Is Rhinoplasty With Threads Safe?

Watch this video for the truth about rhinoplasty only? 

What is thread rhinoplasty?

Rhinoplasty is just a cosmetic procedure, minimum intervention do not need open surgery, the use of needle guide dedicated to thread the fiber bundles, the only school in the layer of tissue under the skin of the nose and the nose.

1. Mechanism of action of biological thread

The types of threads commonly used in this procedure include PDO (Polydioxanone), PCL (Polycaprolactone), or PLLA. The threads are designed with a system of small barbs (cog threads) in a herringbone or bidirectional spiral cone shape.

When the needle is withdrawn, the thread barbs attach to the connective tissue and superficial fascia under the skin. The tension exerted on the thread bundle compresses the soft tissue, creating the effect of a higher nasal bridge and a slightly protruding tip immediately after the procedure. Simultaneously, the self-dissolving threads stimulate a mild localized collagen proliferation.

2. Popular advertising compared to clinical reality

Often this method is the cosmetic base less invasive promote with many compelling advantages: “Made quickly in 15 – 20 minutes, no pain, no surgery-incision and without resort”. This is the reason why so many people who have psychological apprehension surgical look to this procedure.

However, from a practical medical perspective, nose thread lifts require strict sterile conditions and a thorough understanding of vascular anatomy. When the procedure is performed in facilities lacking adequate medical resources, the rate of complications and the need for surgical removal to correct the consequences are relatively common in medical literature.

Is rhinoplasty with thread safe?

To assess the safety of a cosmetic procedure, specialists usually consider two factors: the biomechanical compatibility of the anatomical structure and the ability to maintain stable results.

1. Anatomical perspective

The nose is a prominent feature in the center of the face, constantly subjected to pulling forces from the facial muscles and the elastic contraction of the skin. To raise the nasal bridge or extend the tip stably, rhinoplasty requires a sturdy supporting framework using the main nasal bones and septal cartilage.

On the contrary, the thread biological material is flexible. When inserted into the tissue, we can only create the force to stretch the soft tissue temporarily can not play the role as a load-bearing anatomy. When transplanting a large just on the tip of the nose, the pressure pressing rested mechanics can reduce the amount of blood nourishes the delicate skin in the tip of the nose.

2. Limitation of retention time and granulation tissue reaction

According to the document of the Association of reconstructive Surgery, S. A. (ASPS), the only kind of standard as PDO begin the process of decay biology after about 6 months, and the majority degeneration gradually in about 6 – 12 months depending on the characteristics of the location of each person.

After the target variable, nose shape, often diminishing the original height. It is worth noting that the process of degeneration of foreign materials and the reaction of the body against the barbs can just leave the strip of fibrous tissue scarring around the go of the thread in some cases, making the subcutaneous tissue is fibrous adhesions and less soft.

5 common complications

Clinical research and practical reception of patients at the clinic of Dr. Nguyen Giap recorded 5 common complication after the implantation only nose:

1. Route the thread and the risk of perforation of the nose

Scalp nose is a region of elongation limit and the amount of perfusion circuit sensitivity. When the nose is pushed up by the fiber only hard, the pressure pressing rested continuous can do ischemia cuticle. Result the skin is the tip of the nose is thinner and appearance points, dark red, localized and fiber can only be pierced through the skin of the nose or sticking to the inside lining of the nostrils.

2. Infection and formation of pus tissue beads

Biological threads inserted into the nose are foreign implant materials. If the sterilization process does not meet the sterile standards of the operating room, bacteria can penetrate and attach to the barbed grooves of the threads, forming a biofilm that protects the bacteria from the effects of common antibiotics. This leads to persistent inflammation, swelling, pain, and prolonged pus discharge.

3. Nose rugged, wavy or misalignment

The thread in a bundle can have the speed of uneven, or fracture under impact movements of facial muscles. The allocation traction heterogeneous, which makes the nose appear the notes really grainy under the skin, creating a feeling wavy or live nose is crooked, deviated to one side.

4. Fibrosis tissue adhesive and scar retraction arch nose

The body's natural reaction to isolate foreign objects is to create collagen fibrous capsules around the threads. When multiple threads are implanted repeatedly, a dense mass of scar tissue can develop and adhere tightly to the nasal cartilage and septal cartilage. The subsequent contraction of scar tissue can deform the nasal tip, causing the nose to shorten and the nostrils to become asymmetrical.

5. Cause obstacles for orthopaedic surgery nose after this

When the patient has needs revision surgery to reconstruct the nose shape, block fibrous tissue adhesive and the crumbs just surviving, making the dissection of the nasal cavity becomes much more difficult. The surgeon must be meticulous liberation strip fiber and clean the cavity model to preserve maximum blood vessels nourishing.