18 April 2019
Song Hye Ko’s nose is often used as a reference by many patients coming for a nose job!
A defined and sharp nose is almost universally regarded as the ideal nose across different cultures and ethnic groups. Unfortunately for Asians, a flat or low nose bridge and upturned nose tip are the common features in the Asian nose. The nose is the most defining feature of the face and the nasal profile has an impact on all the other features of the face. As an example, a flat nose bridge makes the eyes look wide apart and the face broad looking. It is no surprise that nose enhancement or nose augmentation is widely popular in Asia.
Choose a doctor experienced with both types of non-surgical nose enhancement i.e. the Hiko nose threadlift and nose fillers is important so that you have the best results.
While nose surgery (rhinoplasty) has traditionally been the only modality to augment the nose, it is also a treatment that many patients are hesitant about and understandably so- the need for general anaesthesia, an incision, risk of scarring and harvesting cartilage from the ribs or the ear- make one wonder whether the price of beauty is worth the cost.
In the last decade, two newer treatments have emerged to change the game for patients wanting to enhance their nose without having to undergo a surgical nose job: Nose fillers and nose threadlifts. Nose fillers and nose threadlifts have seen a rise in their popularity since their advent, especially in Asia. No surprises there- the Asian nose typically has is short, has a low nose bridge, upturned nose tip (over-rotated), inadequate columella and bulbous tips- traits that are somewhat less than desirable. In certain instances, nose fillers and threadlifts can be to give a better result for some patients.
An emerging trend in the non-surgical nose augmentation is the use of fine, absorbable threads to mechanically “lift” up the nose. Better known as the Hiko nose threadlift, this procedure originated in Korea and can address some of the problems of nose fillers.
Hiko comes from the words “high” and “ko” (for nose in Korean) and its name is self-explanatory. Compared to nose fillers, Hiko nose threadlift can lift up the nose bridge better than nose fillers and improve tip projection and rotation. The results are also very natural and the risk of vessel occlusion is almost negligible, making the Hiko nose threadlift a preferred choice of nose augmentation in Asia.
The threads used in a Hiko nose threadlift are made up of polydioxanone (PDO), a material that has been used in surgical sutures for many years. These threads are fully dissolvable in the body and are completely absorbed within 6-9 months. Hiko nose threadlift works by a two-pronged mechanism. Firstly, the threads mechanically prop up the nose tissues wherever they are placed. Secondly, the threads contain little barbs along their length and as these threads dissolve, the threads will stimulate collagen production by your own tissues. What this means is that the results of this nose-lift will continue to improve and be sustained, making it a more desirable option than fillers.
This is what a thread used for the Hiko nose threadlift looks like-a fine, soft thread with a sturdy blunt cannula to guide the placement of the thread.
I use both PDO and PCL threads and also both mono and cog threads for the Hiko nose threadlift. Each type of thread has its advantages and disadvantages that should be tailored for every single patient.
The Hiko nose threadlift lifts and enhances both the nose bridge and nose tip by 2 mechanisms
1) Mechanical lift- the fine threads mechanically prop up the nose bridge and tip to increase the nose bridge height and projection for a taller, more defined and slimmer nose bridge. When the nose threads are placed in the nose tip, the nose tip rotation is improved and the nose tip looks slimmer.
2) Biochemical- the advantage of the Hiko nose threadlift over nose fillers is that the nose threads stimulate the tissues of the nose to produce its own collagen so that the results of the nose job will continue to improve and be sustained.
1) Higher nose bridge
2) Longer nose bridge
3) Sharper and slimmer nose bridge
4) Straighter nose bridge for deviated noses
5) Sharper and slimmer nose tip
6) Improved tip rotation
Markings are drawn on the nose
Numbing cream is applied to the nose for 15 minutes. Local anaesthesia is also injected along the bridge of the nose and nose tip.
After the nose has been numbed, a needle is used to create an entry point for the threads.
The threads are then inserted into the bridge of the nose and/or nose tip via blunt cannula. The cannula is removed after the threads are inserted
The entire Hiko nose threadlift takes approximately 20 minutes
Hannah had her Hiko nose threadlift done recently. She had nose fillers too previously and shares about her experience between the Hiko nose threadlift vs nose fillers. Click here to read more!
There is negligible downtime for the nose threadlift and you can return to your daily activities and work immediately after the Hiko nose threadlift. Unlike nose fillers, the Hiko nose threadlift is very stable and secure and the nose threads will not be displaced or migrate even with pressure to the nose. You can also apply makeup to the nose after the nose threadlift. There is very little bruising and swelling. The swelling is usually due to the injection of local anaesthesia.
The Hiko nose threadlift is much safer than nose fillers mainly because there is no risk of vessel occlusion and the attendant complications like skin necrosis and blindness
· Immediate results
· Longer lasting than nose fillers
· Good for lifting up flat nose bridge
· Cannot be dissolved
· Cannot correct nasal dorsal humps or bumps.
The threads for the Hiko nose threadlift come sealed in packs for sterility. The brand that I use is called Ultra V Hiko because I have been using it for years and it has proven to be safe and achieve good results in my patients.
Both nose fillers and the Hiko nose threadlift are excellent ways to improve the appearance of the nose without having to go under the knife and general anaesthesia. Both procedures are not without their limitations and one way to overcome these limitations is to combine both the Hiko nose threadlift and nose fillers.
A good example is a patient with a very flat nose bridge with a hump. The Hiko nose threadlift can lift the nose bridge and a little filler can then be introduced to smoothen out the dorsal hump. The results of combing both treatments are also very natural as now, less filler and threads have to be used together with the combined technique.
As nose augmentation is a medical procedure, it is best to discuss the options with your doctor before proceeding.
One of my preferred brands for nose fillers is Restylane Lyft (formerly known as Restylane Perlane) because of its high G’. What this means is that this particular nose filler is ‘harder’ and ‘firmer’ to retain the shape of the nose.
Nose fillers are an excellent way to correct and improve the appearance of the nose, especially for patients with humps on their nose in 15 to 20 minutes. The most commonly used filler material is hyaluronic acid, which is a naturally occurring substance in our bodies. Hyaluronic acid fillers typically last for 6-9 months. Other types of filler materials that can be used include calcium hydroxylapatite (Radiesse). Nose fillers, when done by experienced doctors, are very natural looking and will not give a fake or “overfilled” appearance.
Fillers can be placed anywhere on the nose to correct the specific problem- nose bridge, tip, columella etc. The exact placement should be determined after an assessment with your doctor and a detailed discussion on an ideal nose that would suit your features. Remember, the key is to have a nose that is in harmony with the rest of your face so that the nose would not an unwanted source of attention or too unnatural looking.
Numbing cream is applied to the nose for 15 minutes before it is cleaned off. The filler is then injected into the specific part of the nose. There are 2 ways that the filler can be injected- either using a needle or a cannula. I also use fillers that contain lignocaine, a local anaesthetic which numbs the injection so there is very little discomfort if at all.
· Immediate results
· Fast (15-20 minutes)
· Best for correcting and smoothening out dorsal humps or bumps
· Minimal downtime
· Risk of filler migration, creating a broad nose or ‘Avatar’ look
· Lifting of nose bridge is not as obvious as compared to a nose threadlift
· Relatively short life span
· Mild swelling and bruising
· Vessel occlusion when the filler material blocks up blood vessels in the nose. This can lead to complications such as skin necrosis and blindness
The Hiko nose threadlift is very different from nose fillers. Some of the major differences are below:
Two of the biggest challenges of nose fillers that the Hiko nose threadlift has overcome are:
1. Safety- the risk of blindness and skin necrosis due to inadvertent entry of blood vessels by nose fillers is almost negligible with the Hiko nose threadlift. The threads are soft and fine do no penetrate blood vessels
2. Nose broadening or ‘Avatar nose’- Nose fillers have a tendency to spread and widen the nose bridge towards the end of the lifespan of the fillers, creating the appearance of an ‘Avatar nose’ that is frankly, ugly.
And there you have it! A comprehensive review of the Hiko nose threadlift and nose fillers. To find out whether the Hiko nose threadlift or nose fillers work better for you, seek a doctor’s advise before making a decision!