A revision case lifting the tip with septal cartilage after nose thread removal — why thread-nose removal is tricky
2025. 1. 10.
Why nose thread removal after Hiko·Misko and other thread rhinoplasty is only possible surgically, why the dorsum can look low and the limits of combining filler — plus a revision case lifting the tip with septal cartilage.
Key points
- Thread rhinoplasty like Hiko·Misko·Veko only pulls the tip, so the dorsum stays low — and even supplementing with filler has a short duration.
- Barbed threads can only be removed surgically, the removal process is tricky and can strain the tissue inside the nose — and removal cost adds on.
- The case introduced had a flattened dorsum after thread rhinoplasty and underwent revision lifting the tip by inserting septal cartilage after nose thread removal.
Because of vague fear about rhinoplasty, many people first try petite nose procedures using filler or Misko (a procedure using barbed lifting threads) or dissolving threads. It’s fortunate if the result is satisfying, but thread-based rhinoplasty is often unable to create the desired result.
Based on the case of a woman whose dorsum flattened after thread rhinoplasty — who decided on nose thread removal and went on to revision lifting the tip with septal cartilage — this article organizes the limits of thread rhinoplasty, why removal is tricky, and what revision does.
01
Why does thread rhinoplasty have limits?
Thread rhinoplasty mainly pulls up only the tip, so the dorsum can remain low — and even supplementing with filler has limits in duration and line expression.
- An effect that only pulls the tip — thread rhinoplasty mostly lifts the tip, so the dorsum is often left low.
- Limits of combining filler — many combine filler to supplement a low dorsum, but filler lasts a short time and can’t easily make a crisp, high nose line.
The woman in this case also decided on nose revision wanting a crisp nose line after her dorsum flattened following thread rhinoplasty.
02
Why is nose thread removal tricky?
Because barbed threads are caught in tissue so they must be removed surgically — and since the tissue inside the nose isn’t plentiful, the removal process can create strain.
| Item | Detail |
|---|---|
| Removal method | Barbed threads can only be removed through surgery |
| Tissue strain | Removal is tricky and can put considerable strain on the tissue inside the nose |
| Cost | Thread removal cost is added to revision cost |
It’s better to review even these points carefully before the procedure and then decide. More detail on nose thread removal itself can be seen in the nose thread removal guide.
03
How did the revision proceed?
In this case, revision proceeded by inserting septal cartilage to lift the tip after nose thread removal.
- Nose thread removal — barbed threads are removed surgically. A stage that must proceed carefully so tissue isn’t strained.
- Septal cartilage insertion — a structure is made to support the tip, lifting it.
- Line tidying — as the tip rises, the overall nose line is organized.
After surgery, the nose whose dorsum had been flat changed to a sleek, dimensional line, and the dorsum toward the glabella connected naturally for a clearer impression. The biggest before-and-after change was in the side view — the tip rising and the whole line connecting shows up well from the side. Actual correction cases can be seen in before-and-after photos.
04
Summary — before putting threads in, think about taking them out
Thread rhinoplasty looks low-burden so it’s easy to try first — but considering the limit of an effect that only pulls the tip and the difficulty of removal, it’s a matter to review carefully. If you’ve already had thread rhinoplasty and the result concerns you, the order is checking removability and the revision direction together. If you want a judgment fitted to your nose state, you can get it confirmed in a 1:1 video consultation.
Frequently asked questions
Answers to common questions patients ask before a consultation.
If I don’t like my thread rhinoplasty, can’t I just leave it?
Can thread removal and nose revision be done in one go?
Can’t a low dorsum after thread rhinoplasty just be supplemented with filler?
Responses to treatment and recovery progress vary by individual. Outcomes and side effects vary from person to person. Bleeding, infection, swelling and asymmetry may occur. Please consult our medical team before making a decision.