摘要

Objectives: 1) Understanding each individual nasal morphology 2) Plan and perform the best and safest treatment approach 3) Devastating complications like blindness are avoidable with appropriate treatment choices. The mantra of "Knowing The Best Tools" over "The Tool You Know Best" is fundamental in driving superior and safer outcomes in non-surgical rhinoplasties Introduction: Non-surgical rhinoplasties may seem like a quick and simple solution with hardly any downtime. There are two well-known non-surgical treatments for nose reshaping either with hyaluronic acid filler or with absorbable threads like PDO and a combination of both. Tailoring the treatment to each individual's unique nasal structure is crucial. Having worked with both Caucasian and Asian/ethnic patients, I've learned that the best outcomes require a deep understanding of techniques and nasal anatomy. While HA filler is common and cannula is deemed safer, it may not always be the best choice. Materials / method: Outlining various case studies focusing on the use of HA filler, needles, threads, and cannula to address nasal structures, and skin morphology, and meet patients' expectations. Utilizing high G-Prime HA, PDO threads, Size 25G cannula, and sharp needles. Implementing multiple punctures with sharp needles, or 1 or 2 entry points approaches using the cannula for painless thread insertion. Results: Utilizing PDO threads in ethnic nose cases, sometimes in conjunction with HA filler, has consistently produced excellent results without complications. Ethnic noses present challenges due to tight spaces between bones and skin and varying skin thickness. The use of solid materials like threads helps create a more stable foundation, effectively lifting the skin and enhancing the nasal septum compared to HA fillers. There will be case studies showing the usage of HA, Threads, and combinations of both in different cases to outline appropriate approaches for best outcomes. Conclusion: Practically and technically, having a universal tool is crucial for achieving safer, satisfactory, and favorable outcomes. Proficiency in using HA filler, threads, or a combination of both is essential. It's important to differentiate between having the "best" tools and being skilled with the tools you "know best.