Fillers vs. PDO threads for higher Asian nose bridge?

Question

Between fillers and PDO threads, which is better for building a nose bridge? And more importantly, which one of the two will cause less complications during rhinoplasty? I plan on getting Asian rhinoplasty in 2.5 years but I don't want to do anything that will stop them from operating due to the filler/threads. Also, is it necessary that I tell my surgeon about these procedures if they'll be dissolved by that time?

Eric M. Joseph, MD · Answer

We have performed many rhinoplasty surgeries on those who have had previous temporary gel fillers, and we have found this not to be a hindrance for the surgeon. Additionally, a temporary gel filler could be dissolved if you needed to have it removed. Thank you for your question. Sincerely, Dr. Joseph

Sanusi Umar, MD · Answer

In the article link below, I’ve provided for you a case study from my office, the Dr.U Hair and Skin Clinics in Los Angeles. We used a dermal filler called Radiesse to enhance the height and definition of a female Asian patient’s nose bridge. Radiesse is formulated for many types of non-surgical facial contouring refinements. Besides the nose, this would also include the cheeks and chin as well. Rather than being just a gel, it also contains tiny calcium hydroxlapatite particles to provide a versatile form of structure and support beneath the skin. With Radiesse, it is possible to create a very natural looking height and definition that others would not necessarily notice. Also, the non-permanent nature of Radiesse makes it an ideal option for individuals like yourself who are contemplating surgery in the future. If you like your results, you can save images  as a visual reference to follow for your procedure.

Philip S. Schoenfeld, MD, FACS · Answer

If you are planning on having surgical rhinoplasty in the future then I would suggest having dermal filler such as a hyaluronic acid product used for non surgical rhinoplasty.  I perform a great deal of rhinoplasty surgery and would not want to have to deal with the remnants of PDO threads or the potential scarring or inflammation that could be caused by the threads if I was performing an ethnic rhinoplasty using cartilage grafts in the future.

Euan Mackinnon, MBChB, MSc · Answer

With PDO threads it would be possible to lift the tip of the nose but I would be apprehensive about using them to build a bridge. PDO threads could also cause problems during the surgery as you can't simply dissolve them like you can do with filler.

Fillers vs. PDO threads for higher Asian nose bridge?

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