Thread lifting – Pro & Con

The promise of a soft lift with threads is great: they are supposed to ‘pull’ and tighten the face in the right direction – and without major side effects. There is news on the subject as well as controversial expert opinions.

One thing in advance: Overall, lifting with threads is not really new. Already more than 10 years ago the method came on the market. At that time, threads were used that were very thick and had re-hooks. This often led to complications and side effects. Only new material has led to the revival of this method.

The standard among qualified physicians is now the use of degradable materials such as polydiaxonone (PDO) or poly-L-lactic acid (PLLA). Surgeons have been using these sutures for decades. They are considered well tolerated and completely degrade in the tissue within six to eight months.

News on the subject of thread lifting

Polydioxanon threads coated with 24-carat gold are new. Compared to conventional threads, this is said to increase the tightening effect many times over, as collagen formation is stimulated even more intensively. The gold threads, which are also absorbable, also have a lightening effect and are therefore also ideal, for example, for treating dark shadows under the eyes or hyperpigmentation of the skin. “In addition, gold has a strong antibacterial, detoxifying and antioxidant effect,” knows Prof. Dr. Dr. Johannes Ring. The COST start at 500 euros. A thread lift of the complete face is around 2,500 euros


Dr. Stefan Duve, dermatologist from the Skin and Laser Center at the Opera in Munich:

“I was able to see for myself in Korea how gentle and safe this minimally invasive procedure is without a scalpel. It is important to distinguish it from the suture methods with only two to three sutures, which can lead to more complications. With the Korean method, one must expect swelling and bruising, but the other known thread complications do not occur. The downtime depends on the bruising, but one should plan for a week. In South Korea, a country where an extremely large number of aesthetic treatments are performed, thread lifting is number one on the treatment ranking list.Meanwhile, the method is increasingly used on the body to firm sagging areas such as the upper arms.”


Dr. Daniel S. Müller, dermatologist at the Rosenpark Clinic, Darmstadt:

“I, too, see advantages of this treatment technique, of course. Thread lifting, for example, creates a natural look because it does not restrict facial expressions. But I also see the risks. The main risk is that the practitioner does not place the thread in the correct skin layer and does not choose the correct direction of pull. This can result in visibility of the suture and unnatural distortion. In addition, misplacement creates the risk of inflammation, small granuloma formation, nerve irritation and tissue retraction. If placed too deeply, it happens that there is no positive effect at all and patients are justifiably dissatisfied with the result.”

Lead photo: Veles Studio/