The immediate answer to the question is with great difficulty and not without possible permanent damage to the skin structure of the nose. The concept of non-surgical rhinoplasty is promoted by non-plastic surgeons – primarily dermatologists.
Introducing foreign objects such as fillers and threads into the nose is not without major risk. I believe these foreign objects – that is fillers and threads – can create permanent disruption of the normal anatomy of the dermis and therefore may compromise any real surgical rhinoplasty that may be performed later.
The theory with threads is that they are absorbable and sometimes either smooth or barbed and promote collagen formation which under normal circumstances for aging skin may be of benefit. However, the nose skin is a completely different situation. When we perform surgical rhinoplasty we rely upon the intact Virgin skin to shrink wrap over the new reduced or modified structures to produce the most elegant nose on a female and the most structured one on a male patient.
Rhinoplasty
Threads produce such a cellular reaction that the intact reliability and blood supply to the skin of the nose in my opinion are permanently reduced and damaged. This situation will in my opinion profoundly compromise the results when a surgical rhinoplasty is performed.
We are completely unaware of the long-term effects on the skin with threads, especially on the nose. I am profoundly opposed to this procedure and strongly suggest if you want your best nose save your money and seek surgery from one of the more experienced rhinoplasty surgeons available to us in this country. As I always encourage, now and in the past, anyone seeking to change their nasal anatomy for the better should evaluate our before-and-after gallery
THOMAS TREVISANI, MD
BOARD-CERTIFIED PLASTIC SURGEON
MEMBER OF AMERICAN SOCIETY OF AESTHETIC PLASTIC SURGERY
