Facelift with Thread Lift – Is It a Safe, Effective Alternative to Surgery?

Facelift with Thread Lift – Is It a Safe, Effective Alternative to Surgery?

Celebrity Cosmetic Surgeon Dr. Milan Doshi

Indian Board Certified Plastic Surgeon
M.CH, MS, ISAPS Mentor
16000+ Cosmetic Surgeries

Facelift with Thread Lift – Is It a Safe, Effective Alternative to Surgery?

Many patients come to me saying, “Doctor, I want tightening and lift, but I’m not ready for surgery.” In my clinical experience, a thread lift can be an excellent option for selected patients who want subtle rejuvenation with minimal downtime. Let me explain this clearly, without hype.

What exactly is a thread lift?

A thread lift is a minimally invasive procedure that lifts and tightens sagging skin using absorbable medical threads.

  • Non-surgical facelift alternative

  • Performed under local anaesthesia

  • Immediate tightening effect

  • Gradual collagen stimulation

Dr. Milan Doshi’s Tip:
A thread lift is about subtle lift and firmness, not dramatic transformation.

PDO, PLA, and PCL threads are used to lift skin and stimulate collagen safely.

i. PDO threads:

    • Most commonly used

    • Absorbed in ~6 months

    • Strong collagen stimulation

ii. Mono threads:

    • Smooth, no barbs

    • Improve skin tightness

iii. Cog threads:

    • Barbed threads

    • Provide lifting support

iv. Screw threads:

    • Twisted design

    • Restore volume in sunken areas

Dr. Milan Doshi’s Tip:
Thread selection depends on skin thickness and degree of sagging—not trends.

Thread lifts tighten skin mechanically and biologically by stimulating collagen production.

  • Threads are placed under the skin

  • Barbs anchor sagging tissue

  • Immediate lifting effect

  • Collagen forms around threads over time

Dr. Milan Doshi’s Tip:
The real benefit of thread lift comes from collagen, not just tightening.

Thread lifts are ideal for mild to moderate sagging in specific areas.

  • Jawline

  • Cheeks

  • Brow and forehead

  • Under-eye area

  • Neck and lower face

  • Selected breast lifting cases (post-pregnancy/weight loss)

Dr. Milan Doshi’s Tip:
Thread lifts work best in early signs of ageing—not advanced sagging.

The procedure involves placing fine threads through tiny entry points with minimal discomfort.

  • Pre-marking of facial vectors

  • Local anaesthesia

  • Threads inserted via fine needles

  • Barbs self-lock into tissue

  • No stitches required

Dr. Milan Doshi’s Tip:
Precision in thread placement determines natural-looking results.

Results typically last 12–24 months, depending on skin quality and ageing process.

  • Immediate tightening visible

  • Progressive improvement over weeks

  • Collagen continues forming

  • Gradual, natural fading

Dr. Milan Doshi’s Tip:
Good skin care and lifestyle habits help results last longer.

Recovery is quick, with minimal downtime and early return to routine activities.

  • Mild swelling or bruising

  • Temporary tightness sensation

  • Resume work same or next day

  • Avoid face massage initially

Dr. Milan Doshi’s Tip:
Following post-procedure instructions is crucial for smooth healing.

Yes, thread lifts have a strong safety profile when done by experienced hands.

Possible temporary effects:

  • Swelling

  • Bruising

  • Mild asymmetry

  • Tenderness

Rare complications:

  • Thread migration

  • Infection

  • Visible threads

Dr. Milan Doshi’s Tip:
Most complications occur due to poor technique, not the procedure itself.

Thread lifts offer mild, temporary improvement, while facelifts give long-lasting, dramatic results.

Thread lift:

    • Non-surgical

    • Minimal downtime

    • Temporary results

Facelift surgery:

    • Surgical

    • Longer recovery

    • Long-term correction

Dr. Milan Doshi’s Tip:
A thread lift is not a replacement for a facelift—it’s an early intervention option.

Patients with mild sagging, good skin quality, and realistic expectations benefit most.

  • Early ageing signs

  • Not ready for surgery

  • Wants natural enhancement

  • Understands temporary nature

Conclusion – Final Words from Dr. Milan Doshi

Thread lift is a valuable tool in modern aesthetic medicine—but only when used for the right patient, at the right time, with the right technique. In my clinical experience, patients who view thread lift as maintenance and prevention, not transformation, are the happiest with their results.

If you are noticing early sagging and want a low-risk, non-surgical option, a professional consultation will help determine whether a thread lift is right for you—or whether another approach would serve you better.

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