Doctor's Column · Lifting

Why the Face Can Look Bumpy After a Thread Lift

Written by Dr. Park Jung KeunPublished Updated

Summary in 3 lines
  • The more shallowly the threads are placed, the better they pull, but the greater the risk that they show through or the surface becomes uneven.
  • Placing the threads deeper lowers that risk, but the pulling force weakens.
  • So the key is to place the threads at an appropriate depth, passing through a uniform layer.
Contents of this article
  1. The reasons for getting a thread lift differ by age
  2. The concern raised most often in consultations
  3. Placed shallowly versus placed deeply
  4. The face is not flat
  5. Two ways to reduce side effects
  6. Knowing the cause helps you judge during a consultation

The reasons for getting a thread lift differ by age

A facial thread lift is a procedure that many people get, young or old, men and women alike.

Older patients have the procedure to reduce tissue that has sagged with aging, such as a slackened jawline, drooping cheeks, and nasolabial folds. It lifts skin that has sagged as people get older.

Younger patients, in contrast, do not necessarily have it because of sagging. They get a thread lift to make the face look slimmer.

The concern raised most often in consultations

In thread lift consultations, we learn that there are many worries and misunderstandings.

It is frightening to have something placed in your face, and there are many worries about side effects. Among the various side effects, people are especially anxious about a bumpy appearance after the procedure.

Others worry about dimpling, where the skin looks sunken, or about threads protruding through the skin.

These side effects are possible. The types of threads and the techniques differ from clinic to clinic, but everyone is working on how to achieve an effect while reducing these side effects.

So in this article, we will look at two things. One is the causes of side effects, and the other is ways to reduce side effects.

Placed shallowly versus placed deeply

The depth at which the thread is placed determines the result. First, imagine placing the thread in a very shallow layer, just beneath the skin.

Because it is placed so shallowly, the thread may show through from the outside. It also seems somewhat easier for the thread to protrude through the skin. And if it does not pass at a uniform depth, bumps will be immediately noticeable when the thread is pulled.

Now imagine placing the thread in a very deep layer instead. Because it is deep, it seems unlikely to show through from the outside. The thread would also not easily protrude through the skin. Even if it went in irregularly rather than in a uniform layer, it would not be very noticeable.

Then wouldn't it be enough to place it in a deeper layer? There is another problem here.

The shallower the placement, the better the lifting effect. That is, it pulls more easily. Conversely, placing it deeply reduces the lifting effect. In other words, a very shallow placement gives an excellent lifting effect but raises the risk of other side effects. Conversely, a deep placement can reduce the bumpy side effect, but the effect weakens.

In simple terms: Shallow threads pull well but are more likely to show; deep threads show less but pull less. You cannot have both at once.

Therefore, the ideal is to pass through a uniform layer at an appropriate depth. Needless to say, this is not easy.

The face is not flat

The reason it is hard to keep a uniform depth is that the surface of the face is uneven.

Our faces are not flat. Facial contours are uneven, as with the cheekbones or a square jaw. It is difficult to place a thread at a constant depth in the skin along these contours.

Skin thickness also varies from person to person. In particular, when the skin is very thin, one slip can easily lead to bumpiness or dimpling.

So keeping a uniform layer at the appropriate depth is very difficult. Doing so requires a certain level of accumulated experience.

Two ways to reduce side effects

Now we can roughly understand why bumpiness and dimpling occur. So what should be done to obtain an appropriate effect while reducing side effects?

  1. Placing the threads uniformly at a depth that is neither too shallow nor too deep.
  2. Reducing the number of threads placed in the facial area. If no threads are placed in the facial area, these side effects need not arise.

Method 1 has no choice but to rely on the operator's experience and technique.

Method 2 is possible by changing the technique. Either reduce the number of threads placed in the facial area, or use another method without placing threads in the facial area.

The method I chose

I use a method that does not place threads directly in the facial area.

I chose this method to further reduce side effects that can occur even when experience and technique have accumulated.

Knowing the cause helps you judge during a consultation

There is a reason I have explained the causes of side effects. If you know why side effects occur, it becomes easier to judge what you hear about a procedure method during a consultation.

These days there are so many types of threads and techniques that confusion is inevitable. It is not easy to choose a particular procedure.

I hope what I have told you can become one of your criteria for choosing.

Dr. Park Jung Keun
Dr. Park Jung Keun · Plastic Surgery Specialist, PhD in Medicine

He personally consults on and performs facial aging treatments such as facelift, droopy eyelid surgery, and thread lift. The doctor personally sees you from consultation through recovery.

2004 Plastic Surgery Specialist2013 PhD in Medicine, Seoul National UniversityVice President, Korean Association of Plastic Surgeons
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Facelift, droopy eyelid surgery, and thread lift: Dr. Park Jung Keun personally checks every stage, from consultation to recovery. Please schedule by phone or KakaoTalk, or leave a consultation request form.