One of the most frequently asked-about procedures in Singapore is non-surgical nose procedure: Nose Filler or Nose Thread Lift. Eunogo interviewed Dr. YZ Tan, the founding director of Mizu Aesthetic Clinic to answer some of our burning questions about nose filler and nose thread lifts.
Q: Good morning Dr. Tan. We are here to ask all the questions for our Eunogo readers who are thinking of making a change to their nose but aren’t ready to commit to surgery quite yet. There are two options to get a nose-job without actually getting a rhinoplasty: fillers or threads. Can you tell us the difference between the two?
Dr. Tan: The main difference between whether to use filler or threads, is how the nose will look, because not everyone is suitable for either. We will always look at the nose structure, nose shape, and the desired outcome. Noses are bone, flesh, and skin. Threads are very much like “bone” in terms of texture and rigidity. Fillers are more like flesh, not as soft but similar.
For example, take a look at your knuckles as you make your hand into a fist and feel around your knuckle. That is what a bony nose would feel like, there’s not a lot of flesh between the skin and bone, so this would not be a very suitable nose for thread lifting. If we put threads in it it would look “tented” and a bit too thin in the middle and not very natural. For a nose like this you would want to consider fillers or, even fillers combined with threads.
If you have a softer, chubbier nose, and when you pinch it at the bridge you don’t feel much of a supporting structure, then threads would be a much better bet. For noses that have a hook, bump or indentation, fillers are definitely going to be a better option because we can use different fillers to mold and shape different parts of the nose. With threads you are accentuating whatever you already have.
Q: Can you tell us what the advantages and disadvantages of nose filler and thread lift are?
Dr. Tan: The advantage of using threads is that they will give a more defined, contoured look. For example, those ladies who are using makeup to contour their noses, threads will eliminate that need and give that desired definition. If you’re looking for height and volume, actually a filler will give a better result, but less definition.
Threads will also reduce the risk of vessel occlusion (blockage of a blood vessel, usually a clot) but you tend to have more swelling and a higher chance of bruising, because threads are kind of like a temporary implant. Fillers run a higher risk of vessel occlusion but we have different techniques and precautions we take to make sure it doesn't happen.
Q: What kind of downtime are we talking about?
Dr. Tan: Downtime for fillers is basically zero. There may be possible bruising and mild swelling for about a half a day after the procedure. If you have a bony nose, you may tend to get a little bit more bruising. For threads there will always be some swelling because the more threads you put in your nose the more trauma there is under the skin. Hence, more swelling. Usually, it will last for 2-7 days.
Q: You mentioned different number of threads. How many threads do you use on average?
Dr. Tan: This would obviously be on a case-by-case basis, but I would say to see some results it would be a minimum of 6 threads. I’ve heard clients tell me in the past they’ve gotten 2 or 4 threads but it is unlikely you would see a noticeable difference with that amount.
Q: There are two types of threads used for thread lifts on the face, dissolvable and non-dissolvable. What kind do you use?
Dr. Tan: Always dissolvable PDO threads. These are a special medical grade thread that is thinner than a strand of hair and made of protein which will dissolve over time. Only PDO threads are approved for use in Singapore.
Q: How long would each of these procedures last?
Dr. Tan: Usually about 12 months for both fillers and threads. However, PDO threads technically start dissolving at around 9 months. With fillers, if you’re leading a very active lifestyle, it is likely that the filler will be metabolized by your body at a much faster rate, and you may get less than a year.
Q: What happens when they start dissolving? Is it gradual, or is someone going to wake up one day with their old nose?
Dr. Tan: No, definitely not. Actually, when you have the threads in, if you put enough pressure with your finger you can actually feel them under the skin, so as they dissolve you’ll feel them lesser and lesser.
Q: You mentioned people who lead an active lifestyle. What if someone is playing sports and gets hit in the nose with a ball?
Dr. Tan: It is unlikely that it would lead to anything too exciting. The threads have tiny barbs that hold them in place, so they won’t shift inside the nose.
Q: Tell us about pain levels for fillers and threads.
Dr. Tan: I always like to say that I will perform the procedure with as little pain as possible, but it’s obviously relative to each person. We have had patients who have come in from nose thread procedures done at a different clinic and told us that for them on a pain scale it was a 10/10. When I am putting in threads, you will not feel a thing because I will administer local anesthetic, and that is probably the most uncomfortable part of the procedure. Some doctors will inject it quite quickly and it's very uncomfortable but I try to do the anesthetic as slowly as possible to eliminate discomfort. If I am inserting the threads at the top it will be 0 to 1 out of 10 and at the bottom, 1 to 2 out of 10.
With fillers, I will usually tell patients that I can do it at 1, maximum 2 out of 10. Sometimes, if we need to put filler in at the base of the nose I will be honest and say that the pain level is about a 4/10.
Q: You just mentioned that this isn’t permanent. What happens if, let’s say a patient gets the nose fillers or threads and dislikes the result? How reversible are these procedures?
Dr. Tan: First, I will say that in the years that I have been performing these procedures we have yet to have a Mizu patient come back and request the procedure to be undone. However, as I mentioned before, after nose thread lift patients will get some swelling and the nose may look much more dramatic than they thought it would, so it’s understandable if they may be very sensitive at first.
We have had several patients come to Mizu and ask to remove previous nose threads done elsewhere. However, nose threads are not easily reversible because you have to try and remove the threads which may leave a tiny hole in the skin which could result in a scar. So those patients whom we could help correct the threadlift, we did.
For quotation of nose filler or thread lift from Mizu, you can get a quote here. For more information on Mizu Aesthetic Clinic and how Dr. YZ Tan can help you achieve the nose of your dreams, please feel free to reach out to:
Mizu Aesthetic Clinic
+65 6634 4033 (Call) +65 9384 8915 (Whatsapp)
8A Marina Boulevard, #B2-12 Marina Bay Link Mall, Singapore 018984
Mondays – Fridays : 11am – 8pm
Saturdays: 11am – 5pm
Sundays & PHs: Closed