The Undetectable Era of Aesthetics & Cosmetic Surgery | Glow Up Transformation
We're entering an undetectable era of cosmetic surgery where results are natural but astounding. But this is nothing new to Dr Ivan Puah. Here's how he does it.

A low or flat nose bridge tends to have a wider base or broader tip.

This can make the face seem softer and less defined.

A drooping tip can create a heavier look or affect facial balance.

This is seen when the bridge is wide, leading to a broader or rounder tip.

Referred to as 'dorsal humps,' the bumps are caused by irregularities in bone or cartilage.

These can impact both breathability and facial aesthetics.
Non-surgical Rhinoplasty uses absorbable PDO thread to achieve a higher, straighter, andsharper nose bridge. It can also improve the nose tip’s definition without the need for surgery.

During the procedure, Dr Ivan Puah will anaesthetise areas of the nose.

Then, he will carefully place the threads in the nose to heighten the nose bridge and nose tip.

These threads act as scaffolding structures (contour and shape the nose).

It is also a collagen stimulator to encourage new collagen production for a long-lasting nose lifting effect.
PDO Nose Thread lift is safe, effective, and produces immediate, visible results. There is minimal to no downtime, and most patients can resume work or daily activities immediately.
PDO Nose Thread Lift can:

Create a slimmer nose by lifting the nose bridge, although it cannot alter the width of the nose[9].
Correct slightly crooked nose or mild to moderate bump on the nose bridge[9].
Enhance nasal profile (higher nose bridge), especially for those with a small nose that needs a build-up[9].
Lift mild to moderate droopy nose tip, and straighten hook-shaped nose[9].
Results can be seen instantly with satisfaction in patients increased over time (after 6 months)[4] and results lasting for an average of 12 months.
As the threads are biodegradable, they will gradually disintegrate to be absorbed by the body.
Thanks to the collagen stimulation effect of PDO threads, new collagen is built over time, which helps to firm up the treated area and maintain the nose shape.
Generally, PDO nose thread lift is a safe procedure[6].
While postoperative complications are relatively low[4], you may expect some mild bruising, swelling, and soreness after the treatment, but these will gradually resolve within a few days to a week.
Treatment such as PDO Nose Thread Lift (using Polydioxanone threads) is marked as a medical device in Singapore under HSA regulation. It can only be prescribed and carried out by registered and trained medical doctors in Singapore.
Moreover, thread lifting needs both skill and a good understanding of facial anatomy to keep patients safe and achieve the desired look. Knowing the anatomy is imperative to reduce complications and maintain the natural function of facial features for the patients[8].
How long does non-surgical rhinoplasty take?
Non-surgical rhinoplasty with PDO thread will take around 30 minutes.
How many threads will I require?
The number of threads required will depend on your current nose shape and your objectives.
Besides being used for nose enhancement, what else can PDO thread do?
Even if you are lucky enough to be born with a V-shaped facial structure, you may find the heart shape of your face slowly disappearing over time as your skin starts to sag with age.
Hence, it is time to turn to a skin lift to regain your smooth V-shaped face.
Reference
[1] Khan G, Ahn Kh, Kim Sy, Park E. Combined Press Cog Type And Cog Pdo Threads In Comparison With The Cog Pdo Threads In Facial Rejuvenation. J Cosmet Dermatol. 2021 Oct;20(10):3294-3298. DOI: 10.1111/jocd.14092. Epub 2021 May 10. PMID: 33904637.
[2] Myung, Yujin Md, Phd*; Jung, Chinkoo Md†. Mini-Midface Lift Using Polydioxanone Cog Threads. Plastic And Reconstructive Surgery - Global Open 8(6):P E2920, June 2020. | DOI: 10.1097/GOX.0000000000002920
[3] Wanitphakdeedecha, R., Yan, C., Ng, J.N.C. Et Al. Absorbable Barbed Threads For Lower Facial Soft-Tissue Repositioning In Asians. Dermatol Ther (Heidelb) 11, 1395–1408 (2021). https://doi.org/10.1007/s13555-021-00569-x
[4] Rezaee Khiabanloo, S., Nabie, R., & Aalipour, E. (2020). Outcomes in thread lift for face, neck, and nose; A prospective chart review study with APTOS. Journal of Cosmetic Dermatology, 19(11), 2867-2876.
[5] Kim, N. M. (2023). Procedure for Nose Lift. In Non-Surgical Thread Procedures: The Future of Aesthetic Medicine (pp. 91-94). Cham: Springer International Publishing.
[6] Sulamanidze, C., Lanfranchi, L., & Diaspro, A. (2023). Thread lifting of the nose: fully comprehensive approach to the technique. Plastic and Reconstructive Surgery–Global Open, 11(4), e4907.
[7] Hong, G. W., Kim, S. B., Park, Y., Park, S. Y., Chan, L. K. W., Lee, K. W. A., ... & Yi, K. H. (2025). Anatomical considerations for thread lifting procedure. Journal of Cosmetic Dermatology, 24(1), e16618.
[8] Hong, G. W., Kim, S. B., Park, Y., Park, S. Y., Chan, L. K. W., Lee, K. W. A., ... & Yi, K. H. (2025). Anatomical considerations for thread lifting procedure. Journal of Cosmetic Dermatology, 24(1), e16618.
[9] Sulamanidze, K., Sulamanidze, G., Sulamanidze, M., Samizadeh, S. (2024). Non-surgical Nose Modification Using Threads. In: Samizadeh, S. (eds) Thread Lifting Techniques for Facial Rejuvenation and Recontouring. Springer, Cham. https://doi.org/10.1007/978-3-031-47954-0_20

Dr Ivan Puah's novel 360° Glandular Tissue Dissection (360°GTD®) technique minimises surgical invasiveness while achieving cosmetic results.

Dr Ivan Puah's novel 360° Glandular Tissue Dissection (360°GTD®) technique minimises surgical invasiveness while achieving cosmetic results.

Dr Ivan Puah's novel 360° Glandular Tissue Dissection (360°GTD®) technique minimises surgical invasiveness while achieving cosmetic results.