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
Mdm M. H., 67, an active retiree, leads a healthy and active lifestyle. She is a vegetarian, non-smoker, and doesn't drink alcohol. Her daily activities include Taichi, volunteer work, and occasionally helping to look after her grandchildren.
Background
At 67, Mdm M.H. noticed obvious signs of ageing in the form of loose skin under her eyes and prominent eye bags. Despite her active lifestyle, dark undereye shadows and sagging skin left her self-conscious, especially when her friends highlighted that she looked tired and "lifeless."
On a friend's recommendation, she consulted Dr Ivan Puah for this bothersome issue.
Consultation & Assessment
Dr Puah carefully assessed Mdm M. H.'s clinical condition during the consultation. He explained that eye bags are a natural part of ageing as the tissues supporting the eyes weaken, causing fat pockets under the eyes to bulge. Mdm M.H.'s main concern was the sagging undereye skin and shadowing, contributing to her tired appearance.
Treatment Plan
Dr Puah recommended treating her concerns with radiofrequency microneedling as an effective, minimally-invasive eye bag reduction solution.
SD Micro-cannula Eye Bag Radiofrequency Treatment
SD micro-cannula eye bag radiofrequency treatment is a minimally invasive technique that uses a small puncture to deliver monopolar radiofrequency energy to the fat beneath the eyes, breaking it down through a process called lipolysis and allowing the body to clear the fat through the lymphatic system.
This microcannula technique is particularly advantageous for undereye skin issues as the blunt tip reduces the risks of bruising and requires fewer puncture holes than other methods. The patient can recover faster.
Tightening Loose Undereye Skin with RF Microneedling & Erbium Glass Laser
Dr Puah used RadioFrequency (RF) Microneedling & Erbium Glass Laser to tighten and rejuvenate the loose undereye skin and enhance the results. Combining RF microneedling with non-ablative laser treatment promotes collagen production and maximises the skin tightening effects, leaving the undereye area firmer and more youthful.
Post-Treatment Care
Following the treatment, Mdm M. H. received detailed instructions on post-treatment care to optimise results and promote healing.
Results: Rejuvenated Eyes with Minimal Downtime
During the last review three months post-treatment, Mdm M.H. was happy to see that her loose undereye skin condition has improved. SD micro-cannula eye bag radiofrequency treatment reduced her eye bags. RF Microneedling & Erbium Glass Laser also tightened the skin, reducing the undereye shadows that had bothered her.
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.
