Non‐surgical rhinoplasty through minimal invasive nose thread procedures: Adverse effects and prevention methods

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Abstract

Background

This review addresses the intricacies of non‐surgical rhinoplasty, particularly focusing on the utilization of absorbable sutures known as “Volumizing threads” in combination with fillers. The aim is to explore the enhanced precision of nasal contouring offered by these combined procedures compared to sole filler injections.

Methods

Through comprehensive clinical cases, this article scrutinizes the landscape of adverse effects and their prevention strategies associated with minimal invasive nose thread procedures. The discussion emphasizes various complications, including thread protrusion, migration, infections, skin dimpling, and granuloma formation, along with their respective management approaches.

Results

This article delineates cases of complications arising from thread placement, ranging from visibility issues to skin infections and granuloma formation. It highlights instances of thread visibility, oral mucosa protrusion, skin infections, dimpling, and granuloma formation. Additionally, it outlines the corresponding management strategies, accentuating the criticality of early intervention to preclude severe complications in non‐surgical rhinoplasty involving nose threads.

Conclusion

Non‐surgical rhinoplasty, leveraging nose thread procedures, offers heightened precision compared to conventional filler injections. However, the review underscores the importance of recognizing potential risks and promptly addressing complications like thread extrusion, migration, and infections. Understanding these complexities in non‐surgical rhinoplasty aids in informed decision‐making and efficient patient care.

Related collections

Most cited references 11

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Pathogenesis of foreign body infection. Evidence for a local granulocyte defect.

F Waldvogel, W Zimmerli, P Lew (1984)

Implanted foreign bodies are highly susceptible to pyogenic infections and represent a major problem in modern medicine. In an effort to understand the pathogenesis of these infections, we studied the phagocytic function in the vicinity of a foreign body by using a recently developed guinea pig model of Teflon tissue cages subcutaneously implanted (Zimmerli, W., F.A. Waldvogel, P. Vaudaux, and U.E. Nydegger, 1982, J. Infect. Dis., 146:487-497). Polymorphonuclear leukocytes (PMN) purified from tissue cage fluid had poor bactericidal activity against a catalase-positive microorganism. When compared with blood or exudate PMN, they exhibited a significant reduction in their ability to generate superoxide in response to a particulate or a soluble stimulus (72 and 57%, respectively, P less than 0.001). Not only their total contents in myeloperoxidase, beta-glucuronidase, lysozyme, and B12 binding protein were significantly reduced (by 62, 21, 47, and 63%, respectively, P less than 0.01), but also their capability for further secretion of residual B12 binding protein upon stimulation. Ingestion rates of endotoxin-coated opsonized oil particles were reduced by 25% (P less than 0.05). In an effort to reproduce these abnormalities in vitro, fresh peritoneal exudate PMN were incubated with Teflon fibers in the presence of plasma. Interaction of PMN with the fibers led to significant increases in hexose monophosphate shunt activity and exocytosis of secondary granules (P less than 0.01). PMN eluted after such interaction showed defective bactericidal activity, oxidative metabolism, and granular enzyme content similar to those observed in tissue cage PMN. The local injection of fresh blood PMN into tissue cages at the time of, or 3 h after, inoculation with 100 microorganisms (Staphylococcus aureus Wood 46) reduced the infection rate from 50 to 56 cages to 1 of 21 (P less than 0.001) and 3 of 8 cages (P less than 0.001), respectively. These results suggest that the in vivo as well as in vitro interaction of PMN with a nonphagocytosable foreign body induces a complex PMN defect, which may be partly responsible for the high susceptibility to infection of foreign bodies.

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Jung Hyun Yoon, Sang Seop Kim, Seung Min Oh … (2019)

Polydioxanone (PDO) sutures have been widely used to tighten and lift the face. However, why the complexion brightens and skin elasticity is maintained with a smaller facial outline after a PDO monofilament thread treatment remains unclear.

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Is Open Access

The Science of Absorbable Poly(L-Lactide-Co-ε-Caprolactone) Threads for Soft Tissue Repositioning of the Face: An Evidence-Based Evaluation of Their Physical Properties and Clinical Application

Vincent Wong (2021)

Abstract The use of bioabsorbable threads has become a common minimally invasive technique for the nonsurgical lifting of sagged facial tissues. It entails the passage of barbed threads that form a support structure under the skin of the face and neck to mechanically reposition sagging tissue. Poly(L-lactide-co-ε-caprolactone) has long been used as absorbable sutures and as such has a well-demonstrated efficacy and safety profile. This biomaterial also has a well-defined biocompatibility and degradation profile. All studies reviewed in this paper show that thread lifting with absorbable barbed threads is an effective and well-tolerated procedure for correction of ptosis in facial and neck soft tissue and is associated with minor and reversible adverse effects. Most patients and surgeons consider the procedure satisfactory, with good to excellent results. This publication reviews the literature and clinical data supporting the degradation, absorbability, biocompatibility, safety, and effectiveness of these threads when used for tissue repositioning and facial rejuvenation procedures.

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All references

Author and article information

Contributors

Kyu‐Ho Yi: kyuho90@daum.net

Journal

Journal ID (nlm-ta): Skin Res Technol

Journal ID (iso-abbrev): Skin Res Technol

Journal ID (doi): 10.1111/(ISSN)1600-0846

Journal ID (publisher-id): SRT

Title: Skin Research and Technology

Publisher: John Wiley and Sons Inc. (Hoboken )

ISSN (Print): 0909-752X

ISSN (Electronic): 1600-0846

Publication date (Electronic): 26 January 2024

Publication date Collection: February 2024

Volume: 30

Issue: 2 ( doiID: 10.1111/srt.v30.2 )

Electronic Location Identifier: e13590

Affiliations

[ ¹ ] Made‐Young Plastic Surgery Clinic Seoul South Korea

[ ² ] Division in Anatomy and Developmental Biology, Department of Oral Biology Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry Seodaemun‐gu Seoul South Korea

[ ³ ] Department of Dermatology Chulabhorn Hospital, Chulabhorn Royal Academy Bangkok Thailand

[ ⁴ ] Department of Dermatology Chulabhorn International Collage of Medicine, Thammasat University Bangkok Thailand

[ ⁵ ] Division of Dermatology, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University Bangkok Thailand

[ ⁶ ] Maylin Clinic (Apgujeong) Seoul South Korea

Author notes

[*] [* ] Correspondence

Kyu‐Ho Yi, Division in Anatomy & Developmental Biology, Department of Oral Biology, Yonsei University College of Dentistry, 50–1 Yonsei‐ro, Seodaemun‐gu, Seoul 03722, South Korea.

Email: kyuho90@ 123456daum.net

Article

Publisher ID: SRT13590

DOI: 10.1111/srt.13590

PMC ID: 10818120

PubMed ID: 38279564

SO-VID: 5557faa6-669f-4e89-9c0c-ba547f952e6d

License:

This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

History

Date received : 19 December 2023

Date accepted : 11 January 2024

Page count

Figures: 8, Tables: 0, Pages: 5, Words: 2555

Custom metadata

source-schema-version-number 2.0

cover-date February 2024

details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:6.3.6 mode:remove_FC converted:27.01.2024

Keywords: adverse effects,complications,non‐surgical rhinoplasty,nose thread procedures,prevention methods

Data availability:

Keywords: adverse effects, complications, non‐surgical rhinoplasty, nose thread procedures, prevention methods