Thread lift procedures involve insertion of absorbable sutures beneath the skin to address tissue laxity. This is a medical procedure that carries risks and requires professional assessment to determine individual suitability.

The treatment may be suitable for people who want to address subtle signs of skin laxity.

What is a thread lift?

Thread lift procedures use absorbable sutures (threads) inserted beneath the skin through small puncture sites. The threads are designed to provide mechanical lift to tissues and aim to stimulate collagen production in surrounding tissues.”

The basics of a thread lift

Medical-grade absorbable sutures (typically made from polydioxanone [PDO], poly-L-lactic acid [PLLA], or polycaprolactone [PCL]) are inserted into subcutaneous tissues using needles or cannulas.

The threads have small barbs, cones, or cogs that anchor into tissue to provide mechanical lift. Additionally, the threads may help to stimulate a foreign body response that affects collagen production around the suture material. This process continues as threads gradually absorb over 6-12 months.

Note that threads do not permanently “lift” tissues – they provide temporary mechanical support that diminishes as threads absorb. Results are temporary, and maintenance treatments may be required depending on the patient’s goals.

Recovery timeline

Most patients can resume non-strenuous activities within several days. However, swelling, bruising, and discomfort commonly occur and may persist 1-2 weeks or longer. Activity restrictions typically apply for 2-4 weeks.

Recovery experiences vary significantly between individuals.

Candidacy Considerations

Thread lift procedures may be considered for:

• Individuals with mild to moderate tissue laxity (not advanced ptosis)
• Those seeking modest improvement (not dramatic transformation)
• Individuals at stable healthy weight
• Those with realistic expectations about subtle, temporary results
• Individuals who can comply with post-procedure restrictions

Thread lifts are NOT appropriate for:

• Significant or advanced tissue ptosis (better addressed surgically)
• Individuals seeking dramatic or permanent results
• Those with active skin infections or certain medical conditions
• Recent anticoagulant use or bleeding disorders (depending on specifics)
• Unrealistic expectations about extent or permanence of results
• Inability to comply with post-procedure care requirements
• Certain anatomical factors increasing complication risk

Many patients seeking facial rejuvenation are not appropriate candidates for thread lifts. Some are better served by surgical options, others by non-invasive approaches, and some may not be suitable for any intervention.

What are the potential risks or complications associated with thread lifts?

Thinking about getting a thread lift? like any cosmetic procedure, there are a few things to keep in mind. Being well-informed about potential side effects, complications, and essential aftercare advice will help your recovery.

Common side effects

A thread lift is generally well-tolerated but not entirely free from side effects. 

The most common ones include:

• Swelling and bruising: These are typical reactions and usually subside within a week or two. Applying ice during the first 48 hours can help reduce swelling.
• Redness and soreness: The treated area may feel tender and appear red for a few days post-procedure.
• Minor pain or discomfort: Some people experience a mild aching sensation or discomfort, which usually can be managed with over-the-counter pain relievers.
• Slight pulling sensation: You might feel a tightness or pulling sensation as the skin adjusts to the threads. This feeling generally diminishes as the healing process progresses.

It’s normal to experience these side effects as your skin gets used to the threads. They usually fade as you heal.

Potential complications

While serious complications are rare, they can occur, and it’s important to be aware of them.

• Infection: Although uncommon, there’s a risk of infection at the insertion sites, which can be managed with prescribed antibiotics.
• Thread: migration or protrusion Occasionally, a thread may shift or protrude through the skin, requiring adjustment or removal.
• Asymmetry Improper: placement of threads can lead to uneven results. Choosing a skilled practitioner is important to minimise this risk.
• Nerve: damage Very rarely, the procedure might affect facial nerves, leading to muscle weakness or asymmetry.

Aftercare post-thread lift

Proper aftercare is important during your recovery.

• Keep the skin clean and dry: Avoid touching or wetting the treated areas for the first 24-48 hours.
• Avoid strenuous activities: Refrain from vigorous exercise and activities that may increase blood pressure for about 2 weeks to prevent exacerbating swelling and bruising.
• Sleep on your back: To avoid putting pressure on your face, try to sleep on your back and slightly elevate your head to reduce swelling.
• Follow your doctor’s guidance: Your doctor will give you specific instructions on how to take care of yourself after the procedure. Be sure to follow them closely for the best healing and longest-lasting results.

Who should perform your thread lift? 

Getting a thread lift is a big decision – and picking the right person to do it is just as important as the procedure itself. The outcome of this delicate treatment largely relies on the skill and expertise of the person performing the procedure. 

Here are some guidelines to help make sure you choose a licensed and experienced professional, along with key questions to ask during your consultation.

Qualifications to Look For

When it comes to thread lifts, not just any practitioner will do. 

You’ll want to look for:

• Medical credentials: Make sure that the practitioner is a licensed medical professional, such as a qualified cosmetic physician, plastic surgeon, or registered cosmetic nurse with specific training in thread lifts.
• Experience and specialisation: Experience matters, especially in cosmetic procedures. Look for a practitioner who specialises in thread lifts and has a robust portfolio of before-and-after photos that showcase their work.
• Reviews and testimonials: What are other patients saying? Look for reviews and testimonials to gauge patient satisfaction and the practitioner’s reputation.
• Professional Affiliations: Membership in professional bodies in your country can be a sign of a practitioner’s commitment to staying abreast of the latest practices and ethical standards.

Consultation tips

Think of the initial consultation as your chance to interview the doctor and make sure you feel confident with them.

Here are some essential questions to ask:

• How many thread lifts have you performed?: This question helps you understand the practitioner’s level of experience.
• Can I see before-and-after photos of your previous procedures?: Visual evidence of their work will help you set realistic expectations.
• What type of threads do you use, and why?: Knowing about the materials involved can help you understand the quality and durability of the results.
• What can I expect in terms of recovery and results?: Clear communication about recovery and results can help you plan your schedule and set proper expectations.
• How do you handle complications or dissatisfaction with results?: This question addresses the practitioner’s policies on follow-up care and corrective procedures.

Is a thread lift right for you?

Thinking about getting a thread lift? The first step is figuring out what you hope to achieve. 

Dr. Scott Allison provides consultations to assess individual suitability for thread lift procedures.

Chat with a qualified professional who can answer all your questions.