I personally do not like to combine nose fillers together with nose threadlifts especially at the same setting because it is difficult to estimate how much is required after either one of the procedures as there will be usually some swelling after the procedure.
However this does not mean that they cannot be combined. In cases whereby the nasal bridge is really flat some amount of fillers is required to give it some volume.
Threadlifts do give a good defined nasal bridge and a nice lifting profile but in some cases addition of a Filler can further enhance the contour .
It depends on what the patient needs and prefers before I recommend what procedure to be done first. A review can be done in one or two weeks time before deciding if another procedure needs to be done.
The issue with nose fillers however is the potential risk of blindness due to retrograde flow of the Filler to the retinal artery. The other issue is that with repeated Filler injections it can lead to some broadening of the nasal bridge.
These issues have led to the more widespread use of nose threadlifts nowadays.
Hope this helps and please discuss your preferences with your doctor.
