Q. I had a nose thread lifting procedure—if I want rhinoplasty, do I need to have it removed?

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Hello. I am Director Seo Chan-eol of AB Plastic Surgery.

I’ll answer the question many of you have been asking about rhinoplasty!

If you have decided to undergo nose surgery, the previously inserted nose-lifting threads are generally removed as much as possible before and during surgery for the best possible result. There are three main reasons for removal.

The first is a functional reason: “to stretch the skin of the nose and the internal structures as much as possible.” Lifting threads are not ordinary threads, but “threads with barbs attached,” and these barbs dig into the cartilage inside the nose or the soft tissue beneath the skin, strongly pulling on each other. Rhinoplasty is a process that raises the tip of the nose and reinforces the bridge while lengthening the nose, so these parts need to be removed as much as possible so that the areas being held become loosened and the skin of the nasal tip or bridge can stretch.

The second is an aesthetic reason: “to achieve symmetry as much as possible.” Thread procedures are a method of changing the shape without opening the inside of the nose, so they are performed in a way that compensates without changing the position of the internal bone or cartilage. For example, if one side of the nasal bridge has slightly higher bone, the thread may be inserted slightly off-angle to balance symmetry, and if the nasal tip is bent to one side, it may be inserted diagonally. During surgery, the height and position of the internal bone and cartilage are corrected as symmetrically as possible, so remaining threads can actually change the shape. They may protrude externally or cause the implant position to become crooked, which is why they are removed.

The final reason is to reduce the chance of inflammation after surgery. Even if the thread fragments were stable before, once they are exposed externally during surgery, they can become a source of inflammation inside the nose. To reduce this possibility after surgery, they are removed as much as possible.

How is the removal process done? In general, if the threads are dissolvable, they are first dissolved as much as possible with a simple injection procedure before surgery. However, the deeper barbs of the threads do not dissolve with this method, so they are mechanically removed as much as possible during surgery.

I hope this was helpful for the questions you had, and I’ll wrap up here.

If you have any other questions, please leave a comment.

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