Thread lifts have earned both praise and criticism over the years, often leaving patients unsure whether they’re worth considering. According to board-certified plastic surgeon Dr. Steven Davis, the truth lies in proper patient selection, precise technique, and smart treatment planning.
Modern thread lifts use dissolvable sutures with tiny barbs that anchor beneath the skin. These barbs gently lift tissue while stimulating the body to produce collagen in the direction of the lift. Over time, the threads dissolve—but the collagen remains, maintaining results long after the material is gone.
One of the most common mistakes Dr. Davis sees is treating threads like fillers. Unlike filler, threads require post-procedure protection. Excessive chewing, vigorous exercise, or facial movement too soon can dislodge the barbs and compromise results. Proper placement, stabilization, and short downtime are critical.
Threads are most effective for patients with mild to moderate skin laxity. They are not designed to replace a full facelift in patients with significant excess skin—but for the right candidate, they can deliver impressive lift with minimal downtime.
Dr. Davis also emphasizes the power of a three-pronged approach:
- Fillers (or fat grafting) to restore volume and soften hollows
- Threads to reposition and lift tissue along youthful vectors
- Laser or energy-based treatments to tighten skin and stimulate collagen
This layered strategy can create a natural, refreshed appearance—often avoiding surgery altogether.
The takeaway? Thread lifts aren’t a shortcut—they’re a sophisticated tool. When performed by an experienced surgeon and integrated into a comprehensive plan, they can deliver elegant, long-lasting results.