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Nose Reshaping with Threads

Dr Simon Berrisford details case studies on the use of PDO threads and HA filler in non-surgical nose reshaping.

The popularity of nose reshaping in the UK is apparent; the British Association of Aesthetic Plastic Surgeons (BAAPS) annual report into trends in 2017 indicated an increase of 2% in surgical rhinoplasty.1 However the trend towards ‘soft surgery’ or minimally-invasive treatments continues, and in my own clinic I see patients requesting non-surgical nose reshaping almost every day.

For minimally-invasive non-surgical purposes the nose can be divided into two parts, the visible external and the hidden internal. It is the visible external part that we are concerned with in aesthetic medical practice. This is the protruding part whose shape is determined mainly by the ethmoid bone and the cartilaginous nasal septum.2

It is important to recognise the nose as a ‘mobile organ’ whose musculature is involved in function such as dilation of the nostrils by the dilator naris muscles and in communicative facial expression by the procerus, the alar nasalis and the levator labii superioris alaeque nasi and others. The point of this is to understand that changes to the shape of the nose must be considered not only in the resting neutral expression but also in normal expression.

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