Original Article

The AESTHETICS 2020; 1(1): 8-16

Published online April 30, 2020

© Korean Association For Laser Dermatology And Trichology

Non-Surgical Rhinoplasty with Polydioxanone Threads and Hyaluronic Acid Filler to Treat a Widened Nose after Repeated Injections of Hyaluronic Acid Filler

Wook Oh, MD1 , Won Lee, PhD2

1Samsung Feel Clinic, Seoul, Korea
2Yonsei E1 Plastic Surgery Clinic, Anyang, Korea

Correspondence to: Wook Oh
Samsung Feel Clinic, Seoul 06972, Korea

Received: March 20, 2020; Revised: April 9, 2020; Accepted: April 13, 2020

This is an open access article distributed under the terms of the Creative Commons Attribution Non- Commercial License ( which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background and Objectives
Rhinoplasty with cosmetic filler is becoming an exceedingly popular, nonsurgical, cosmetic procedure, especially among Asians. However, the slim and pointed appearance achieved initially after treatment with filler injection tends to diminish over time, provoking complaints of a blunt shape and an overall enlarged nose due to flattening of the injected filler. This report describes the use of polydioxanone (PDO) threads and hyaluronic acid filler to correct a flattened, widen nose in two Korean women.
Materials and Methods
Two patients who had previously undergone treatment with filler injections presented with widened noses. Therein, we injected 150 IU of hyaluronidase to dissolve remnant hyaluronic acid filler, and after 3 weeks, we inserted PDO threads and hyaluronic acid filler via non-surgical rhinoplasty.
In both patients, hyaluronidase dissolved previous filler that had begun to disintegrate and lead to a widened nose. Subsequent treatment with PDO threads and hyaluronic acid filler restored the desired appearance of a slim and pointed nose. No adverse side-effects from either treatment were reported.
The use of hyaluronidase and non-surgical rhinoplasty with PDO threads and hyaluronic acid filler are useful in the correction of a widened nose created by repeated injections of hyaluronic acid filler.

Keywords: Rhinoplasty, PDO threads, Hyaluronic acid filler