1What is an absorbable thread lift?

Absorbable thread lift is a minimally invasive skin rejuvenation and lifting procedure in which very thin, absorbable threads made of biocompatible materials are inserted under the skin. In addition to creating a mechanical effect and immediate tissue tightening, these threads stimulate the production of collagen and elastin, which over time leads to firmness, clarity, and natural skin lifting. The threads are broken down and absorbed by the body after a while, but their effect continues through the collagen tissue that is created in response to the presence of the thread.

This procedure is known as an alternative to facelift surgery, correcting mild to moderate sagging skin without the need for extensive surgical incisions, general anesthesia, and a long recovery period.

2History and evolution of the method

The idea of ​​thread lifting was first introduced in the 1990s with non-absorbable threads. In that first generation, problems such as thread protrusion, lack of lasting effect and undesirable side effects were seen. Over time, new generations of threads were born:

• First generation: non-absorbable sutures with sharp hooks; with high complications and unstable results.
• Second generation: Absorbable PDO (polydioxanone) threads with cone pins for tension transfer.
• Third generation: Multidirectional threads (such as multidirectional and cog threads) with greater lifting power and more uniform force distribution.
• Fourth generation: Combined and coated threads (such as threads coated with hyaluronic acid or PLLA/PLCL) which, in addition to lifting, have a stronger hydrating and collagen stimulating effect.

Today, absorbable threads have become the first choice of many doctors in non-surgical facelifts due to their high safety, natural decomposition in the body, and lack of need for removal.

3Mechanism of action of absorbable sutures

The therapeutic effect of absorbable sutures is the result of the synergy of several mechanisms:

1) Mechanical effect (instantaneous stretching)

Cog threads have tiny teeth that attach to the subcutaneous tissue and, as the thread is guided, the tissues are moved upwards and backwards. The result of this tightening is visible immediately after the procedure.

2) Stimulation of collagen formation (Neocollagenesis)

The presence of the thread in the tissue creates a controlled and beneficial inflammatory response; fibroblasts are activated and the production of collagen types 1 and 3 increases. This process begins around the third week and peaks within 3 to 6 months.

3) Improve blood circulation and oxygenation

Threads improve local blood flow by creating microvascular changes, resulting in radiant and youthful skin.

4) Localized fat burning (mild lipolysis)

In areas with high fat content, such as the jawline and under the chin, threads can reduce the accumulation of fat cells to some extent and help to make the jaw angle more pronounced.

4Types of absorbable sutures

5Who are suitable candidates?

Absorbable thread lift provides the best results in the following conditions:

• Ages 30 to 55 with mild to moderate sagging skin and soft tissue.
• Sagging cheeks, deep nasolabial folds, sagging jawline and jugular folds.
• Desire for rejuvenation without surgery, general anesthesia, and a long absence from society.
• Skin with minimal elasticity (tissue snapping), neither too much nor too little facial fat.
• Good general health and no active autoimmune diseases or uncontrolled clotting disorders.

6Benefits of absorbable thread lift

• No surgery: No need for large incisions, general anesthesia, or hospitalization.
• Immediate result + gradual improvement: Instant lift with thread tension and growth of the result over the following months with collagen production.
• Short recovery period: Most people return to normal activities within 2 to 7 days.
• Naturalness of the result: Facial movements are preserved and do not create an artificial expression.
• Relative reversibility: Because the threads are absorbed, the effect gradually diminishes if you are dissatisfied.
• Dual effect: both lifting and improving the quality, clarity, and softness of the skin.
• Repeatability: No obstacles to repeat treatment in the future.
• Lower price than surgery: Especially considering the hidden costs of surgery and time off from work.

7Disadvantages and limitations

• Limited durability (usually 12 to 24 months) compared to facelift surgery.
• Temporary swelling, bruising, and dullness may occur in the first few days.
• Possibility of inconsistency or protrusion if the thread is not placed correctly.
• Need to repeat treatment to maintain results.
• Most effective in mild to moderate sagging; results are limited in severe sagging.
• Requires high skill and precise anatomy from the doctor; the result is highly dependent on the technique.

8Areas that can be treated

9Steps for performing a lift with absorbable threads

1) Consulting and design

The doctor determines the thread placement plan, number and type of threads by examining the facial anatomy, skin quality and degree of sagging. Photos are taken before treatment.

2) Preparation

The skin is cleaned with a disinfectant solution. If necessary, the thread entry lines are marked with a pen.

3) Numbness

The area is completely numbed with a topical anesthetic cream and lidocaine injections at the entry points. The entire procedure is usually performed while you are fully awake.

4) Threading

With a fine needle or cannula, the thread is guided into the subcutaneous layer (around the SMAS). The number of threads is usually between 4 and 12 per area depending on the design. The entire procedure takes about 45 to 90 minutes.

5) Finishing work and symmetry control

The doctor checks and corrects the symmetry of the two sides, covers the entry points with a light dressing, and provides aftercare instructions.

10Pain and numbness; how painful is it?

Due to effective local anesthesia, there is no significant pain during the procedure; more of a gentle stretching and pressure in the tissue is felt. After the anesthesia wears off (6 to 8 hours), a feeling of stretching, stiffness, and mild pain in the treatment area is normal, which subsides within 2 to 5 days and can be controlled with simple painkillers.

• Mild headaches are common after a cheek and brow lift.
• It is normal to feel stiff when laughing or opening your mouth for a few days.
• Severe pain, throbbing, or increasing redness is abnormal and should be reported to a doctor immediately.

11Post-absorbable thread lift care

The first 24 hours

• Sleeping on your back with your head above the level of your heart (two pillows).
• Avoid touching, massaging, and pressing on the treatment area.
• Use indirect cold compresses to reduce swelling.

First week

• Avoid vigorous facial movements; limit chewing hard foods.
• Avoid heavy exercise, swimming pools, saunas, and solariums.
• Sleeping only on your back and not on your face.
• Do not apply makeup to the treatment area until authorized by the doctor.
• Avoiding extreme facial movements (loud laughter, wide open mouth).

2 to 4 weeks

• Do gentle exercises and gradually return to your normal routine.
• Avoid other facial treatments (filming, lasers, invasive massages) without a doctor's approval.
• Regular use of sunscreen for lasting results.

12Possible complications and ways to prevent them

13Durability of results

• The effect of mechanical lifting: is immediately noticeable and decreases slightly during the first 2 to 3 months, partly due to initial tissue liquefaction; then it stabilizes with new collagen formation.
• PDO threads: absorption 6 to 8 months; overall effect usually 12 to 18 months.
• PLLA/PLA thread: absorption up to 18 months; overall effect up to 18 to 24 months.
• PCL thread: absorption up to 24 months; overall effect up to 24 months and more.

Factors affecting longevity include age, skin quality, lifestyle (smoking, sleep, nutrition), degree of facial muscle engagement, and regular use of sunscreen and skin care. Repeat treatments are usually recommended every 12 to 18 months to maintain results.

14Comparing lift with absorbable threads and other methods

Conclusion: If you have mild to moderate sagging and want to achieve both a lift and improved skin quality without surgery, an absorbable thread lift is one of the best options. For severe sagging, surgery is still the final choice.

15Combining thread lift with other treatments

• Filler: To restore volume to the cheeks and chin along with a lift; usually 2 to 4 weeks after threading.
• Botox: To remove dynamic lines (forehead, crow's feet) and create a synergistic chemical lift; 1 to 2 weeks later.
• Mesotherapy and vitamin mesococktail: to enhance skin quality; after 2 weeks.
• HIFU or radiofrequency: for more skin tightening; usually 1 to 2 months after thread lift.
• Laser and microneedling: To refine the skin surface and pores; with appropriate time intervals.

16Cost and factors affecting it

The cost of a facelift with absorbable threads varies depending on several factors:

• Number and type of threads: Ribbed threads and PCL or coated threads are more expensive than simple multi-thread PDO threads.
• Treatment area: Cheek and jaw lifts cost more than brow lifts or fine lines.
• Yarn brand: Reputable Korean and European brands with higher quality have different prices.
• The doctor's experience and the clinic's geographic location are the main determining factors in cost.
• Combination with other services: If combined with fillers or Botox, the total cost will be higher.

During your consultation, be sure to ask your doctor for a written estimate of the number of threads and total cost to avoid hidden costs.

17Choosing the right doctor is your most important decision.

• A dermatologist or plastic surgeon with a proven track record in thread lifts.
• View before and after photos of real portfolios (not edited images).
• Using original and licensed threads with sterile packaging and holograms.
• Procedure in a sterile and standardized environment (reputable clinic, not informal environments).
• Transparent advice about realistic expectations and an honest explanation of possible complications.
• Regular follow-up care after the procedure and acceptance of responsibility for correction if needed.

18Frequently Asked Questions

19Conclusion

Absorbable thread facelift is a minimally invasive, effective, and safe solution for addressing early and intermediate signs of skin aging. Combining immediate tightening and natural collagen stimulation, this procedure delivers both a noticeable lift and improved skin quality without the need for surgery, general anesthesia, or a long recovery period.

The key to the success of this treatment is three things: choosing the right candidate, choosing a skilled doctor, and following the aftercare instructions carefully. By following these three principles, you can expect natural, beautiful, and long-lasting results (12 to 24 months) and experience facial rejuvenation without the stress of surgery.