Nose thread lifts vs. Nose fillers: Which one is best for my nose shape?

by Dr Wan Chee Kwang
October 28, 2020

While Asians are frequently blessed with good skin and youthful looks, the same can’t be said for our noses. Many individuals of Asian descent are born with rounded noses with low bridges, which explains why a high nose bridge with a defined well-projected tip is a highly coveted feature among many Asian women (and men). 

In the past, a nose job or rhinoplasty was the only way to achieve a beautifully proportioned nose. Thankfully, there are now safe and non-surgical options to augment the nose. In Singapore, people can augment their nose non-surgically via two ways: Nose Thread Lift and Nose Fillers

As every individual’s nose is different, some might benefit more from nose fillers, while others might be more suitable for nose thread lifts.

But first – what are nose thread lifts?

A nose thread lift is a procedure to lift the nose bridge through the use of (most commonly) polydioxanone (PDO) threads. Polydioxanone threads are commonly used for sutures to close wounds in surgical operations, so they are very safe and 100% compatible and absorbable by our bodies. 

During the procedure, the doctor places multiple PDO threads along the nasal bridge to give projection to the nose bridge. The shapes and sizes of the threads are carefully selected and customized to address the weaknesses in the nose structure. They are then carefully inserted under the skin to reinforce the supporting structure of the nose, elevating the nose bridge and tip and stimulating collagen formation for longer-lasting results. Nose threads can also be used to contour the base of the nose, allowing the nose to look smaller and sharper. The number of threads required varies depending on individual nose structures and patient requirements. 

Results from nose thread lifts are almost immediate with minimal downtime, and they last for about 1 to 2 years. However, this procedure is not easily reversible — which means if you don’t like what you see, you’ll have to endure it for the next 1 or 2 years till the threads dissolve. As such, if you tend to ruminate or are unsure about nose thread lifts, it’s better to seek advice and assurance from a doctor. Even better, look for a medical aesthetics doctor who is well versed with the tricky business of removing and revising nose threadlifts.

Nose Fillers

Next – what are nose fillers?

Nose fillers involve injecting (usually) Hyaluronic Acid (HA) fillers into the skin. These fillers sculpt the nose by adding volume to the nose bridge. During the procedure, the doctor will inject HA fillers into the bridge and tip of the nose to increase height and projection. When done in the hands of a skilled practitioner, nose fillers can provide instantaneous fantastic results. Additionally, for patients who have previously undergone nose surgery and suffered a complication known as saddle nose, nose fillers can correct the saddle and elevate the nose bridge. 

In Singapore, there are three common nose filler materials: 

  1. Hyaluronic acid (or dermal fillers) — common brand names include Juvederm, Belotero and Restylane. Most hyaluronic acid-based fillers can last from 9 to 12 months. There are also longer-lasting brands that can last up to 2 to 3 years.
  2. Calcium hydroxyapatite. Calcium hydroxyapatite is a mineral-like compound found in human bones and used by brands like Radiesse. These fillers are known as collagen biostimulators and can last longer (up to 2 years) albeit carrying lesser volumising properties. 
  3. Polyalkylimide. Polyalkylimide is a semi-permanent dermal filler that lasts from 2 to 5 years. It is now less commonly used.

If you want a higher nose bridge… 

For those with a lower or flat nose bridge, rounder facial features or thinner skin, nose fillers are a better option due to the volume and shape they provide. While a higher nose bridge can also be achieved with nose thread lifts, more threads have to be used for a noticeable difference, which might not be very cost-effective. Hence, nose thread lifts might be better for an individual who already has some height to their nose bridge but want more definition.

If you want a sharper and smaller nose…

Filler can be used (carefully) to highlight the nose tip. As most nose threads provide stiffer support and are designed with tiny anchoring points that lift the nose up to make the nose tip smaller and sharper, nose thread lifts are better at creating a sharper nose tip. In fact, too much filler can actually cause the nose to appear bigger, broad or overly bulbous!

If you want a contoured nose…

For creating a sharper and more contoured nose, nose threads can do the job as they lift the nose from the nose bridge down till the tip. The result is similar as to how you would contour your nose with makeup. 

Can I combine nose thread lifts and nose fillers?

Combining nose fillers and nose thread lifts can achieve a more dramatic effect, depending on the individual’s condition. A good example is someone with a very flat nose bridge with a hump. Nose fillers can smoothen out the dorsal hump and highlight the tip, and the nose thread lift can increase the height of the bridge and improve the nose’s contour. 

When combined together, a natural look can still be achieved as less filler and threads are used. Results can also last much longer (12 to 18 months) and can be repeated once they wear off. 


    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 dermatology19(11), 2867–2876.
    Jung G. S. (2019). Clinical Aesthetics of the Nose for Filler Injection. Facial plastic surgery : FPS35(5), 561–562.

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