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NOSE THREADING
ELEVATE NASION
Principle
It is a procedure that elevates nasal root, glabella and nasion which are depressed by reduced collagen, it replaces the fillers which occur various complications.
Anatomy of the root area of nose.
Technique
► Infiltration anesthesia and perforation: according to general technique.
►Gently push the thread attached to the 60 mm Cannula along the deep fat layer through the punctured hole.
► Insert the thread straight through the deep fat layer so that the thread passes through the center of the nose. This feels like a slight scraping of the periosteum.
►Be careful not to go under the nasal bone when the thread reaches the nasal and cartilage joints.
► Insert two threads, show yourself in the mirror and check customer satisfaction.
► If not specifically rejected by the patient, insert an additional two and insert a total of four.
► Suture the perforated area with nylon 6 one point.
► Explain that the addition of filler, along with the risk, makes the retention period and shape much more satisfying.
Case treated to correct spatula, The lower jaw looks back by raising the nose and nose without cutting the chin.
TIPS
► The most important technique of the nose nasion and ridge thread lifting is a technique (insertion by checking the center line several times) to ensure that the line raised by the thread of the nose is centered.
► The cannula containing the thread is measured and modified at an easy angle to enter.
► Gently push the thread attached to the 38 mm Cannula through the perforated hole along the deep fat layer above the periosteum.
► Raise the volume of the glabella and nose roots to make the shape come out.
► At this time, insert the dedicated lifting thread on the center side and mesh cylindrical mesh thread on the edge so that the surface comes out smoothly.
► Mesh Cylindrical Mesh thread has a lot of elasticity because it traps structurally sufficient elasticity.
► Recognize the importance of additional procedures after 6 months.
Remark
► The purpose of this procedure is to avoid the risk of filler accidents and lengthening the maintenance period.
►38mm 2.0 thread for elastic PDO to nose in center area raises the area and 38mm 2.0 thread for smoother PCL Mesh thread around the edges makes smoother margin.
► The characteristic of PCL MESH thread is that the retention period is about over than 2 years, it is soft and the collagen synthesis is good.
► If you pay attention only to staining and scarring of the perforated area, the risk is not high and there are few side effects.
► Bend the cannula at an appropriate angle to facilitate the procedure.
NARROWING NOSE BASE
Principle
Reduction of the base of the nose by using a narrowing vector of the base of the nose responding to the cogging vector of the bidirectional visual chamber is a procedure that has the additional advantage of raising the nose.
Technique
Insert 38 mm cannula through the drilled hole exactly in the center of the nosebase.
Both ends of the thread should be at least 1.5 mm deep from the skin.
Insert one expression alternately on both sides, insert two at once and evaluate and add up to four.
WINGS
Principle
It is a technique of spreading the nasal wings using the restoring force of the thread by inserting the supporting function thread into the nose wing.
Technique
Sterilize the treatment area and Anesthetize the infiltration well enough with regular lidocaine.
Design and anticipate the route enough to allow the progress of the thread to spread the nasal wings.
Inject 2IU of Botox 4IIU into the nose blade.
Insert the thread after punching where the thread will enter.
Recognize Fibroaleolar Connective Tissue, a histological feature of the nose wing, slowly pass over the cartilage in the upper part and slowly enter the central part of the Fibrous Connective Tissue tissue in the lower part through the PDO 38mm 2.0 Cog Thread.
Insert the thread in a square to apply the unfolding tension to the nose blades.
Problems and Solutions for Nose Thread Lifting
SIGNS
TROUBLE SHOT
Anesthesia Injections Sore
Lack of hemostasis
Anesthetic drug swelling lessens lifting effect
The nose ridge is skewed
Patients need to understand that pain is more painful than normal anesthetics because they use anesthetics that contain vasculature to help hemostasis.
Lidocaine-anesthetics containing adrenaline have the best hemostatic effect after a period of time (about 25 minutes after infiltration), so the procedure is the least bleeding 25 minutes after local anesthesia. If bleeding persists, compression is enough to stop the bleeding.
Make sure the tip of the nose is slightly higher than expected and the anesthesia is normal.
Draw the center point on the middle, during the procedure insert additional thread and Manually push the seal to the center.
Thread is touched at the tip of nose
The entire maxilla hurts
Bruises
Perforation site dents or pigmentation
Keep the skin away from the perforation (usually 2 mm or more). After the thread has penetrated the skin, pull it slightly to cut it. When the thread breaks through the skin, cut it with a needle and cut 1-2 mm.
The column is located in ANS, so most irritation symptoms are uncomfortable, so explain about a month and check for inflammation.
To avoid bruising in the first place, insert thread with DEEP FAT LAYER. If bruise, use brunch or cover BB Cream.
The shape of the perforation hole is low in tension, and filled with filler Pigmentation is observed or treated with an Nd-Yag laser.
Lifting effect has been reduced for several months
PDO seals are biodegraded in eight months and collagen is replaced by 30% to 40% of the volume.
An additional procedure is recommended between 6 and 8 months after the first procedure. In this case, the lifting effect is about 5 years.
PDO Thread have a collagenesis effect, resulting in a 30% improvement in the biodegradation of the thread.
The thread come out of nasal cavity or mouth and throat
Even if the procedure is successful, the pillar thread may sometimes be pushed out, but the cogging of the thread acts in the direction of progression and may continue to move forward and break through the skin.
Typical cases include inserting under the nasal bone when inserting the nasal thread, and when the nasal column is out of the ANS and when the nasal thread is inserted too far past the epidermis.
Infection and Inflammation
When inflammation occurs, firing may be resolved with antibiotic drainage treatment, depending on the principle or extent. When used with filler, the frequency is increased.