Hiko and Nose Fillers Explained by Dr. Seo Seung-jo of Uber Plastic Surgery! If You Are Considering Rhinoplasty, Decide Carefully!

Hello. This is Uber Plastic Surgery!

As a relatively easy and simple way to raise the nose,

many people often look for Hiko or fillers.

However, when planning rhinoplasty in the future, Hiko and fillers

can actually become an obstacle!

Today, in 'Uber Explains', together with Dr. Seo Seung-jo,

we will look into the difficulties that arise during rhinoplasty

if you have previously received Hiko or nose fillers!

First, let's talk about nose fillers.

When getting nose fillers, they are mainly used to raise the nose bridge rather than the nasal tip.

Because the nose bridge is hard, it is easy to build up the shape of the nose

based on that solid foundation. On the other hand,

because the nasal tip is soft, even if filler is injected,

it is difficult to support and can easily spread out.

If that happens, the shape won't look aesthetically pleasing, so to maintain the form,

nose fillers end up being layered over the bone, muscle layer, and fat layer.

The important thing is that before rhinoplasty, the nose filler is dissolved,

and even if we think it is completely dissolved and enter the operating room,

the moment the implant is inserted, undissolved filler granules

can cause the nose bridge to look bumpy like a gravel road.

Secondly, as the fillers injected into the fat layer dissolve,

they can form hard scar tissue, making it difficult to shape the nose.

To solve this problem,

there is a method of squeezing out the filler or popping the granules

with a needle, much like popping a pimple.

However, removing it this way can cause the skin to thin out or tear,

and there is even a risk of necrosis.

Crucially, going through this process does not guarantee that the shape of the nose will become pretty.

Therefore, for patients in these cases,

we suggest proceeding with the rhinoplasty first and slowly removing the remaining filler afterward.

And it might go without saying, but if you are considering rhinoplasty,

it is best not to get non-dissolvable fillers.

If you undergo rhinoplasty after receiving non-dissolvable fillers,

the only option is to press the filler down to make it thin so the surgery is manageable.

If it is completely removed, the skin becomes paper-thin, causing the implant to show through severely,

or it could lead to skin necrosis later on,

so pressing the filler down becomes the best available option.

Next is Hiko.

In the past, when performing rhinoplasty, nose fillers were mostly placed in the nose bridge,

and Hiko threads were often placed in the nasal tip.

These days, it has become common to raise the nose bridge

by filling the spaces between the layered Hiko threads with filler.

When this happens, even dissolvable Hiko threads do not dissolve evenly,

but rather break off in pieces as they dissolve.

If an implant is inserted in this state,

an unfortunate event occurs where the Hiko threads become visibly transparent through the skin.

For these patients, once the swelling goes down after surgery,

they sometimes visit the clinic saying, "I think the silicone is showing through my nose,"

but this is actually the incompletely dissolved Hiko threads remaining.

Because Hiko threads cannot be popped and removed like fillers,

there is no choice but to wait until they dissolve.

Dissolvable Hiko threads will eventually dissolve,

but in the meantime, the shape is not aesthetically pleasing, and sometimes incompletely dissolved Hiko threads

that last a long time pose a risk of causing structural issues.

In fact, non-dissolvable Hiko threads might even be better.

While non-dissolvable Hiko threads can simply be grabbed and removed,

dissolvable Hiko threads are difficult to remove

and can cause adhesion reactions with other tissues,

which can lead to scar tissue that makes the post-operative shape bumpy.

'Uber Explains' with Dr. Seo Seung-jo of Uber Plastic Surgery!

From the perspective of a surgeon performing rhinoplasty,

we looked into the difficulties that arise

if you have received Hiko or nose fillers before surgery!

If you are keeping rhinoplasty in mind,

please be sure to remember today's 'Uber Explains',

and if you have any further questions, please leave them in the comments section of the Uber Plastic Surgery YouTube channel!

We will kindly answer them for you!

Please make sure to subscribe and like our YouTube channel,

and see you next time! Bye~

Uber Plastic Surgery Clinic 8F, City Building, 422 Gangnam-daero, Gangnam-gu, Seoul