Background Thread rhinoplasty is a non-surgical method of altering the appearance of the nose by insertion of typically barbed threads to suspend cartilage or add volume. Due to its minimally invasive nature and lower cost than open rhinoplasty, it has gained popularity in recent decades, particularly in Asia. However, complications can arise from this procedure, such as infection, thread extrusion and loss of suspension. Methods We present a series of Australian patients who developed complications after thread rhinoplasty and performed a literature review using the keywords “nose threading”, “non-surgical rhinoplasty” and “thread rhinoplasty” using Ovid MEDLINE. 189 relevant articles were found and after abstract review 16 were included for full text review by two authors. Results Between April 2020 and April 2024, 11 patients presented with complications relating to thread rhinoplasty which subsequently required surgical management, presenting at a mean of 5.8 months after the initial procedure. 10 out of 11 patients had the threads inserted in Asia, with the remaining patient having the procedure performed by an unregistered nurse in Australia. 4 presented with infections and 7 had thread extrusion, and all resolved following surgical removal of thread material. Conclusions Non-surgical cosmetic procedures such as thread rhinoplasty are becoming more prevalent and as such, their complications may also become more frequently seen. It is important for healthcare professionals to be aware of the risks associated with nasal thread insertion and recognise and manage complications promptly in order to reduce associated morbidity in a cosmetically sensitive area of the face.