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Barbed Suture Lift [thread lift]


These are non-surgical procedures whereby barbed sutures are inserted into the face to create a lifting effect or a tightening and firming of the soft facial tissues. This is useful for those with flabby faces or aging of the mid-face, jowls, brow and neck. This can be used in facial nerve palsy as well as late facial nerve injury. Selective regional lifting is possible. Threads come in various configurations: Short, bi-directional threads (APTOS, Feather lift); or Long bi-directional Slings (BARBED SUTURE LIFT), or Long uni-directional threads (Contour threads). Different threads create different effects (e.g., firming vs. Lifting). These threads can be used in conjunction with traditional open facelift surgery or endoscopic techniques.


Approximately 60 minutes


Local anesthesia with or without light sedation.


This is a simple outpatient procedure.

Possible Side Effects:

Temporary discomfort and pain in the temples or behind the ear. Post-operative swelling and bruising is minimal. Some patients experience difficulty in opening their mouth widely. Puckering or dimpling of skin and pleating usually fades within two to three weeks.


Bleeding at the time of the procedure causing a hematoma (accumulation of blood) in the temple, thread visibility, infection of the threads, granuloma (suture reaction), snapping of threads, migration, extrusion, localized pain when thread end abuts against underside of the skin (which is easy to locate, shorten ,or remove completely).


Patients look presentable after 24 to 48 hours. Occasionally, puckering and pleating may persist for several weeks.


These are excellent techniques for achieving a temporary facelift effect. The results last four to five years after which new threads need to be inserted to maintain or enhance the effect.