months to 2 years. For collagen-stimulating fillers, however, the results are not reversible.

What are the risks and side effects associated with nose fillers?

After the treatment, it is normal to have side effects such as:

  • Bruising
  • Swelling
  • Redness
  • Tenderness
  • Slight bleeding and discomfort at the injection site

However, these reactions are temporary and should subside within a few days. To speed up the recovery process, patients are advised to:

  • Avoid drinking alcohol, going for massages or exercising for the first week
  • Avoid touching the injection site
  • Gently apply an ice pack on the treatment site to reduce swelling

When nose fillers are overdone or used wrongly, they can slide sideways off the nose bridge, causing the nose bridge to widen. This is termed as the ‘Avatar effect’.

A less common but dreaded complication of nose fillers is the blockage of blood vessels, or ischemic necrosis. This happens when too much fillers are placed at the globular or nose tip, resulting in a blockage of blood supply carrying oxygen and nutrients around the nose.

Another feared complication of nose fillers is blindness. This happens when large amounts of fillers are accidentally injected into the arteries beside the nasal bridge, pushing the fillers into the retinal and ophthalmic arteries, causing blindness.

To wrap up

Nose fillers when used appropriately can produce fantastic results, but negligence or greed can cause frightening consequences. To obtain the best results without any drawbacks, you should:

  • Find an experienced doctor who will give honest feedback on what works and is familiar with facial anatomy. 
  • Use a less is more approach, especially if it’s your first time getting fillers. You can always top up the next time round.
  • Be realistic with your expectations.

Have a question?

If you have any other questions, please leave us a message anytime and we will be happy to answer them!

References

  1. https://pubmed.ncbi.nlm.nih.gov/26616716/
    Moon H. J. (2016). Use of Fillers in Rhinoplasty. Clinics in plastic surgery, 43(1), 307–317. https://doi.org/10.1016/j.cps.2015.08.003

  2. https://pubmed.ncbi.nlm.nih.gov/23731585/
    Jasin M. E. (2013). Nonsurgical rhinoplasty using dermal fillers. Facial plastic surgery clinics of North America, 21(2), 241–252. https://doi.org/10.1016/j.fsc.2013.02.004
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Threadlifts vs fillers: What’s best for me?

Threadlifts vs fillers: What’s best for me?

These days, patients hardly have to go under the knife for cosmetic enhancement. With so many non-surgical aesthetic treatments to choose from, getting a sharper nose or wrinkle-free skin can be done as fast as a lunchtime appointment.

For patients looking to lift their nose and skin, the current most popular options are dermal fillers and threadlifts. Both achieve thereabout the same effect, but differ greatly in the way they work. Which treatment works best for you? Let’s quickly recap on these two treatments.

Fillers

Dermal fillers contain hyaluronic acid, a naturally occurring substance already found in our body that improves elasticity, stabilises structure and attracts and binds water in our skin. Part of the ageing process includes collagen and volume loss in our face. This leads to signs of ageing, such as fine lines, deep Nasolabial folds and saggy skin. Hyaluronic acid helps to fill the space of this volume loss as well as stimulate skin cell renewal.

As such, dermal fillers are prized for smoothing fine lines and wrinkles, improving the appearance of scars and overall giving a youthful look by adding volume to our lips and cheeks. In addition, fillers are also commonly used for patients who wish to achieve a sharper nose without undergoing a nose job. Nose fillers make use of hyaluronic acid to smoothen bumps, add some lift to the nose bridge, improve the size of the nose and fill in depressed areas on the nose.

Have a bulbous nose and want a sharper nose tip? Fillers can be injected just at the tip of your nose for a more sculpted and relatively thinner nose.

Thread lifts

Threadlifts involve the placement of temporary sutures under the skin to produce a subtle but visible lift. These threads are made of a very safe ingredient known as polydioxanone, which dissolve in our body naturally over time. During a thread lift procedure, multiple threads are used to “hook” onto the tissues supporting the skin, pulling the tissues back. What this does is to pull the skin back slightly or prop the nose bridge up, depending on where the threads are inserted.

In addition to providing lifting properties, the threads combat ageing by provoking our body’s healing response and stimulating collagen production as they dissolve in our skin. Now, we all know the vital role collagen plays — apart from wound healing, collagen helps keep our skin supple, strong and voluminous. Introducing fresh collagen into our skin can program our body to heal by itself; patients will notice a gradual improvement in their skin’s firmness and hydration.

In other words, thread lifts provide ongoing rejuvenation for facial tissues.

Frequently Asked Questions

Thread lifts and fillers are both fantastic options for lifting the skin and nose. Which treatment you pick will depend on your preferences. Let’s compare how each technique delivers.

  • Fillers make use of hyaluronic acid to add volume and lift specific areas of concern
  • Threadlifts make use of polydioxanone threads to tighten and lift the whole face and nose
  • A filler treatment takes approximately 20-30 minutes
  • A nose thread lift takes about 20 minutes
  • Dermal fillers typically last for 6-9 months
  • Threadlifts typically last for 1-2 years
  • Most patients can resume makeup, their daily activities and work after fillers. There might be some redness and bruising, but these are temporary and will disappear in a few days. However, patients are advised to avoid facials and massage for the first 2 weeks after fillers
  • As threads are a lot more stable, patients can resume their daily activities and work with almost zero downtime
  • Results of fillers are immediate, but will take up to 4 weeks for the fillers to fully integrate with the tissues
  • Results of thread lifts are immediate
  • When poorly administered, fillers can lead to infection, lumps and even blindness. For nose fillers, there is a risk of filler migration, resulting in a broad nose
  • When poorly administered, threadlifts can lead to infection, but is overall a lot safer than fillers
  • Fillers cost about $600-$1400 per syringe
  • Threadlifts cost about $700-$1800 depending on the number of threads used
  • Patients liken the pain from fillers to getting an insect bite; about 4/10
  • Threadlifts are slightly more painful and require local anaesthesia

Which is better for me?

When choosing an option, apart from weighing the pros and cons and factoring in your budget, you should always consult a doctor too. In some cases, your doctor might even recommend that you combine both fillers and thread lifts to achieve your desired result. In fact, fillers and thread lifts complement each other well and can produce fantastic results!

Have a question?

If you have any other questions, please leave us a message anytime and we will be happy to answer them!

References

  1. https://pubmed.ncbi.nlm.nih.gov/19451452/
    Abraham, R. F., DeFatta, R. J., & Williams, E. F., 3rd (2009). Thread-lift for facial rejuvenation: assessment of long-term results. Archives of facial plastic surgery, 11(3), 178–183. https://doi.org/10.1001/archfacial.2009.10

  2. https://pubmed.ncbi.nlm.nih.gov/31189193/
    Bacos, J. T., & Dayan, S. H. (2019). Superficial Dermal Fillers with Hyaluronic Acid. Facial plastic surgery : FPS, 35(3), 219–223. https://doi.org/10.1055/s-0039-1688797