A Complete Summary of the Differences Between Nosing and Nose Filler | Everything About Non-Incisional Rhinoplasty with Lifting Threads

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Many people want to change the shape of their nose, but feel that surgery is too much of a burden.

“I’d just like to raise the tip a little—do I really need surgery?”

People often worry that fillers may spread, while surgery means a difficult recovery period.

Many people come in with these concerns.

Today, for those who want to improve the shape of their nose but feel burdened by surgery, I’d like to talk about non-incisional rhinoplasty using lifting threads, called nosing.

Today, I’ll cover the differences between nosing and nose filler, as well as the key features, pros, and cons of nosing.

What is nosing?

Nosing is a procedure that uses lifting threads designed for use in the nose

to raise a low nasal tip and bridge, and to reduce a wide nasal ala.

Unlike surgery, it does not involve incisions, so the recovery period is short, and it has the advantage of causing little disruption to daily life.

Simply put,

you can think of it as a non-incisional rhinoplasty that structurally changes the shape of the nose using threads.

How is it different from nose filler?

When people think of non-surgical nose enhancement, the first thing that comes to mind is nose filler.

Nose filler does have the advantages of a short recovery time and immediate changes. But nose filler has limits in the areas of the nose it can be applied to.

Filler is a suitable procedure for building up a low bridge,

but it is difficult to change the height of the nasal tip, raise or lower the tip, reduce the width of the nostrils, or improve the shape of the columella.

Also, as time passes, filler may move or spread,

which can make the bridge look thicker.

In contrast, nosing uses solid threads, so it can be applied to a wide range of areas, including raising the tip, raising/lowering the tip, reducing the nostrils, columella correction, and correcting a hump nose. That is the biggest difference from filler, and also its advantage.

Nosing vs. nose filler, a side-by-side comparison

Item	Nosing (thread lifting)	Nose filler
Material	Solid lifting thread	Gel-type filler (HA, etc.)
Bridge augmentation	Possible	Effective
Tip augmentation/raising	Effective	Difficult
Nostril reduction	Possible (tenting effect)	Difficult to expect
Columella/hump nose correction	Possible	Difficult
Shape retention	Structural support possible	May spread or move
Duration	Up to 2–3 years with PCL thread	About 6 months to 1 year
Procedure time	10–20 minutes	10–15 minutes
Recovery period	No major swelling/bruising, daily life immediately possible	Mild swelling, daily life immediately possible

Here’s a summary of the advantages of nosing

Let me briefly summarize the advantages of nosing.

It does not cause major swelling or bruising.

There are no stitches to remove after the procedure, and you can return to daily life right away.

The procedure time is also short, around 10–20 minutes,

and you can see the effects immediately after the procedure.

Also, unlike the PDO threads that were commonly used before,

using PCL threads more recently can maintain a stable strength and a long duration of up to 2–3 years.

Compared with PDO threads, which usually last about 6 months to 1 year, this is quite a long time.

PDO vs. PCL: results vary depending on the type of thread

The threads used for nosing are largely divided into two types: PDO and PCL.

Both are materials that are absorbed in the body, but their properties are slightly different.

Category	PDO thread	PCL thread
Duration	About 6 months to 1 year	Up to 2–3 years
Strength	Relatively weak	Stable and strong
Absorption speed	Relatively fast	Slowly absorbed
Collagen formation	Some induction	Induces over a long period

So when you consult about nosing, it is a good idea to check which thread is being used.

Structural support is also key in nosing

Here is one very important point that patients often do not know.

One of the most important things in nose surgery is

building the lower support structure well based on the Tripod Concept.

The shape of the nasal tip is determined by the lower edge of the alar cartilage and the septal cartilage,

and the idea is that these structures support the nasal tip like a tripod.

If this support structure is not properly established,

either surgery nor a procedure can prevent the tip from dropping again over time, or avoid undesired results.

The same applies to nosing.

Only when this concept from rhinoplasty is applied as it is to the procedure

can you achieve stable and effective results.

The core support structure of rhinoplasty tip shaping (Tripod concept)

Why the nasal tip drops again after nosing

Because nosing does not involve dissection of the alar cartilage or dissection of the skin soft tissue envelope like surgery does,

the pressure from the skin soft tissue envelope (SSTE) remains directly applied to the tip area.

The more the tip is raised, the greater this pressure becomes.

So if the support structure is not properly established,

the results may look fine immediately after the procedure,

but the nasal tip may drop again after some time.

For the effects of nosing to last, properly establishing the support structure is the most important factor. I recommend consulting a specialist who has extensive knowledge and experience in this area.

Why nosing should be performed by a board-certified plastic surgeon

Usually, board-certified plastic surgeons who perform both nose surgery and nosing

carry anatomical concepts such as the tripod concept in mind during the procedure, so they can determine the thread’s position, direction, and depth more accurately.

It is not simply about inserting threads.

Because they have experience directly viewing and handling the internal structure of the nose through surgery,

they know which position and direction will create structural stability.

Even though nosing is a non-incisional procedure,

it still changes the structure of the nose, so receiving it from a specialist who thoroughly understands nasal anatomy

can lead to safer, longer-lasting, and more satisfying results.

Frequently Asked Questions (FAQ)

Q. Is nosing painful?

Because anesthesia is administered before the procedure, pain during the procedure is not severe.

The procedure time is also short, around 10–20 minutes, so the burden is low.

Q. Can nosing and nose filler be done together?

Yes, they can be combined.

One method is to raise the tip with threads and supplement the bridge with filler, using the strengths of each.

However, it is best to decide after 충분한 consultation with a specialist.

Q. How long do the effects of nosing last?

It depends on the type of thread used.

PDO threads last about 6 months to 1 year, and PCL threads last up to 2–3 years.

As the thread dissolves, collagen forms around it, so some of the effect may remain.

Q. Is there significant swelling or bruising after nosing?

Major swelling or bruising is rare.

There is no need to remove stitches, and daily life is possible from the day of the procedure.

Q. Can nosing have side effects?

If the thread is placed incorrectly, problems such as visibility, indentation, or re-drooping of the tip may occur.

That is why it is important to have the procedure done by a specialist who understands the anatomical structure of the nose.

In summary,

nosing is a procedure with less burden and a faster recovery compared with surgery. But because it still changes the structure of the nose,

a correct placement based on anatomical understanding is necessary to expect proper results.

If you are considering nosing, I recommend consulting a board-certified plastic surgeon with extensive experience performing rhinoplasty.

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This content was written directly by MOOi Plastic Surgery Clinic in compliance with Article 56, Paragraph 1 of the Medical Service Act, for the purpose of providing information in an easy-to-understand way about procedures and surgeries. All procedures and surgeries may vary by individual, and side effects may occur, so we recommend that you consult with the attending medical staff before proceeding.