Dr. Vicenta Llorca, PDO Threads Section
2 March 2018
Over 20 million cosmetic surgical and nonsurgical medical-aesthetic procedures were performed worldwide in 2014, according to the latest statistics from the International Society of Aesthetic Plastic Surgery (ISAPS). Among surgical procedures, rhinoplasty ranks fifth, with 849,445 interventions.
The main indications are correction of the nasal septum, elevation of the nasal tip and approximation of the nasal wings.
Nonsurgical rhinoplasty is a procedure in which filling materials are injected, to alter and shape the nose without invasive surgery1.
Contour and volume treatments, nasal area.
Dr. Vicenta Llorca.
The history of nonsurgical rhinoplasty had its start at the beginning of the 19th century, with Corning and Gersuny, who described for the first time, the use of liquid paraffin wax fillers1,2. In the 1980s, the use of silicone gel and bovine collagen was introduced, although later dismissed due to clinical side effects and complication rates. Since then, new formulas for semi-permanent fillers were developed, which have shown good results in the correction of facial defects3.
Nonsurgical nose job is an effective procedure to lift the nasal tip. However, we must take every precaution in injecting deeply, supra perichondrium or supra periosteum, to prevent any vascular occlusion3.
“The material to be used must be safe, biocompatible, non-carcinogenic, non-pyrogenic, non-immunogenic, non-migratory, and reversible1,2.”
Facial fillers can be permanent or temporary, and are classified into three categories5.
- Hyaluronic acid.
- Biosynthetic polymers (poly-L-lactic acid, calcium hydroxyapatite, polymethylmethacrylate and polydioxanone threads).
Polydioxanone PDO threads for non-surgical nose lifting were introduced approximately one year ago, starting with smooth threads and single threads.
In our experience, nose-specific PDO threads, such as “V Lift Pro NOSE”, perform with good results, no adverse effects, and an estimated duration of one year.
- Rvkin A. A Prospective Study Using Non-S u r g i c a l P r i m a r y R h i n o p l a s t y U s i n g A Polymethylmethacrylate Injectable Implant. Dermatol Surg 2014; 40: 305-13.
- Kontis T, Rivkin A. The History Of Injectable Facial Fillers. Facial Plastis Surgery 2009; 25(2): 67 – 72.
- Solomon P, Sklar M, Zner R. Facial Soft tissue Augmentation With Artecoll: A Review Of Eight Years Of Clinical Experience In 153 Patients. Can J Plast Surg 2012; 20(1): 28-32.
- Vedamurthy M. “Standard guidelines for the use of dermal fillers”.
Indian J Dermatol Venereol Leprol. 2008; 74 Suppl: S23-27.
- Braun M, Braun S. “Nodule formation following lip augmentation using porcine collagen-derived filler”. J Drugs Dermatol 2008; 7(6): 579-581.
Lets go shopping?
Sign up to take advantage of our offers for members. Discounts and exclusive promotions.