A thread lift is a minimally invasive cosmetic procedure designed to offer a subtle, natural-looking alternative to a surgical facelift, earning it the nickname “lunchtime lift.” This technique uses temporary, dissolvable sutures to immediately reposition sagging tissue on the face and neck. Beyond the mechanical lift, the threads also stimulate collagen production for long-term improvement in skin firmness and texture. The procedure is popular for addressing early signs of aging, such as jowls, mild cheek volume loss, and loosening of the skin.
The Necessary Preparations
The process begins with a detailed consultation where a provider assesses the patient’s candidacy, reviews their medical history, and discusses aesthetic goals to set realistic expectations. This meeting determines the optimal placement and number of threads required for the desired contouring effect. Patients are advised to avoid blood-thinning medications, alcohol, and certain supplements for one to two weeks prior to minimize the risk of bruising and bleeding.
On the day of the procedure, the treatment area is thoroughly cleansed to prevent infection. The practitioner then carefully marks the skin, mapping out the precise vectors for thread insertion and the intended lifting direction. To ensure comfort, a local or topical anesthetic is administered to the insertion and exit points.
Executing the Lift Step by Step
Once the anesthesia has taken effect, the practitioner creates a tiny entry point in a discreet location (e.g., near the hairline or ear). A specialized cannula pre-loaded with the absorbable thread is inserted into the subcutaneous layer, following the vector lines. The cannula is guided until it reaches the anchor point, often higher up on the face or scalp.
For barbed threads, the features engage the soft tissue to establish a secure hold as the cannula is withdrawn, leaving the suture material in place. The practitioner gently pulls the exposed ends of the threads, physically repositioning the sagging skin and fat to create the immediate, noticeable lift.
After the desired lift and contour have been achieved, any excess thread material extending outside the entry point is carefully trimmed. The threads are designed to be fully absorbed by the body over time, leaving no permanent material behind. The entry points heal naturally without the need for traditional stitches. The entire process typically takes between 30 and 60 minutes, depending on the complexity and the number of threads used.
Understanding the Different Thread Materials
The threads are made of biocompatible, absorbable materials that determine the lift’s longevity. Polydioxanone (PDO) threads are the most common, dissolving within six to eight months. Poly-L-Lactic Acid (PLLA) threads offer a longer-lasting scaffolding effect, absorbing in 12 to 18 months. Polycaprolactone (PCA or PCL) threads are newer and provide the longest collagen stimulation, often remaining for up to two years.
Threads are also categorized by their physical structure, which dictates their function.
- Mono threads are smooth, single filaments used primarily to stimulate collagen production and improve skin texture.
- Screw or tornado threads are intertwined or helical, providing a stronger scaffolding effect and helping to restore volume.
- Cog threads feature tiny barbs or notches that mechanically anchor into the tissue, providing the most significant lifting capacity for areas like the jawline and cheeks.
Immediate Care Following the Procedure
Immediately following the thread lift, patients may experience mild and temporary side effects, including bruising, swelling, and tightness. A cold compress can help reduce swelling in the first 24 to 48 hours. Pain is managed with over-the-counter pain relievers, but NSAIDs are often discouraged temporarily to allow the natural inflammatory response to stimulate collagen.
Patients must avoid touching the entry points for at least 48 hours to minimize infection risk. Avoid excessive facial movements (yawning, chewing) or vigorous exercise for one to two weeks to prevent dislodging the threads. For the first three to five nights, sleep on the back with the head slightly elevated to avoid shifting the threads. Any unusual pain, discharge, or signs of infection should prompt immediate contact with the provider.