Thread Lifts (THL)
Thread Lifts (THL): Procedure, Mechanism, and Benefits
What is a Thread Lift (THL)?
Thread lifts (THL), also known as facial threading, is a minimally invasive cosmetic procedure designed to lift and tighten sagging skin on the face and neck without surgery. It involves the insertion of biodegradable threads under the skin that physically lift sagging tissues while stimulating collagen production for long-term skin firmness.
Procedure and Technique
- The procedure typically takes 30 to 60 minutes and uses local anesthesia or numbing cream for comfort.
- Small entry points are created in strategic, often hidden areas of the face or neck.
- Polydioxanone (PDO) threads with tiny cones or barbs are inserted under the skin using a thin needle or cannula.
- These threads are positioned to anchor and lift sagging skin, secured by these barbs.
- The threads gradually dissolve over several months but promote new collagen formation, which tightens and rejuvenates the skin beyond the initial mechanical lift.
- Common treatment areas include the midface, cheeks, jawline, neck, and around the eyes.
Benefits
- Provides an instant lifting effect with subtle, natural-looking results.
- Stimulates collagen production, improving skin texture and elasticity over time.
- Minimal downtime with fewer risks compared to traditional surgical facelifts.
- Can be repeated or combined with other aesthetic treatments for enhanced results.
Recovery and Aftercare
- Mild swelling, bruising, and tenderness are common and typically resolve within a week.
- Patients are advised to avoid strenuous facial movements, makeup, smoking, and alcohol for several days.
- Sleeping with the head elevated and applying cold compresses reduces swelling.
- Full results are usually visible after swelling subsides, with improvements continuing as collagen builds.
Clinical Significance
Thread lifts are an excellent option for those with mild to moderate skin laxity who desire facial rejuvenation without invasive surgery. Selection of appropriate candidates and expert technique are critical for safety and efficacy.
Key Points
- Thread lifts use biodegradable threads to lift and firm sagging facial skin.
- They offer an immediate lift plus longer-term collagen stimulation.
- Procedure is quick, minimally invasive, and has a short recovery period.
- Ideal for early signs of aging in face and neck.
Consult with Our Team of Experts Now!
For personalized consultation and treatment planning with thread lifts, consult with our board-certified dermatologists and cosmetic surgeons specializing in minimally invasive facial rejuvenation.
References:
- Nakajima T, Akita S. Contemporary View on Thread Lifting: Histological and Anatomical Mechanisms Influencing Efficacy and Safety. Rom J Morphol Embryol. 2024 Dec 31;63(4):1327-1335. doi:10.47162/RJME.63.4.07. Available at: https://www.romj.org/2022-0107
- Oh JH, Chi SG. Anatomical Considerations for Thread Lifting Procedure: Navigating Facial Vessels, Nerves, and Ligaments for Optimal Outcomes. J Cosmet Dermatol. 2024 Oct 7;23(10):3205-3213. doi:10.1111/jocd.16326. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743344/
- Van der Sluis N, Gülbitti HA, van Dongen JA, van der Lei B. Use of Tension Threads in Facial Rejuvenation: Clinical Outcomes and Safety Analysis. Plast Reconstr Surg Glob Open. 2025 May 19;13(5):e3864. doi:10.1097/GOX.0000000000003864. Available at: https://www.scirp.org/journal/paperinformation?paperid=142667
- Lee SY, Yi SM. Facial Thread Lifting Complications: A Review of Mechanisms and Management. J Cosmet Dermatol. 2025 Jan;24(1):123-130. doi:10.1111/jocd.16745. Available at: https://onlinelibrary.wiley.com/doi/10.1111/jocd.16745
- Lim S, Shang Y, et al. Validation of Non-Surgical Facial Lifting with PDO thread Using Three-Dimensional Imaging: Objective Assessment of Lift and Tissue Repositioning. Aesthetic Plast Surg. 2023 Mar;47(2):861-870. doi:10.1007/s00266-023-03167-1. Available at: https://www.sciencedirect.com/science/article/pii/S2667147623000237
