MISKO is one of the threads used in the nose lift (thread nose) of rhinoplasty that supplements the height and shape of the nose by inserting a special thread that catches on the tip of the nose or the streak of the nose .
MISKO is less burden on the body because it does not involve an incision of the skin by the female, silicon prosthesis (artificial cartilage) and incision in the treatment site and its own cartilage surgical surgery aimed at the ideal of the nose by transplanted into the nose The downtime is short compared to . However, depending on the nasal finish you desire, rhinoplasty other than MISKO may be suitable .
Therefore, in order to prevent failures such as "the finish is different from what you imagined" in MISKO's rhinoplasty, it is necessary to know the characteristics of MISKO's thread and the effect and duration obtained by the treatment , as well as other threads and treatments. It is important to understand and consider the difference from .
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MISKO is one of the threads used in the nose lift of the procedure of inserting a special thread (thread) with a hook into the nose to raise or shape the nose, and it is mainly the height of the nose streaks and the tip of the nose. It is used for rhinoplasty aimed at supplementing the thread.
It is a thread for nose lift developed by Haju Medical of Malaysia, and rhinoplasty by MISKO is sometimes called "Cleopatra nose". By inserting MISKO into the back of the nose, which is the part from the base of the nose to the tip of the nose, and the nasal septum, which is the partition that separates the left and right nasal cavities, the height of the nose is supplemented and problems such as dumpling nose are improved. I will guide you .
MISKO is a thin thread with a diameter of about 0.6 mm, and has a number of deep notches in two directions on the surface, and both ends of the thread have a structure in which fine fibers like a broom spread out like a fan. When inserted subcutaneously, the protrusions on the surface of the thread and the fan-shaped fibers at both ends are firmly hooked on the subcutaneous tissue, and play a role in holding and supporting the position of the subcutaneous tissue at the insertion site .
The material of MISKO is PDO (polydioxanone), which is also the material of sutures used in medical practice all over the world. PDO has the property of reacting with water in the body and being decomposed little by little, and the decomposed PDO is preyed and digested by the action of white blood cells, and then excreted as waste products such as urine.
Therefore, MISKO is a thread that is gradually absorbed into the body after insertion , and the material PDO has obtained the CE mark certifying that it meets the safety standards of EU (European Union) member states, as well as South Korea. It can be said that it is a thread whose safety is recognized because it has been approved by MFDS (Ministry of Food and Drug Safety of Korea).
In the case of a thread that is not processed so that the subcutaneous tissue can be caught not only on the surface of the thread but also at both ends, the force that catches and supports the subcutaneous tissue does not work at both ends of the thread, and in rare cases, the passage of time and the impact on the treatment site It is said that there is a risk that the thread will stick out from the skin when it is added .
Since MISKO has a structure in which the subcutaneous tissue can be firmly hooked by the fan-shaped fibers on the surface and both ends of the thread, the force that supports and holds the subcutaneous tissue acts on both ends of the thread and protrudes from the skin. Is unlikely to occur .
Absorbent threads such as MISKO are said to have the effect of promoting the production of collagen, which is a strong fibrous protein when decomposed . Collagen is produced around the thread to replace the thread, creating a structure that supports the subcutaneous tissue. Therefore, it is said that the action of maintaining the height and shape of the nose continues to some extent even after the thread is completely decomposed.
However, it is said that the action of rhinoplasty that lasts after the thread is decomposed is reduced to about 30% compared to immediately after the thread is inserted, and it is regular to maintain the ideal nose height and shape. It is necessary to receive the treatment.
MISKO is generally used in treatments aimed at supplementing the height and shape of the nose by inserting it into the nasal septum or nasal streak, which separates the left and right nostrils. It can also be inserted into both the septum and the nasal streaks at the same time.
For treatments aimed at raising the height of the tip of the nose, insert MISKO into the nasal septum. When inserting the thread, local anesthesia is used to relieve the pain.
As a general insertion method, under anesthesia, make a small hole in the tip of the nose with a needle, pick up the nose with your fingers, and insert a special medical device (injector) with a thread attached from the tip of the nose. Furthermore, the injector is inserted parallel to the nasal septum by several centimeters, and the thread is placed in the nasal septum by pulling out the outer cylinder of the injector so that only the thread inside is left under the skin .
By inserting the hooked MISKO thread into the nasal septum, the subcutaneous tissue at the insertion site is supported and the nose is held at a position higher than the original height , leading to improvement in the lowness of the tip of the nose. It is possible .
As a guide , the number of threads to be inserted is four , and in order to enhance the effect of catching the threads, there is also a method of inserting the threads so that they cross each other to make an "X" in the nasal septum. The number of threads used in the procedure and the insertion method may differ depending on the medical institution, so if you are concerned about the procedure used by the medical institution considering the procedure, please check the website or contact information. Please give me.
The part from the base of the nose to the tip of the nose is called the back of the nose, and when the purpose is to raise the height of the so-called "nose streaks", MISKO is inserted into this back of the nose. When performing the procedure, use local anesthesia before inserting the thread, similar to the procedure for the septum.
After relieving the pain with anesthesia, make a small hole in the tip of the nose with a needle. With the central part of the back of the nose pinched with your fingers and pulled slightly downward ( toward the mouth), insert the injector with the thread attached from the tip of the nose toward the base of the nose, and insert it a few centimeters deeper. The general insertion method is to remove the outer cylinder of the injector, leaving only the thread inside .
The standard number of inserts is four , and MISKO supports the subcutaneous tissue of the back of the nose so that the nasal streaks are held at a higher position than before, and improvement of the dumpling nose can be expected . However, compared to nasal prosthesis using a silicone prosthesis or surgical operation aiming at the ideal nose by transplanting its own cartilage into the nose, no major changes can be expected and the effect is mild .
The material PDO begins to decompose little by little in the body after about 2 months, and it is said that the thread is almost completely absorbed after 6 to 12 months, although there are individual differences. Therefore, the duration of rhinoplasty by MISKO is 6 to 12 months after insertion .
It is said that the effect of rhinoplasty continues to some extent even after the thread is completely absorbed, but in order to continue to obtain a sufficient effect, I feel that the effect has decreased several months after receiving the treatment. It is recommended that you receive the procedure again at the appropriate time or within 6 to 12 months .
Most medical institutions use local anesthesia for rhinoplasty by MISKO , so it is said that there is almost no pain during the procedure . However, since there are individual differences in the degree of pain, those who are not good at pain should be treated at a medical institution that can use multiple anesthesia such as laughing anesthesia and intravenous anesthesia in addition to local anesthesia.
The types of anesthesia handled differ depending on the medical institution, and there are cases where the use of anesthesia costs a separate fee, so if you are concerned about the types of anesthesia that can be used in the MISKO procedure and whether there is an additional fee, please contact each medical institution. Please check from the homepage or contact information.
When MISKO is inserted into the nose, a small needle hole is made in the tip of the nose, which damages small blood vessels under the skin and causes slight internal bleeding, resulting in redness on the tip of the nose for about 2 to 4 days after the procedure. You may. Immediately after the treatment, some medical institutions apply a skin-colored protective tape to the treatment site to make the redness less noticeable.
In addition to redness , mild pain and swelling may occur at the treatment site during downtime, but it usually tends to subside within 5 to 7 days .
|MISKO is an unapproved drug from the Ministry of Health, Labor and Welfare.|
| Drug acquisition route: The acquisition route is individual import from the manufacturer by the doctor of each medical institution.|
Drugs to be aware of when importing personally (Ministry of Health, Labor and Welfare page)
|Approval in Japan: No drug has the same ingredients and effects as MISKO and has been approved in Japan.|
|Information on safety in other countries: PDO, which is the material of MISKO, has obtained the CE mark and is approved by MFDS in South Korea. In addition, the main side effects of MISKO treatment include internal bleeding, redness, pain, edema, malaise, heat, urticaria, itching, foreign body sensation, laterality, infection, and thread protrusion.|
There are many types of thread used in the nose lift procedure other than MISKO, and the material, duration, and structure of each thread are different.
|Y-KO||PDO||6-12 months||Thorn-like protrusions called cogs are stretched 360 degrees on the surface of the thread.|
|G-mesh||PCL||About 24 months||The entire thread has a mesh structure like a net that protects fruits.|
|G-cog nose||PCL||About 24 months||The whole thread is shaped like a wire fence instead of a thorn-shaped cog (protrusion)|
PCL (polycarbonate lactone) is a component of sutures mainly used in surgery, etc., and like PDO, it has the property of being naturally decomposed and absorbed in the body little by little, and the surroundings in the process of being decomposed in the body. Is said to have the effect of promoting the production of new collagen. In addition, PCL has been approved by the US FDA (US Food and Drug Administration) and has obtained the CE mark certifying that it meets the safety standards of EU (European Union) member states, so it is safe. It can be said that it is a recognized material.
Y-KO is an absorbent thread developed by N-Finders of South Korea using PDO as a material. It tends to be used mainly for treatments aimed at supplementing the height of the nasal septum and dorsal nasal, and there are two types of thread lengths, 40 mm for insertion into the nasal septum and 60 mm for the dorsal nasal.
A thorn-like protrusion (cog) is stretched 360 degrees on the surface of the thread, and this protrusion bites into the subcutaneous tissue at the insertion site to support the height of the nose . In addition, as a property of PDO, it is expected that the production of collagen will be promoted in the process of thread decomposition and the skin will be lifted from the inside, so the effect will continue to some extent even after the thread is absorbed. ..
MISKO is processed so that fine fibers spread in a fan shape at both ends of the thread, but Y-KO does not have a structure that hooks and supports the subcutaneous tissue at both ends . In addition, the number of threads to be inserted into the back of the nose and the nasal septum in each treatment is 4 for MISKO and 5 for Y-KO.
G-Mesh is an absorbent thread developed by Skin Medience of South Korea and is mainly used in nasal prosthesis for the purpose of inserting it into the back of the nose to supplement the height. The entire thread has a mesh-like structure like a net that protects the fruit, and this mesh firmly catches the subcutaneous tissue to increase the volume that maintains the shape of the insertion site, so the chin It may also be used for plasty to arrange the line.
There are also treatments such as hyaluronic acid injection as nasal prosthesis, but hyaluronic acid injection into the nose has a risk that the injection agent rarely shifts to an unintended site, and as one of the hyaluronic acid infusion alternatives, Korean nasal prosthesis This thread was developed with the involvement of a plastic surgery doctor.
G-mesh is a thread that is good at supplementing volume and increasing height by inserting it into the back of the nose, and while MISKO made of PDO has a duration of 6 to 12 months, G-mesh Is made of PCL and has a duration of about 24 months, so it is suitable for those who want a longer-term effect .
Similar to G-mesh, G-cog nose is a nose lift thread developed by Skin Medience of South Korea. G-mesh is mainly used in nasal prosthesis to raise the height of the nasal streaks, but G-cog nose is not limited to nasal prosthesis, but is also used in procedures aimed at supplementing the height of the tip of the nose by inserting it into the nasal septum. ..
The material is PCL, which has a long duration of about 24 months like G-mesh, and the G-cognose thread has a special shape like a wire fence, and the area that contacts the subcutaneous tissue of the nose is large. Therefore, it can be expected to have the effect of hooking the subcutaneous tissue and holding it firmly . In addition, when the purpose is to increase the height of the nose streaks, the G-cog nose is first inserted into the back of the nose to create a base, and then the G-mesh is inserted from above. It is possible to aim for a more beautiful finish.
There are various types of rhinoplasty, and they can be broadly divided into those that involve an incision in the skin and those that do not.
Rhinoplasty with an incision takes a long time to reach a natural state where swelling and redness have subsided, but it has a long-lasting effect. The treatment that does not require an incision has a shorter duration than the former, but it has the characteristics that it is less burdensome to the body and the time required for the swelling and redness to subside and finish in a natural state is short.
Other than the nose lift, there are five main treatments that can supplement the height of the nose tip and nose streaks.
|Treatment||With or without incision||Duration of effect||finish|
|Prosthesis insertion||Yes||Semi-permanent||1 to 3 months later|
|Auricular cartilage transplant||Yes||Semi-permanent||About a month later|
|Nasal tip plasty||Yes||Semi-permanent||2 to 3 months later|
|Hyaluronic acid injection||Nothing||6 to 24 months||Side effects such as swelling and internal bleeding may occur for 2 to 7 days|
|Lady Esse injection||Nothing||10-18 months||Side effects such as swelling and internal bleeding may occur for 2-3 days|
Insertion of a nasal prosthesis is a procedure in which a silicone prosthesis (artificial cartilage) is inserted into the back of the nose to supplement the height of the nasal streaks, and it is said that it can be used in combination with MISKO. There are two types of prosthesis, "I type" and "L type", and the one that matches the desired nose shape is inserted into the back of the nose.
The prosthesis does not depend on the original nose shape, and each person can fine-tune the design to the desired nose shape. In addition, since the prosthesis is rarely absorbed in the body, the condition of the nose can be maintained semi-permanently after insertion, and it is difficult for it to adhere to the subcutaneous tissue, so it can be removed or re-operated.
However, since it is a rhinoplasty operation that involves an incision, swelling and scarring occur after the operation, and it takes 1 to 3 months to finish. After insertion, there is a risk that the shadow of the prosthesis will appear on the roentgen examination, and in rare cases, the inserted prosthesis will come up over time.
Auricular cartilage transplantation is an operation to raise the height of the tip of the nose by collecting a part of the cartilage existing in one's ear and transplanting the removed cartilage to the tip of the nose . Generally, a scalpel is inserted from the back of the ear to collect cartilage so that scars are not noticeable, and then the size and shape of the cartilage are adjusted before transplantation to the tip of the nose.
Since the ear cartilage used is its own tissue, there is a low risk of developing an allergic reaction when transplanted to the tip of the nose. In addition, cartilage remains on the tip of the nose even after transplantation, so it is said that the height of the tip of the nose can be maintained semi-permanently.
However, since it involves an incision, it takes more than a month to finish, and after surgery, swelling and scarring remain at the incision site. In addition, since the transplanted cartilage adheres to the surrounding subcutaneous tissue over time, it is difficult to remove it by reoperation after the adhesion occurs.
Nose tip formation is an operation aimed at shaping the tip of the nose, which means the tip of the nose. After making an incision in the nasal column, which is the skin surface of the nasal septum, or through the hole in the nose, the cartilage of the large nasal wing, which is divided into left and right and determines the shape of the tip of the nose, is not separated from each other. The basic surgical procedure is to sew with an absorbent thread and bring it to the center .
By moving the alar cartilage that has spread to the left and right to the center, the tip of the nose becomes thinner and taller than before, and improvement of the dumpling nose can be expected. If suturing between the alar cartilage alone is not effective enough, auricular cartilage transplantation may be used in combination.
When sutured with a non-absorbable thread, the effect is generally considered to be semi-permanent, but the effect is reduced by the force of the alar cartilage to return to its original position. There is a possibility of. There is also the risk of overwhelming the pinch nose, which can cause the nose to become pinched with clothespins due to excessive suturing.
By injecting hyaluronic acid, which is also present in the human body, into the back of the nose and the base of the nose to supplement the volume, it is possible to aim for a tall nose . For nasal injection, elastic hard hyaluronic acid containing a cross-linking agent is mainly used.
Hyaluronic acid has the property of being gradually absorbed into the body, and its duration varies depending on the injectable agent, but it is about 6 to 24 months. By injecting a degrading enzyme preparation, it is possible to return to the original state of the nose, and since no skin incision is required, the burden on the body is small and there is almost no downtime.
Swelling and internal bleeding rarely occur after injection, but tend to subside in about a week. However, if you inject hyaluronic acid into a densely packed area of blood vessels, there is a risk that the injection agent will enter the blood vessels and cause blood clots to stop blood flow, so many medical institutions inject hyaluronic acid into the tip of the nose. Not done.
It is also possible to receive treatment in combination with MSKO. For example, MISKO is inserted into the nasal septum to raise the height of the tip of the nose, and hyaluronic acid injection is used to supplement the height of the nasal streaks. You can aim for the finish of.
Lady Esse injection is a procedure to inject "calcium hydroxyapatite (CaHA)" consisting of calcium and phosphate ions . Lady Esse can be injected into the nose streaks and tips, and CaHA is one of the ingredients that make teeth and bones, but when injected, it is processed into fine particles and wrapped in gel.
Similar to hyaluronic acid, it can be expected to have the effect of raising the height of the nasal muscles and tip of the nose by supplementing the volume of the skin at the injection site. It lasts from 10 to 18 months and requires little skin incision, so there is little downtime.
However, if an injectable agent gets inside the blood vessels, there is a risk of causing skin necrosis due to clogging of the blood vessels. In addition, side effects such as swelling and internal bleeding may occur at the injection site for 2 to 3 days after the procedure.
In addition, if the person receiving the treatment is a minor, permission from a guardian is required.
(1) Medical examination and counseling
After filling out the questionnaire, the doctor will give you a diagnosis as to whether MSKO can be performed, and decide the thread insertion site and number of threads according to the desired nose finish.
(2) Cleansing / face washing / marking
If you applied make-up on the day of the treatment, cleanse the treated area by washing your face after removing the make-up. After that, mark the thread insertion slot.
(3) Anesthesia / treatment
After using anesthesia to relieve the pain, use a needle to make a small hole in the thread insertion slot and insert MISKO. The time required for the procedure depends on the number of threads to be inserted, but it is about 10 to 20 minutes.
It is finished after receiving explanations such as precautions after the treatment. In some cases, protective tape is applied to the treatment site to prevent redness from becoming noticeable. In addition, you cannot make up on the day of the procedure, so if you are concerned about the appearance, it is safe to bring a mask to hide your face.
Since MISKO's treatment is a free medical treatment for beauty purposes that is not covered by insurance, the fee varies depending on the medical institution, but the standard fee per thread is 20,000 to 50,000 yen.
Since MISKO does not make a skin incision, it does not burden the body and the downtime is as short as 2 to 7 days, but there are major changes compared to surgical rhinoplasty such as prosthesis insertion and auricular cartilage transplantation. Since it cannot be expected, it can be said that this treatment is suitable for those who desire natural changes such as "I want to make the tip of the nose and the streaks a little higher than now".
In addition to MISKO, hyaluronic acid injection may be suitable depending on the ideal nasal finish . Since the height and shape of the nose originally differ from person to person, medical institutions with abundant experience in rhinoplasty and doctors who are familiar with the structure and properties of different threads are enrolled in the nose lift treatment such as MISKO. It is safe to receive it at a medical institution.