Commenced in January 2007
Frequency: Monthly
Edition: International
Paper Count: 31515
Thread Lift: Classification, Technique, and How to Approach to the Patient

Authors: Panprapa Yongtrakul, Punyaphat Sirithanabadeekul, Pakjira Siriphan


Background: The thread lift technique has become popular because it is less invasive, requires a shorter operation, less downtime, and results in fewer postoperative complications. The advantage of the technique is that the thread can be inserted under the skin without the need for long incisions. Currently, there are a lot of thread lift techniques with respect to the specific types of thread used on specific areas, such as the mid-face, lower face, or neck area. Objective: To review the thread lift technique for specific areas according to type of thread, patient selection, and how to match the most appropriate to the patient. Materials and Methods: A literature review technique was conducted by searching PubMed and MEDLINE, then compiled and summarized. Result: We have divided our protocols into two sections: Protocols for short suture, and protocols for long suture techniques. We also created 3D pictures for each technique to enhance understanding and application in a clinical setting. Conclusion: There are advantages and disadvantages to short suture and long suture techniques. The best outcome for each patient depends on appropriate patient selection and determining the most suitable technique for the defect and area of patient concern.

Keywords: Thread lift, thread lift method, thread lift technique, thread lift procedure, threading.

Digital Object Identifier (DOI):

Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 8953


[1] Goldstein SA, Goldstein SM. Anatomic and aesthetic considerations in midfacial rejuvenation. Facial Plast Surg. 2006;22(2):105-11.
[2] De Cordier BC, de la Torre JI, Al-Hakeem MS, Rosenberg LZ, Costa-Ferreira A, Gardner PM, et al. Rejuvenation of the Midface by Elevating the Malar Fat Pad: Review of Technique, Cases, and Complications. Plast Reconstr Surg. 2002;110.
[3] Owsley JQ. Elevation of the malar fat pad superficial to the orbicularis oculi muscle for correction of prominent nasolabial folds. Clin Plast Surg. 1995;22(2):279-93.
[4] Gosain AK, Klein MH, Sudhakar PV, Prost RW. A volumetric analysis of soft-tissue changes in the aging midface using high-resolution MRI: implications for facial rejuvenation. Plast Reconstr Surg. 2005;115(4):1143-52.
[5] Bartholomew RS. PDS (polydioxanone suture): a new synthetic absorbable suture in cataract surgery. A preliminary study. Ophthalmologica. 1981;183(2):81-5.
[6] Middleton JC, Tipton AJ. Synthetic Biodegradable Polymers as Medical Devices 1998.
[7] Boland ED, Coleman BD, Barnes CP, Simpson DG, Wnek GE, Bowlin GL. Electrospinning polydioxanone for biomedical applications. Acta Biomater. 2005;1:115-23.
[8] Gamboa GM, Vasconez LO. Suture suspension technique for midface and neck rejuvenation. Ann Plast Surg. 2009;62(5):478-81.
[9] Kalra R. Use of barbed threads in facial rejuvenation. Indian J Plast Surg. 2008;41.
[10] DeLorenzi CL. Barbed sutures: Rationale and technique. Aesthet Surg J. 2006;26(2):223-9.
[11] Rashid RM, Sartori M, White LE, Villa MT, Yoo SS, Alam M. Breaking strength of barbed polypropylene sutures: rater-blinded, controlled comparison with nonbarbed sutures of various calibers. Arch Dermatol. 2007;143(7):869-72.
[12] Suh DH, Jang HW, Lee SJ, Lee WS, Ryu HJ. Outcomes of polydioxanone knotless thread lifting for facial rejuvenation. Dermatol Surg. 2015;41(6):720-5.
[13] Horne DF, Kaminer MS. Reduction of face and neck laxity with anchored, barbed polypropylene sutures (Contour Threads). Skin Therapy Lett. 2006;11(1):5-7.
[14] Wu WTL. Nonsurgical facelifting with long barbed suture slings: The Woffleslift. J Asthet Chir. 2013;1:13-9.
[15] Shimizu Y, Terase K. Thread lift with absorbable monofilament threads. Japan J Aesth Plast Surg. 2013;35(2).
[16] Bacci PA. T3 - Soft Face Lift by Suspension Surgery In: Serdev N, editor. Miniinvasive Face and Body Lifts – Closed Suture Lifts or Barbed Thread Lifts. Croatia: Intech; 2013.
[17] Park TH, Seo SW, Whang KW. Facial rejuvenation with fine-barbed threads: the simple Miz lift. Aesthestic Plast Surg. 2014;38(1):69-74.
[18] Llorca V, Soyano S. Lifting effect with polydioxanone absorbable threads without anchors on face and neck. Approaches to Aging control 2014;18(1).
[19] Park TH. Facial Rejuvenation with Fine-Barbed Threads: The Simple Miz Lift. Aesth Plast Surg. 2014;38(1):69-74.
[20] Mendelson BC. Anatomic Study of the Retaining Ligaments of the Face and Applications for Facial Rejuvenation. Aesth Plast Surg. 2013;37:513-5.
[21] Verpaele A, Tonnard P. LowerThird of the Face: Indications and Limitations of the Minimal Access Cranial Suspension Lift. Clin in Plast Surg. 2008;35(4):645-59.
[22] Sulamanidze M, Sulamanidze G, Vozdvizhenskiy I, Sulamanidze K, A. Kadzhaya. New Method of Face Elastic Thread Lift. In: Serdev N, editor. Miniinvasive Face and Body Lifts - Closed Suture Lifts or Barbed Thread Lifts. Croatia: Intech; 2013.
[23] Sulamanidze M, Sulamanidze G, Vozdvizhensky I, Sulamanidze C. Avoiding complications with Aptos sutures. Aesthet Surg J. 2011;31(8):863-73.
[24] Lee SY, Sung KY. Subcision Using a Spinal Needle Cannula and a Thread for Prominent Nasolabial Fold Correction. Arch Plastic Surg. 2013;40:256-8.
[25] Graziosi AC, Beer SMC. Browlifting with Thread: The Technique Without Undermining Using Minimum Incisions. Aesth Plast Surg. 1998;22:120-5.
[26] Atiyeh BS, Dibo SA, Costagliola M, Hayek SN. Barbed sutures ‘‘lunch time’’ lifting: evidence-based efficacy. J Cosmet Dermatol. 2010;9:132-41.
[27] Paul MD. Barbed sutures for aesthetic facial plastic surgery: indications and techniques. Clin Plast Surg. 2008;35(3):451-61.
[28] Ghalambor A, Pipelzadeh MH. A non-aggressive forehead/brow lift with contour threads: A case report and its application in Iran. Pak J Med Sci. 2006;22(3 ):320-2.
[29] Paul MD. Complications of barbed sutures. Aesthetic Plast Surg. 2008;32(1):149.
[30] Silva-Siwady JG, Diaz-Garza C, Ocampo-Candiani J. A case of Aptos thread migration and partial expulsion. Dermatol Surg. 2005;31(3):356-8.
[31] Kaminer MS, Bogart M, Choi C, Wee SA. Long-term efficacy of anchored barbed sutures in the face and neck. Dermatol Surg. 2008;34(8):1041-7.
[32] Sulamanidze M, Sulamanidze G. Facial lifting with Aptos Methods. J Cutan Aesthet Surg. 2008;1(1):7-11.
[33] Abraham RF, Defatta RJ, William EF. Thread-lift for Facial Rejuvenation Assessment of Long-term Results Arch Facial Plast Surg. 2009;11(3):178-83.
[34] Padín VL. Experience in the Use of Barbed Threads and Non-Barbed Serdev Sutures in Face and Body Lift– Comparison and Combination Miniinvasive Face and Body Lifts – Closed Suture Lifts or Barbed Thread Lifts Croatia: Intech; 2013.