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Thread Lift/Facelifting

Best Facelifting/Thread Lift in Delhi by the Expert & Experienced Dermatologist, Dr. Rohit Batra

Get this wonderful non surgical & less invasive Thread Facelift or Thread Lifting in Delhi by an experienced dermatologist Dr. Rohit Batra. Dr. Rohit Batra is also an authorized dermatologist to do Silhoutte Soft Facelift, which is again an non invasive with minimal downtime procedure to redefine facial contours with instant results like Thread Lift.

An age-related alteration in the facial skeleton, fat, skin, connective tissues, and musculature, is palpable with universally-identified patterns. Advancing laxity in the soft tissues becomes a cause to nasolabial folds visibility, jowl formation, brow ptosis, and malar flattening. The appearance is further strike expediently by hyperpigmentated and wrinkled skin.

A variety of cosmetic procedures are now available to replenish and rejuvenate the ageing face. The most commonly used and preferred options are the non-surgical treatments that includes: 1.) Dermal Fillers, 2.) botulinum toxin, 3.) and chemical peeling, 4.) Thread Lift.

The latter has gained renewed interest in recent years as a Non-surgical procedure due to its effectiveness and allowance for a faster turnaround time, making them comforting for patients and practitioners alike.

In fact with the wide popularity of the Non-surgical procedures, the estimated value of UK cosmetic procedures was surmised to rise by £1.3bn in 2017 from the previous 2 years.

However before straightaway knowing about what exactly thread lift is, what does it do and how it can be beneficial for skin rejuvenation, it is equally important to understand its point of origin and how it gained acceptance and eminence amongst patients and professionals.


The History & Evolution of Threads

There has been an undivided attention in thread lifting over the past couple of years (especially in western countries like UK), perhaps due to both practitioners and people looking for alternative ways of rejuvenating the face for those who do not want to have injectables, or because they think fit to utilize suspension threads for the purpose of creating lift.

Threads have been publicized as a substitute to more invasive procedures such as a facelift because of the extended recovery time or cost connected with a surgical facelift.

Then in the late 1990s, comes in existence the barbed suture thread to lift ptotic facial tissues, introduced by Russian surgeon Mr Marlen Sulamanidze. Diversification of this original antiptosis suture (APTOS) that involve placement of cogged threads along a planned path; the threads are then pulled to lift the skin, trimmed and secured at the entry point.

Thread lifting was once viewed with a degree of suspicion amongst some medical cosmetic practitioners. Indeed, it is important to note that though early data expressed conflicting outcomes and early deterioration, new devices, however, were developed and the indications for each technique were so erudite that only the occurrence of complications has reduced correspondingly later.

The key to thread lift success for skin rejuvenation is actually a proper professional’s performance, and when performed intellectually, thread lifting is associated with minor and rare complications.

Now coming to the thing, what is thread lift and in what ways it is helpful.


What is a Thread Facelift?

Aging causes the tissues in the skin to thin down because of the declined production and disintegration of collagen and elastin that make the skin firm. Along with the loss in bone density, fat cells, muscle mass, these ensue in the appearance of sagging, folds, wrinkles and creases, in the skin. A thread lift can reverse the effect of aging by pulling up the loosened skin without surgical complications.

A thread facelift is basically less invasive another to traditional facelifts, curated for people experiencing early signs of aging, such as minor facial sagging (around the cheeks, jaw line, and neck), depleted skin’s laxness. This innovative facelift procedure is a convenient one for both sides involved (the patient & practitioner) can be conducted in just one to two hours, often without anesthesia.

Inserted through small incisions made just above the hairline, the barb-covered threads firmly tighten and lift sagging skin for a more youthful&, tout appearance.

Designed to be less invasive, more quick and with lesser risk than the traditional approach, the specialized threads are now being used during this kind of facelift to tactfully hold repositioned facial tissue and skin in place after surgery.For example, in a Contour ThreadLift™, unique Contour Threads™ that are made of polypropylene are used to further belittle any traces of surgery.

And while these non-absorbable threads are guided along previously pronounced contour lines, improving precision, they usually yield apparent results almost immediately and with minimal risk and discomfort than more intensive procedures. Additionally thread lift costs are quite reasonable in comparison to classical other options.


How is the Thread Facelift Procedure Performed?

During a thread facelift, the specialist cosmetic surgeon begins with inserting thin threads into the facial skin by making tiny incisions using hollow needle in the targeted area (underlying fat layer). One end of the thread is cautiously tied to firmer underlying internal structures while the other end goes beneath the skin.

As the specialist withdraws the needle, the filaments on the sutures are settled into the sagging areas of the face. These threads are made to fasten to the skin tissue and are then pulled back to elevate droopy skin tighten the face and sets it into a more youthful-looking position. Almost immediately, treated areas will be marginally raised, reducing sagging and providing patients a rejuvenated appearance.

Because patients generally remain completely conscious during the procedure (since anesthesia are barely used), they can approve the look of their thread lift while the specialist works. Once the threads are looped, they become completely concealed within the skin itself, and any scarring that out-turns will be virtually invisible.

For those not willing to undergo the procedure in consciousness, can opt for anesthesia. The surgeon will begin the procedure with careful application of local or generalized anesthesia.

The whole procedure can be done in just an hour or less, depending upon the facial areas to be treated in a given session.


Benefits of undergoing a Thread Lift procedure

Thread lift is among the few FDA-approved Non-surgical cosmetic treatments that present quite many advantages than a rare, minor, few disadvantages. The procedure is a wonderful choice for people looking to correct skin sagging, droopy facial structures, laxity and smoothness. Other than these it has various other benefits that include:-


Customization of Threads as per Expectation of Results

There are high expertise cosmetic specialists that provide PDO threads in different sizes and thickness to address the different concerns and apprehend the needs of individual patients. There are available the thicker and stronger, bi-directional cog threads ideal for lifting drooping cheeks, jowls and neck.

There are also the thin mono threads, best suited for rejuvenating the skin and restoring the facial volume loss along the cheeks and chin.

Additionally, Thread lift is in pursuit of the active participation of the patient during the treatment. The procedure is relatively painless and less risky; hence, anesthesia is not used. Thus, the patient remains conscious throughout the procedure and in compliance of correspondence with the attending specialist.

Thus, through the patient’s active involvement, this helps to control the degree of skin-lifting.


Immediate Lifting Results after Procedure

There is no lag or interim period involved for the outcomes to be visible in a thread lift. Unlike some cosmetic enhancement treatments that take a several days or few months for the actual results to show, a thread lift produces immediate results.

The skin lift, tightening and smoothing results from thread lift that can be seen and embraced right inside the procedural room on the bench and if approved the patient is good to go, while if some seek changes then the procedure can be modified right there.

However, keep in mind, though, patients generally see a noticeable skin tightening and lifting immediately after the procedure. But the overall result will only surface up after 2 or 3 months when new collagen promotion begins.

It takes about 6 months for the PDO thread to deliquesce but the outcomes will remain for at least two years as long as the collagen of your skin holds the lift.


Counterbalance Chances of Explicit Stretching

Since the results from the threads are instant, hence, the surgeon performing thread lift don’t need to guess about the degree of skin-stretching that would be obtained. This assists them to manage the procedure and avert of the risk of producing the artificially-stretched or over-stretched looks.


Faster, Undemanding Procedure

Often marketed as the ‘lunch-hour facelift’, thread lift is among the most evolving and rapidly –conducted/coordinated cosmetic procedures. It can be accomplished within two hours, and there is no risk of any severe side-effects that restrain from daily activities.

This rapidness of the procedure springs up from the fact that thread lift utilizes threads or fibers orchestrated with surgical precision.


Safe and Steadily Absorbed by the Body

Facial rejuvenation utilizing Polydioxanone or PDO is highly safe and does not stem any allergic reactions. The absorbable material utilized in face thread lift are K-FDA and CE approved which  have been in use for 30 years for closing wounds in various medicine areas including gynaecology, eye surgery, plastic surgery, and among others.

The PDO threads have a propensity to fully dissolve in the body within 6 to 12 months. It is metabolized in water and carbon dioxide, which the skin organically absorbs.


Make for a Skin Looking Youthful & Stout

Medical research suggest that the use of threads in skin revitalization helps spark production of new collagen in the skin, which outwardly improves the skin’s elasticity and improves the appearance of wrinkles and folds.

These also further activate the synthesis of hyaluronic acid and elastin in the skin, which are both vital in gaining a more youthful appearance and revitalizing the quality of the skin.


Can be Combined with other Anti-aging Procedures

The non-surgical Thread Lift can be combined with injectable procedures like dermal fillers or Botox to address both saggy skin and volume loss instigated by the aging process. This makes for a wholesome approach in battling out the signs of aging by supplementing and augmenting the appearance of droopy cheeks, sunken eyes/eyebrows as well as languishing jowls and neck area.


Dr. Batra of Derma World, Delhi speaks highly of the advancements made in the aesthetic enhancement industry and acclaims the efficacy of non-surgical cosmetic procedures, expressing that going under the knife is not the only substantial way to lift and reinvigorate loosened skin. One can now truly achieve a tighter, younger appearance immediately and with minimal to no downtime.


Difference between Surgical & Non Surgical Face Lift

Surgical Invasion

A key contrast between surgical and nonsurgical facelifts is that the former is completely invasive and needs incisions, anesthesia, sutures, and a longer recovery time, whereas, the latter does not necessarily.

Surgical facelifts that needs incisions through which muscles can be exploited and skin can be discarded. They come with a number of potential surgical and postoperative risks & complications. And they may produce outcomes that may appear overly orchestrated and obvious.

On contrary, non-surgical facelifts do not need incisions, the surgical exploitation of muscles, or the elimination of skin, that seriously gut-wrenching for many. Non-surgical lift options do not demand lengthy recovery periods or potential side effects.


Choice of Options

Different conventional facelifts are available to choose from. Some include getting a full facelift, mid facelift, lower facelift, or a combination facelift and neck lift. Depending on your cosmetic concerns & needs, a treatment plan is tailored.

Surgical thread-lifting into two categories:

  • Free Floating Threads that are inserted under the skin using a local anesthesia and pulled into place, producing a lift that generally lasts between 1 to 2 years.
  • Fixed Threads, fastened to the skin’s underlying structures, have the competence of supplying a more extensive, face-lift type result and are commonly combined with excess skin removal for most desirable results. The result remains from to 2 to 4 years.


On the other hand, nonsurgical facelift has different options including:

Liquid Facelift – this option amalgamates dermal fillers with neurotoxins in order to relax muscles and restore fullness for a wrinkle-free, smoother appearance with instantaneous results.

Fat Transfer Facelift – this minimally invasive  treatment, harvest fat from one’s own body to implant into targeted facial areas to restore volume loss and enhance youthful dimensions

Vampire Facelift – this combines platelet rich plasma harvested from one’s own body with dermal fillers to reduce/remove wrinkles, restock sunken areas, improve skin texture & tone and produce a more youthful appearance

Silhouette Lift® –involves threads that are used to support sagging skin and lift areas in the face and neck

Laser Treatments – options like the PrecisionTX Knifeless Facelift employs advanced laser technology to lessen sagging and creasing on the face and neck

Ultherapy® – this minimally invasive facelift option utilizes ultrasound to prompt collagen production, thus tightening lifting and softening skin on the face, chin, neck, and brow

All of the nonsurgical facelift options are highly effective at producing a more youthful look, with immediate results and at much lesser cost than the surgical lift, however, but not each will be of equal advantage to every patient.


Potential Risks

While both the procedures are completed progressively by a highly trained and skilled cosmetic surgeon or an aesthetic doctor, surgical thread lift still carries potential complications that are in not the case with non-surgical options.

For these reasons and more, many surgeons advice on nonsurgical options, choosing them to be superlative and a viable alternative to a standard surgical facelift for those with beginning signs of aging and not willing to get sliced.


But Am I or Am I not qualified for this simple, spectacular skin rejuvenation stratagem?

Check here who can Undergo thread lift and its expected results

Candidates for Thread Lift

The best candidates for a thread facelift are people in their 30s to 60s and have fairly a good skin tone.

Those with beginning to experience drooping in parts of their face and neck but do not have extremely loose skin or hanging facial areas that might need more meticulous facelift surgery.

If signs of aging are relatively nominal, a thread lift may be a virtuous way to make cosmetic improvements while steering clear off facelift scarring and other potential side effects, which normally occur after more rigorous surgical procedures.

The omission of the “apples” of cheekbones— this commonly comes into visibility after 40 years of age. This age-related alteration makes the usual appearance of the face dull, insipid in a calm state, impulse propulsion to the formation of wrinkles in the nasolabial cavities.

Sunken cheeks or hanging “bulldog’s ears”— this age distortion overtakes all those who in their youthful phase has large, rotund cheeks. It is conceivable to omit it partially when eliminating the lumps of Bish, and fully – only with full facelift or thread lift.

The development of folds in the corners of the mouth— that shows the way to their omission and deformity of facial expressions

Quite prominent nasolabial depression— is a clear indication of aging and can retrograde the overall appearance of the face.

That said, while thread lift can reduce signs of aging, it is not designated to replace or replicate the reverberation of a surgical facelift. The effects of thread lift can stay up to several years, depending on a patient’s lifestyle, maintenance and physiological condition. Repeated treatments (not frequent though) generally help attain better and longer-lasting results.


Who cannot undergo Face Thread Lift?

Contraindications to Thread Lift

This non-surgical treatment comes with a number of contraindications, mainly because it still involves arbitration in biological tissues and the introduction of foreign materials. Thread lift, like most other procedures, is not conducted in the acute period of infectious and viral diseases. This may be the intestinal infections, flu, hepatitis, SARS, and others.

For people with poor blood coagulability, diseases of the blood, ( such as leukemia or thrombosis) or high blood sugar are not indicated for thread lift.

Excess of dermal tissues is also a negation, even to the installation of sturdy metal threads, as this can cause rupture and, consequently, severe side effects.


Possible Risks and Complications

When performed by an experienced and a medically certified cosmetic surgeon or dermatologist/skin specialist, the procedure is very safe.

However, minor side effects may come to pass including swelling, subtle bruising, muscle weakness, in the affected area, which generally finds a solution on their own within a week.

Moreover, just like any cosmetic surgical treatment, there is a little likeliness of risks and complications. Among them are:

  • Migration of sutures – In few cases, sutures become apparent and obtrusive out of the skin after the procedure. The specialist can however easily correct rare complications like this, but it often occurs due to the ineptitude of the practitioner performing the procedure. Also, it is significant for patients, so do not to try to remove any weakened threads as it can result in to unpleasant damage or even allergic reaction.
  • Infection – A common complication of any surgery, this takes place when the threaded parts are infected. This is flexibly treated with antibiotics.
  • Scarring and other irregularities- In some cases, hair loss, scarring, dimpling of the skin and contour irregularities can occur. These are minor complications that are generally ‘given a miss to’ if the procedure is performed by a skilled and licensed practitioner.
  • Nerve injuries – In rare instances, patients may come into contact of numbness in the treated area due to nerve injuries.


Average Thread Lift Costs

Because it involves slight or no anesthesia and less time in a clinical set up, a thread lift costs much less than traditional facelift surgery. For a fact, the typical thread lift costs approximately half the price of a conventional facelift, wholly depending on how many threads are utilized during the procedure.

A qualified cosmetic specialist will be in a better state to provide patients with more detailed information regarding costs in specific regions.


Recovery from Thread Lift

Recovery takes about 5-7 days and involves sleep in specific positions, certain ordinance for skin care and evaluation by the performing qualified cosmetic doctor. If needed, the facelift can be adjusted by modifying the tension and the position of the threads.


Recommendations for Care in the Post-Procedural Period

These are the dermatologist’s recommended Aftercare instructions to care for the skin of the face after a thread lift:

  • It is prohibited to visit the sauna, steam and bath in the first month of recovery.
  • Prohibited are peelings (glycolic acid peels), laser resurfacing (such as facial dermabrasion, microdermabrasion and others), and other harsh procedures for facial skin.
  • Forbidden are first couple of weeks to make unnecessary touches to the face
  • Outlawed is the use alcohol-containing skin care products
  • Avoid applying topical makeup at the treated area
  • The puncture area should be treated with solution of chlorhexidine or a Miramistin
  • Do not allow aggressive impacts on the face and also do not massage at least for initial 2 weeks, as this can lead to rupture
  • Appreciation for reducing the use of alcohol in the first 15 days, while the formation of the basis of connective tissue takes place


Has anyone also heard of Silhoutte Soft Thread

What is Silhouette Soft Thread Lift?

Well! Silhouette Soft Thread Lift is yet a thread lift but much advanced and abreast to address signs of aging performed at specialist’s centre with minimal downtime and recovery. This minimally invasive, anti-aging treatment provides instant skin tightening & lifting combined with systematic collagen reawakening effects to give a natural age-reversing result.

Commonly referred to as the ‘one-stitch facelift’, Silhouette Soft Thread Lift utilizes specialized dissolving bio-absorbable sutures made of poly L-lactic acid (PLLA)- a material been in use for several years in various applications of pharmaceutics and biomedical. It is a cue compound for the surgical sutures and orthopaedic equipments.

The sutures involved in Silhouette Soft have molded cones that trigger the body to produce collagen. Silhouette Soft Thread Lift procedure utilizes threads with bidirectional cones. The cones anchor the subcutaneous fat, and tug the skin up. Hence, patients embrace a minimally invasive facelift without the requirement of face-lifting surgery.

This takes place via collagen promotion to restore shapeliness and volume loss to the face, and occurs over the next 3-6 months after treatment.


Major benefits associate with Silhouette Soft Thread Lift for anti-aging effects

  • Single treatment with a dual action: instant repositioning and steady stimulation of skin collagen once the threads are inserted
  • Restores “the triangle of youth” without surgery by deviating the sagging tissue
  • Excellent safety and tolerance profile with long-lasting, natural looking regenerative results
  • Indicated to treat the contour of the face, cheeks, eyebrow, jaw line, and neck and conducted by highly skilled &trained practitioners, so there are no chancesof maladroitness
  • Alternative treatments include a thread lift or lower facelift.


Types of Thread in Thread Lifts

There are basically 2 main types of threads or sutures used:


Free floating cogged or barbed threads

Free floating cogged or barbed threads do not require to be suspended for the actual purpose of holding the lift; they are naturally self-supporting, just similar to hold-up stockings.

They are further divided into different categories based upon the direction of their barbs/cogs:

  • Convergent or divergent threads— are contingent on whether the cogs are aligned towards each other or in opposite directions from each other from the centre point.
  • Uni-directional or bi-directional threads— are contingent on whether the cogs are aligned only in one direction, or in opposite directions.


APTOS® Thread

This kind of suture has come to be known about under the trade name “APTOS® Thread Lift” because, as mentioned, they were the very first cogged thread to be created.

APTOS® threads are produced from a non-absorbable monofilament substance (a single strand of fibre) called polypropylene, which has been in use for many years in surgical sutures (stitches). They are produced with bi-directional barbs or cogs that go outwards from the centre of the thread and point inwards towards the middle (meeting point), so that as they are inserted beneath the skin the cogs anchor and are able to fasten the lift.

There are also other brands of barbed sutures available with the varying features


Suspension or Smooth Threads

For the purpose of accomplishing natural looking lift with a smooth thread, it does require to be anchored to a secured structure of the face or scalp, i.e. it requires to be suspended, similar to a stocking that have a need of a suspender belt. They are just normal resorbable or non-resorbable threads, generally made from nylon or prolene.



The use of threads gives the aesthetic professional with another competent treatment modality and can provide more resilience to reach patient set desires. Also, the presence of any age-related alterations is the main yardstick for choosing the substance from which the threads will be made.

It is essential for the doctor to review the indications and appoints a procedure by selecting the permitted patient before performing a face thread lift and to be realistic about the potential treatment results and plausible risks of this flexible procedure.