Pilates Instructor, 40s, improves flat nose bridge with PDO Threadlift
Ms EL, in her 40s, was concerned about her low nasal bridge affecting facial harmony and self-esteem. She sought non-surgical rhinoplasty with PDO Threads.
November 1, 2025
Table of Contents
Patient's Profile
Ms W.I., a woman in her 40s, is a housewife and mother of three children. She previously underwent axillary accessory breast removal surgery and armpit liposuction performed by Dr Ivan Puah.
Recently, she returned to Amaris B. Clinic to explore treatment options for another cosmetic concern: inverted nipples.
Background
Ms W.I. had long struggled with inverted nipples, a condition that affected her self-esteem and raised her concerns regarding potential difficulties with breastfeeding. This issue made her feel self-conscious in personal moments.
Assessment and Consultation
During her consultation, Ms W.I. expressed that she felt "different" and embarrassed about the appearance of her nipples. She shared her frustration, saying, "When I had my children, I struggled to breastfeed them. My nipples just wouldn’t protrude properly, and I felt helpless. It was frustrating and made me feel like I wasn't able to provide for my baby in the way I wanted to." After years of uncertainty, she decided to consult Dr Ivan Puah to understand her treatment options.
A clinical examination confirmed that Ms W.I. had bilateral inverted nipples, meaning both nipples were retracted inward instead of pointing outward. Dr Puah explained that inverted nipples typically occur due to shortened milk ducts or fibrous tissue pulling the nipple inward. He reassured her that correction was possible, but noted that there were no non-surgical treatments available for this issue.
Dr Puah recommended inverted nipple correction surgery, a delicate procedure designed to restore natural nipple projection while maintaining function. He explained that different surgical techniques might be necessary depending on the severity of the inversion.
In severe cases, a full correction would require detaching the milk ducts to achieve optimal nipple projection. However, for Ms W.I., he planned to use a less invasive technique.
This technique involves making a small incision at the base of the nipple to surgically release the tethered tissue, followed by using fine sutures to maintain the new outward position. This approach aims to enhance appearance while preserving breastfeeding potential.
Ms W.I. decided to proceed with the procedure, which was scheduled to take place in an accredited Day Surgery Center.
Treatment Plan
Ms W.I.'s inverted nipple correction surgery was performed under local anaesthesia with twilight sedation, ensuring a comfortable and pain-free experience. Throughout the one-hour procedure, an anaesthesiologist closely monitored her vital signs. The surgery went smoothly, and Ms W.I. was discharged home to rest the same day.
Post-Op Recovery & Results
Post-operative care involved minimal downtime, with only mild swelling and tenderness that subsided within a week.
During her last review, we were pleased to hear that Ms W.I. was delighted with the results, noting the significant changes when comparing her "before" and "after" images.
She expressed, "Dr Puah explained everything in detail and reassured me that the scarring would be minimal. He prioritised both the function and aesthetics of my nipples, just as he promised."
Medical Disclaimer: Due to strict regulations from the Ministry of Health Singapore, licensed healthcare practices are not allowed to show and share before-and-after photos or videos in the public domain or through any form of push technology. "Before-and-after" or only "after" treatment visuals may be shown to patients privately during in-clinic consultation with Dr Ivan Puah.
Our patient narratives aim to provide valuable insights into individual experiences with our clinic's treatments; however, it is imperative to acknowledge the inherent variability in results. While the information shared is genuine and reflects the real journeys of our patients, it does not purport to be representative of typical outcomes, nor does it serve as a guarantee of similar results for all individuals.
Each patient's response to treatment is contingent upon a myriad of factors, including, but not limited to, their level of commitment, lifestyle choices, and medical history. It is essential to recognise that patient narratives are illustrative examples of potential outcomes and should not be construed as predictive of specific results. We advise a consultation with our doctor for comprehensive guidance tailored to individual circumstances.
