If your jawline is no longer what it used to be and you opened this page, we will first show you the basic information.
Which is right for you, a thread lift or surgery, depending on the degree of sagging, is summarized in How to Choose a Lifting Procedure.
01
What is a thread lift?
A thread lift is a procedure that places dissolvable threads, without cutting the skin, to move sagging tissue upward.
In a word, it is a procedure that holds and lifts with threads instead of a blade.
The thread is inserted through a thin tube. The barbs on the thread grip the tissue. In that state, it is pulled up in the desired direction.
The thread is absorbed by the body over time and disappears.
Mechanism
The reaction that absorbable threads cause in surrounding tissue has been observed in animal studies. In a study in which threads were inserted into 4 Yucatan miniature pigs and the tissue was examined at 4, 12, 24, and 48 weeks, new collagen formation and fibrous fusion (the tissue around the thread binding together with fibers) were reported[1]. This is not a result in humans.
In simple terms — You have probably heard the saying that "collagen forms as the thread dissolves." The evidence this page checked is from animal experiments. It has not been confirmed that the same thing happens in human facial tissue.
Face PlusThread lifts from your 20s to your 60s — if you are a busy office worker and hesitating?
We perform procedures quickly with know-how and techniques built on Dr. Park Jung Keun's extensive procedure experience.
From choosing the thread to the procedure itself, the doctor does it personally
Fewer dimples, bumps, swelling, and less pain
Improved lifting fixation and retention
Improvement of nasolabial folds and sagging cheeks along the V-line
Face PlusWho a thread lift is recommended for
If you want skin firmness and a slim V-line
If the deep cheek has sagged and the cheeks are sunken
If the boundary between the jaw and neck is unclear
If you want to improve sagging skin
If you want to increase skin elasticity
02
How does Face Plus Plastic Surgery perform thread lifts?
Threads are inserted from the temple scalp side rather than the cheek side, using a method that minimizes thread insertion.
Every method raises sagging tissue up and back. What Face Plus decides is which direction the threads are inserted from.
It may sound like a small difference, but this is what determines where the threads settle.
Direction of thread insertion — toward the scalp, not the cheek
There is also a method that inserts the threads from the temple area toward the face. In that case, the threads settle inside the cheek.
Face Plus inserts them in the opposite direction. This is called the reverse technique. The threads settle inside the temple and scalp.
The starting point is not very different between the two methods. What differs is where the threads are placed.
The layer the threads pass through — between the two fascial layers of the temple
Mechanism
At the temple, the threads are inserted up and outward along the layer below the superficial temporal fascia and above the deep temporal fascia. The insertion layer is confirmed by the resistance felt in the hand as the thread is pushed in.
In simple terms — The temple has two tough layers of fascia. The thread passes between those two layers. We proceed while checking by the feel at the fingertips that it is going in correctly.
We choose this layer to reduce pain and bleeding.
Lifting in stages rather than pulling all at once
When the threads are pulled, the skin on the side where the threads gather bunches up. With the reverse technique, it forms in the sideburn area.
So the places where the threads enter are divided into several lines in a pyramid shape. Rather than pulling hard all at once, we lift in several stages. Any remaining bunching is lifted toward the inside of the scalp so it is less visible from the outside.
We do not fix the number of threads in advance. It is decided according to the degree and location of the sagging.
So what is different?
Because no threads are placed on the face side, this method aims to reduce the places where thread marks could appear on the cheek.
Swelling and bruising can occur with any procedure. We do not say there will be none. The purpose of this method is to reduce swelling on the cheek side.
A Word from the Doctor
"In my case, even as experience and technique have accumulated, to further minimize the side effects that can still occur, I avoid inserting threads directly into the face."
What this method cannot do
The threads do not pass through the cheek tissue. For that reason, the effect commonly described as skin texture improving as the threads dissolve (evidence confirmed in humans is lacking) is also hard to expect with this method.
The purpose of this method is to reposition sagging tissue. If you want to address skin texture as well, please see Skin Booster procedure information.
We choose the threads that suit your face and pull in several directions
We choose the type of thread according to the degree of sagging and skin thickness, and arrange the jawline three-dimensionally with multi-directional lifting, pulling in several directions rather than one. This is a method refined through extensive procedure experience, and the doctor personally handles everything from design to procedure.
03
What threads are used in a thread lift?
The threads used in thread lifts differ in character according to two things: material and shape.
A thread does two jobs inside the face. One is to pull up sagging tissue and hold it in place. The other is to stimulate the surrounding tissue while it dissolves (a reaction observed in animal studies[1]).
Holding is done mainly by the shape of the thread. How fast it dissolves is determined by the material of the thread.
All the threads used at Face Plus are dissolvable threads (absorbable threads). Which thread to use is not chosen by the patient; the doctor decides after looking at the condition of your face.
A Word from the Doctor
"Many people are curious about the types of threads, but personally, this is a procedure that is influenced greatly not only by the type of thread but also by the operator's experience and know-how."
Face PlusLifting thread types used at FacePlus
APTOS
Namika · Light Lift 25 · Light Lift 50
Elasti (ELASTY)
Forte Single (PCL) · Forte Double (PDO) · Forte Fix (PDO)
QTL
PDO cog thread · integrated cannula
UPTOYOU
3D mesh PDO thread
MINITING
PDO threads — Standard · Mini · Dual · Reverse · Fixed · Long
MINT LIFT
SILHOUETTE SOFT
Thread lift thread materials — PDO, PCL, PLLA
PDO (polydioxanone): The most frequently evaluated material in a systematic review (a paper that gathers and reviews several studies by a set method) of 12 papers from 2018 to 2022[2].
PCL (polycaprolactone): A material that dissolves more slowly than PDO.
PLLA (polylactic acid): Used on its own or as a composite material mixed with other ingredients.
Material
Duration in the body
PDO (polydioxanone)
About 6 to 12 months
PCL (polycaprolactone)
About 2 years or more
PLLA · composite materials
Thread lift thread shapes — mono, cog, cone, mesh
Mono: A smooth thread without barbs.
Cog: A thread with barbs. The barbs grip the tissue and pull it.
Cone: A form in which small cones are strung on the thread. The cones catch on the tissue.
Mesh: A form in which the thread is woven into a net.
04
Which areas are treated with a thread lift?
Thread lifts are done on the jawline and lower face, the midface where nasolabial folds are, the double chin, and the forehead and eyebrows.
Read this while thinking about the area of your face that bothers you most.
The order in which Face Plus most often performs them is as follows.
1. Jawline and lower face
Lifts the flesh that has descended along the line of the lower jaw. This is for cases where the boundary between the jaw and neck looks blurred when seen from the side.
2. Nasolabial folds and midface
Restores tissue that has descended from below the cheekbone to the corners of the mouth. It does not erase the nasolabial folds themselves. It moves the sagging that created the wrinkles.
Deeply grooved wrinkles are not filled by threads alone. In this case, we also look at Filler procedure information.
3. Double chin
A double chin has several causes. Cases with a lot of fat, cases with loose skin, and cases with separated neck muscles are different from one another.
When the eyebrows sink, the eyes look heavy. Threads are placed in this area as well.
05
What precautions apply after a thread lift?
For about 2 weeks after the procedure, it is best to avoid opening your mouth wide or rubbing the treated area.
After the procedure, please remember just the few points below.
It is best to avoid opening your mouth wide or biting down hard.
It is best to avoid rubbing or pressing on the treated area.
It is best to avoid sleeping face down.
Item
Time point
Period for observing the precautions above
About 2 weeks
Washing your face and makeup
Possible from the day after the procedure
Light exercise
Possible
Strenuous exercise
It is best to avoid it for 2 weeks
Drinking alcohol
It is best to refrain for about 2 weeks
Oral medication: Take the antibiotic and anti-inflammatory medication for 3 days.
Where the threads were inserted: This is near the hairline, on the side with hair, so tape does not stick well. For that reason, we prescribe an ointment and instruct you to apply it to those areas.
If a dressing (a bandage that covers a wound) has been applied, you can remove it the next day.
When should I contact the clinic?
If something after the procedure feels wrong, do not endure it alone.
The changes below are ones you should tell us about without waiting until your next visit.
When pain keeps getting worse over several days
When one side becomes red and swollen or you have a fever
When a hard lump can still be felt
When a thread shows through the skin or its end sticks out
06
Conference Presentations and Medical Staff Training
Dr. Park Jung Keun presents on thread lifts at conferences and also conducts medical staff training at the request of manufacturers.
Conference presentation: At Aesthetic Plastic Surgery Korea in 2025 (the international conference of the Korean Society of Aesthetic Plastic Surgery), he presented "Reverse direction pyramidal technique for face thread lifting."
Medical staff training: At the MINT Live Seminar hosted by Hans Biomed (manufacturer of the MINT thread) in 2026, he gave a lecture and demonstration of thread lift user training for U.S. medical professionals.
Other conference and training-course activities can be seen in Academic Activities.
07
Face Plus Talk
Is a thread lift for when the face sags?
— Dr. Park Jung Keun, Plastic Surgery Specialist · Face Plus Talk
The ages of patients who want a thread lift really vary. The range is wide, from the young early 20s to the 50s and 60s. A lifting procedure is originally meant to correct a sagging face, so does a face sag even in the early 20s?
The traditional way to correct sagging facial skin is the incisional facelift. Most people who have it are older adults. As aging makes the skin loosen, it is a method that removes the excess skin and pulls it up.
But these days, thread lifts are done far more often. Compared with the incisional facelift, recovery is shorter and the operation time is very short. Naturally, no surgical scar remains on the face. Of course, compared with a facelift, the duration is shorter and the effect is limited. However, the procedure is very simple and the return to daily life is quick, so the demand for thread lifts is hard to beat.
It is not done only because the skin has loosened and sagged. Nor is it only because elasticity has dropped a lot with aging. In other words, a reason other than sagging skin is the facial contouring effect. The contour of our face is not just bone. The flesh surrounding the bone is also important, and when there is a lot of flesh, the face also looks wider. In such cases, liposuction or a thread lift can make a contour that had been hidden show more clearly. The jawline also becomes much smoother, with a slimmer-looking effect. Young people often have thread lifts to obtain this kind of facial contouring effect.
A thread lift is not performed only on loose, sagging skin.
There is no single correct answer for a surgical method. After a thorough consultation, we proceed with a surgical method tailored to each individual. Online Consultation
08
Frequently Asked Questions
How long does the effect of a thread lift last?
How long a thread lift lasts depends on the type of thread used, the procedure method and your skin condition. In general, the effect can last from 6 months to over 1 year, and a procedure tailored to you along with consistent skin care helps.
What side effects can a thread lift have?
After the procedure, temporary swelling, bruising, pain or a pulling sensation may appear, and most of these improve over time. Depending on the person, symptoms such as skin dimpling, asymmetry or infection may occur, so it is important to consult thoroughly with an experienced medical team before the procedure.
Are there people who should not have a thread lift?
Depending on your skin and general health, the procedure may not be suitable. If there is an infection or inflammation in the treatment area, or if you have a high risk of bleeding or certain medical conditions, a prior consultation is needed. It is important to plan a procedure that fits your condition through a thorough consultation.
Can I have a lifting surgery later after a thread lift?
Yes. Even if you have had a thread lift, you can have a facelift later. A history of thread lifts does not make lifting surgery impossible, although the surgical plan may differ depending on the type of thread, the number of procedures and the condition of the tissue. A surgical plan suited to your current condition can be made through a thorough consultation.
How long does a thread lift take? Do I need to be hospitalized?
About 30 minutes. It is done under local anesthesia, with sedation added if you wish. No hospital stay is needed.
I can feel the threads. Is that a side effect?
In the early period after the procedure, you may feel the threads along their path or a pulling sensation, and in most cases this gradually eases over time. However, if a thread protrudes through the skin or pain or swelling persists, it is best to see the medical team.
I heard the threads placed may break. Is that true?
The threads used in a thread lift do not break easily in ordinary daily life. However, the condition of the threads may vary depending on the type of thread, the treated area, external impact and so on. After the procedure, avoid pressing hard on or excessively pulling your face, and if you have any discomfort, please consult the medical team.
Thread Lifts from Your 20s to 60s: Are You a Busy Office Worker Still Considering One?Honest Thread Lift Information✨ Explained by a SpecialistWhy People Get Thread Lifts at Different Ages | Is a Thread Lift Different for Men?Do You Have Sedation During a Thread Lift?Nasolabial Folds Can Be Resolved with a Thread Lift Too, But...Don't Compare Thread Lifts with Laser Lifting!Is It OK to Get Thread Lifts Often? Or Not?
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This links to a video on the Face Plus Plastic Surgery YouTube channel. View All FacePlus TV
11
References
15 references
Yoon JH, Kim SS, Oh SM, Kim BC, Jung W. Tissue changes over time after polydioxanone thread insertion: An animal study with pigs. J Cosmet Dermatol. 2019;18(3):885-891. Epub 2018 Jul 29. PMID 30058213. https://doi.org/10.1111/jocd.12718
Riopelle AM, Geisler AN, Eber A, Dover JS. Update on Absorbable Facial Thread Lifts. Dermatol Surg. 2025;51(5):509-514. Epub 2024 Dec 11. PMID 39662017. https://doi.org/10.1097/DSS.0000000000004521
Contreras C, Ariza-Donado A, Ariza-Fontalvo A. Using PDO threads: A scarcely studied rejuvenation technique. Case report and systematic review. J Cosmet Dermatol. 2023;22(8):2158-2165. PMID 37021458. https://doi.org/10.1111/jocd.15709
Tamura T, Okumura K, Funakoshi Y, Teranishi H. Multicenter Review of More Than 110,000 Facial Thread Lifting Cases From a Cosmetic Surgery Group. Plast Reconstr Surg Glob Open. 2025;13(12):e7335. PMID 41346928. PMCID PMC12674162. https://doi.org/10.1097/GOX.0000000000007335
Ojha AS, Farahbakhsh N, Saikaly SK. An Assessment and Comparison of Adverse Effect Rates in Differing Absorbable Thread Lift Suture Materials. Dermatol Surg. 2025;51(3):272-276. Epub 2024 Oct 23. PMID 39442180. https://doi.org/10.1097/DSS.0000000000004466
Germani M, Munoz-Lora VRM, Carnevali ACN, Geroldo AM, Teixeira FF, Giro G. Is More Always Better? A Randomized Comparative Clinical Trial About the Impact of Polydioxanone Threads Quantity for Facial Lifting. Aesthet Surg J Open Forum. 2025;7:ojaf002. PMID 40236886. PMCID PMC11997779. https://doi.org/10.1093/asjof/ojaf002
Rezaee Khiabanloo S, Jebreili R, Aalipour E, Saljoughi N, Shahidi A. Outcomes in thread lift for face and neck: A study performed with Silhouette Soft and Promo Happy Lift double needle, innovative and classic techniques. J Cosmet Dermatol. 2019;18(1):84-93. Epub 2018 Aug 13. PMID 30105878. https://doi.org/10.1111/jocd.12745
Kim H, Jung J, Choi SW, Yun CW, Lee W. Eyebrow lifting using multidirectional absorbable thread. J Cosmet Dermatol. 2023;22(10):2780-2784. PMID 37060183. https://doi.org/10.1111/jocd.15771
Niu Z, Zhang K, Yao W, Li Y, Jiang W, Zhang Q, Troulis MJ, August M, Chen Y, Han Y. A Meta-Analysis and Systematic Review of the Incidences of Complications Following Facial Thread-Lifting. Aesthetic Plast Surg. 2021;45(5):2148-2158. PMID 33821308. https://doi.org/10.1007/s00266-021-02256-w
Gülbitti HA, Colebunders B, Pirayesh A, Bertossi D, van der Lei B. Thread-Lift Sutures: Still in the Lift? A Systematic Review of the Literature. Plast Reconstr Surg. 2018;141(3):341e-347e. PMID 29481392. https://doi.org/10.1097/PRS.0000000000004101
Pham CT, Chu S, Foulad DP, Mesinkovska NA. Safety Profile of Thread Lifts on the Face and Neck: An Evidence-Based Systematic Review. Dermatol Surg. 2021;47(11):1460-1465. PMID 34699439. https://doi.org/10.1097/DSS.0000000000003189
Yi KH, Park SY. Facial Thread Lifting Complications. J Cosmet Dermatol. 2025;24(1):e16745. PMID 39760325. PMCID PMC11702150. https://doi.org/10.1111/jocd.16745
Park SY, Wan J, Yoon SE, Kim SB, Yi KH. Facial Thread Lifting Complications: Underlying Causes. J Craniofac Surg. 2025;36(2):547-552. Epub 2024 Dec 30. PMID 39787499. https://doi.org/10.1097/SCS.0000000000011064
Zheng DN, Xu XY, Ling XT, Liu DG. Stensen's duct penetration and sialolith formation: a rare complication of thread lifting surgery. J Stomatol Oral Maxillofac Surg. 2025;126(5S):102489. PMID 40623598. https://doi.org/10.1016/j.jormas.2025.102489
References not cited in the text
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
The content of this page is general medical information provided in accordance with the Medical Service Act, and the effects and recovery time of surgeries and procedures may vary by individual. All surgeries and procedures can cause side effects, so please make your decision only after a thorough consultation with a plastic surgery specialist.
Consultation & Booking
We begin by looking together, through thorough consultation, at whether surgery is needed
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.