Threads are made from a colorless protein that naturally decomposes in the body over a period of approximately six months. There are three categories of threads used for rejuvenating the face and body: 1) The smooth thread - When inserted superficially in a mesh pattern, these threads stimulate fibroblasts, which are specialized skin cells, promoting targeted collagen production for a regenerative and firming effect. This process visibly enhances skin quality and encourages facial rejuvenation. A mesh or net is formed with thin smooth threads placed subcutaneously in areas exhibiting slight hollowness or tissue resorption. These smooth threads can be applied in the cheek and jowl area, along the jawline, in the temporal region, and beneath the chin. 2) The barbed thread - Equipped with barbs similar to small fishhooks, these threads create tension in the skin, leading to a facial lift that addresses sagging tissues. Aging typically results in jowls and a rectangular lower face. To achieve the “inverted cone of youth,” a facelift elevates the jowls back into the face, enhancing the upper face and narrowing the lower face. No other treatment can effect such a transformation in overall facial shape from rectangular to heart-shaped. 3) The cavern thread - This type functions as a scaffold that can effectively lift tissues due to its substantial mass or volume. In our clinic, we have a well-defined protocol for thread insertion: • The initial step involves selecting appropriate candidates for thread lifting. Individuals who appear “tired,” aged between 30 and 50, with prominent cheekbones, sufficient subcutaneous fat, and flexible skin are considered ideal candidates for a thread lift. • Adhering to the principle that “anything stated before is an explanation; anything stated afterward is an excuse,” a comprehensive consultation is conducted with potential thread lift patients to clarify all the advantages and disadvantages of the treatment, addressing any potential post-procedure misunderstandings and complaints.

Then we decide on the direction of the vector(s) to lift, the type and size of threads, the pattern, and how many threads to use.

•     As the last step we mark, prep, anesthetize the skin and insert threads in the correct layer of the skin.

What are common side effects of thread lifting?

•     Most patients after treatments should expect edema and swelling. To help with the swelling, patients should ice the treatment areas three to four times per day. They can also take Arnica as a safe homeopathic method to reduce swelling post-treatment

•     Pain, bruising, and facial tenderness are common after thread lift that are resolved within one week.

Who Should Avoid Threads? (Contraindications)

Threads are not suitable for individuals with:

 

·         Bleeding or blood clotting disorders (e.g., Hemophilia)

·  Certain autoimmune diseases (e.g., scleroderma, , amyloidosis)

·         Uncontrolled diabetes

·         Active skin infections, inflammation, or acne

·         Pregnancy or breastfeeding

·         Keloid predisposition

·         Undergoing chemotherapy

·         Hepatitis B or C and/or HIV

 

What is postoperative care after thread lifting?

Patients are advised to :

•     Follow up 2 to 3 weeks after treatments.

•     Apply cold compresses to the treated areas for 10 minutes every hour.

•     Sleep elevated for the first 3 to 5 days.

•     Avoid exercise for a week.

•  Take Arnica for 5 days postoperatively and take acetaminophen or ibuprofen as needed.

•  Avoid any excessive facial expressions the week after treatment to prevent any displacement of the threads.

•     Avoid any facial massages or dental work for 1 month.

•     Wash their faces in the direction of the threads.