{"id":12352,"date":"2026-10-20T16:24:12","date_gmt":"2026-10-20T09:24:12","guid":{"rendered":"https:\/\/s45clinic.com\/?p=12352"},"modified":"2026-10-20T19:05:55","modified_gmt":"2026-10-20T12:05:55","slug":"thread-lift-facelift","status":"publish","type":"post","link":"https:\/\/s45clinic.com\/en\/thread-lift-facelift\/","title":{"rendered":"How Much Can a Thread Lift Tighten the Face and How Is It Different From a Facelift?"},"content":{"rendered":"\n<p class=\"has-text-color wp-block-paragraph\" style=\"color:#6b7280;font-size:13px\">Example image used in advertising. Not a real patient.<\/p>\n\n\n\n<h2 id=\"s45-clinic-\u0e2a\u0e23\u0e38\u0e1b\u0e43\u0e2b\u0e49\" class=\"wp-block-heading\"><strong>Key Points<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A thread lift<\/strong> is a procedure that lifts and tightens the face without surgery. Small barbs on the threads hook into and support the fat layer beneath the skin. It suits people with mild to moderate sagging.<\/li>\n\n\n\n<li>Thread lift threads in common use are made from dissolvable materials such as PDO, PLLA and PCL, which take different lengths of time to break down and stimulate collagen in different ways.<\/li>\n\n\n\n<li>The main difference between a facelift and a thread lift is the layer of tissue treated. A facelift works as deep as the SMAS (the layer of muscle and connective tissue beneath the facial fat) and can remove excess skin, while a thread lift supports specific areas.<\/li>\n\n\n\n<li>An endoscopic facelift is an option with small incisions of no more than 3cm hidden along the hairline. It uses Endotine fixation devices to help support the tissue evenly.<\/li>\n\n\n\n<li>If you have had a thread lift before, always tell your doctor before a facelift, so they can assess any scar tissue beneath the skin and plan suitable surgery.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\">Sagging facial skin with age can show as cheeks that start to droop, deeper nasolabial folds (the lines from the nose to the corners of the mouth) and a less defined jawline. Many people then start looking for ways to reshape the face. A <strong>thread lift<\/strong> is one procedure that can lift and tighten the face without surgery, and it has a shorter recovery time than traditional surgery.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This article from S45 Clinic covers how a thread lift works, the types of threads, its benefits and limitations, and how it compares with a facelift, including the option of an endoscopic facelift. It aims to give you information to help you decide and choose care that suits your facial anatomy.<\/p>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>In This Article<\/h2><nav><ul><li><a href=\"#s45-clinic-\u0e2a\u0e23\u0e38\u0e1b\u0e43\u0e2b\u0e49\">Key Points<\/a><\/li><li><a href=\"#\u0e23\u0e49\u0e2d\u0e22\u0e44\u0e2b\u0e21\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32\u0e04\u0e37\u0e2d\u0e2d\u0e30\u0e44\u0e23-\u0e21\u0e35\u0e01\u0e25\u0e44\u0e01\u0e0a\u0e48\u0e27\u0e22\u0e1e\u0e22\u0e38\u0e07\u0e0a\u0e31\u0e49\u0e19\u0e1c\u0e34\u0e27\u0e2d\u0e22\u0e48\u0e32\u0e07\u0e44\u0e23\">What Is a Thread Lift and How Does It Support the Skin?<\/a><\/li><li><a href=\"#\u0e23\u0e49\u0e2d\u0e22\u0e44\u0e2b\u0e21\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32\u0e0a\u0e48\u0e27\u0e22\u0e2d\u0e30\u0e44\u0e23\u0e1a\u0e49\u0e32\u0e07\">What Can a Thread Lift Help With?<\/a><\/li><li><a href=\"#\u0e01\u0e32\u0e23\u0e23\u0e49\u0e2d\u0e22\u0e44\u0e2b\u0e21\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32\u0e40\u0e2b\u0e21\u0e32\u0e30\u0e01\u0e31\u0e1a\u0e43\u0e04\u0e23\">Who Is a Thread Lift Suitable For?<\/a><\/li><li><a href=\"#\u0e0a\u0e19\u0e34\u0e14\u0e02\u0e2d\u0e07\u0e44\u0e2b\u0e21\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32\u0e41\u0e25\u0e30\u0e04\u0e38\u0e13\u0e2a\u0e21\u0e1a\u0e31\u0e15\u0e34\u0e02\u0e2d\u0e07\u0e40\u0e2a\u0e49\u0e19\u0e44\u0e2b\u0e21\u0e41\u0e15\u0e48\u0e25\u0e30\u0e41\u0e1a\u0e1a\">Types of Thread Lift Threads and Their Properties<\/a><\/li><li><a href=\"#\u0e02\u0e49\u0e2d\u0e14\u0e35\u0e41\u0e25\u0e30\u0e02\u0e49\u0e2d\u0e08\u0e33\u0e01\u0e31\u0e14\u0e02\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e49\u0e2d\u0e22\u0e44\u0e2b\u0e21\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32\u0e17\u0e35\u0e48\u0e04\u0e27\u0e23\u0e23\u0e39\u0e49\">Benefits and Limitations of a Thread Lift to Know About<\/a><\/li><li><a href=\"#\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32-vs-\u0e23\u0e49\u0e2d\u0e22\u0e44\u0e2b\u0e21-\u0e41\u0e15\u0e01\u0e15\u0e48\u0e32\u0e07\u0e01\u0e31\u0e19\u0e2d\u0e22\u0e48\u0e32\u0e07\u0e44\u0e23\">Facelift vs Thread Lift, How Are They Different?<\/a><\/li><li><a href=\"#\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32\u0e40\u0e17\u0e04\u0e19\u0e34\u0e04\u0e2a\u0e48\u0e2d\u0e07\u0e01\u0e25\u0e49\u0e2d\u0e07-\u0e04\u0e37\u0e2d\u0e2d\u0e30\u0e44\u0e23-\u0e17\u0e32\u0e07\u0e40\u0e25\u0e37\u0e2d\u0e01\u0e22\u0e01\u0e01\u0e23\u0e30\u0e0a\u0e31\u0e1a\u0e41\u0e1c\u0e25\u0e40\u0e25\u0e47\u0e01\">What Is an Endoscopic Facelift? A Lifting Option With Small Incisions<\/a><\/li><li><a href=\"#\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32\u0e14\u0e49\u0e27\u0e22\u0e40\u0e17\u0e04\u0e19\u0e34\u0e04\u0e2a\u0e48\u0e2d\u0e07\u0e01\u0e25\u0e49\u0e2d\u0e07-\u0e40\u0e2b\u0e21\u0e32\u0e30\u0e01\u0e31\u0e1a\u0e43\u0e04\u0e23\">Who Is an Endoscopic Facelift Suitable For?<\/a><\/li><li><a href=\"#\u0e17\u0e33\u0e44\u0e21\u0e40\u0e25\u0e37\u0e2d\u0e01\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32\u0e17\u0e35\u0e48-s45-clinic\">Why Choose S45 Clinic for a Facelift<\/a><\/li><li><a href=\"#\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48\u0e1e\u0e1a\u0e1a\u0e48\u0e2d\u0e22\u0e40\u0e01\u0e35\u0e48\u0e22\u0e27\u0e01\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e23\u0e49\u0e2d\u0e22\u0e44\u0e2b\u0e21\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32\">Frequently Asked Questions About Thread Lifts<\/a><\/li><li><a href=\"#\u0e2a\u0e23\u0e38\u0e1b\">Summary<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<h2 id=\"\u0e23\u0e49\u0e2d\u0e22\u0e44\u0e2b\u0e21\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32\u0e04\u0e37\u0e2d\u0e2d\u0e30\u0e44\u0e23-\u0e21\u0e35\u0e01\u0e25\u0e44\u0e01\u0e0a\u0e48\u0e27\u0e22\u0e1e\u0e22\u0e38\u0e07\u0e0a\u0e31\u0e49\u0e19\u0e1c\u0e34\u0e27\u0e2d\u0e22\u0e48\u0e32\u0e07\u0e44\u0e23\" class=\"wp-block-heading\"><strong>What Is a Thread Lift and How Does It Support the Skin?<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1200\" src=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-01.webp\" alt=\"3 ways a thread lift works, a minimally invasive medical procedure: 1. threads are inserted into the fat layer beneath the skin, 2. barbs on the threads hook in to lift and support, and 3. collagen production is stimulated, shown with a cross-section of a barbed thread in the fat layer beneath the skin\" class=\"wp-image-12301\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-01.webp 1200w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-01-450x450.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-01-1080x1080.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-01-250x250.webp 250w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-01-768x768.webp 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">A <strong>thread lift<\/strong> is a minimally invasive medical procedure. Dissolvable threads are inserted beneath the skin to support sagging tissue and stimulate the skin to firm up from within. The doctor assesses the direction of pull to follow the line of the facial muscles, to balance the shape of the face.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>How Thread Lift Threads Work in the Fat Layer Beneath the Skin<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A thread lift starts with the doctor inserting the threads into the subcutaneous fat layer (the layer of fat beneath the skin), in the direction opposite to gravity. Small barbs around each thread hook into the skin tissue and fat pads, lifting the sagging areas and holding them in a suitable position.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">As well as this mechanical support, once the threads are in the skin, the body responds by making collagen and elastin around them. This makes the tissue in that area firmer through the body&#8217;s own response. Later, after the threads dissolve, the collagen the body has made continues to help support the skin for a period of time.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Areas of the Face Suited to Threads for Reshaping<\/strong><\/h3>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1200\" src=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-02.webp\" alt=\"3 areas where the doctor assesses where to place the threads, in the middle and lower face: 1. along the cheeks, to reduce the depth of the nasolabial folds, 2. the marionette lines at the corners of the mouth, and 3. along the jawline, to reshape the outline of the face\" class=\"wp-image-12302\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-02.webp 1200w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-02-450x450.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-02-1080x1080.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-02-250x250.webp 250w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-02-768x768.webp 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">The areas of the face suited to a thread lift are those with mild to moderate sagging, especially the middle and lower face, which often sag as part of ageing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Areas the doctor assesses for thread placement include the cheeks, to hold up the malar fat pad (the pad of fat over the cheekbone), which helps reduce the depth of the nasolabial folds, the marionette lines (the lines running down from the corners of the mouth) and the jawline, to reshape the outline of the face. The muscles of the forehead and eyebrows pull strongly against the threads, so <a href=\"https:\/\/s45clinic.com\/en\/thread-lift-brow-lift\/\">a thread brow lift<\/a> or forehead lift may give a more limited lift than in the middle and lower face.<\/p>\n\n\n\n<h2 id=\"\u0e23\u0e49\u0e2d\u0e22\u0e44\u0e2b\u0e21\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32\u0e0a\u0e48\u0e27\u0e22\u0e2d\u0e30\u0e44\u0e23\u0e1a\u0e49\u0e32\u0e07\" class=\"wp-block-heading\"><strong>What Can a Thread Lift Help With?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A thread lift may help with sagging skin and the shape of the face in several ways, depending on each person&#8217;s skin. It works through a combination of the pull from the threads and the skin&#8217;s own repair process:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>lifting cheeks that have dropped back into a proportioned position with more definition<\/li>\n\n\n\n<li>defining the jawline and outline of the face, and reducing sagging in the lower face<\/li>\n\n\n\n<li>reducing the depth of the nasolabial folds and the lines at the corners of the mouth, by holding up the fat layer in the middle of the face and spreading its tension<\/li>\n\n\n\n<li>stimulating new collagen in the skin, which helps the skin feel firmer<\/li>\n\n\n\n<li>adjusting the overall proportions of the face so the features look balanced from different angles<\/li>\n<\/ul>\n\n\n\n<h2 id=\"\u0e01\u0e32\u0e23\u0e23\u0e49\u0e2d\u0e22\u0e44\u0e2b\u0e21\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32\u0e40\u0e2b\u0e21\u0e32\u0e30\u0e01\u0e31\u0e1a\u0e43\u0e04\u0e23\" class=\"wp-block-heading\"><strong>Who Is a Thread Lift Suitable For?<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1200\" src=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-03.webp\" alt=\"2 skin conditions used to choose a method, depending on each person&#x27;s skin. May suit a thread lift: early to moderate sagging and skin that is still elastic. May need a facelift: severe sagging and a large amount of excess skin\" class=\"wp-image-12303\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-03.webp 1200w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-03-450x450.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-03-1080x1080.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-03-250x250.webp 250w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-03-768x768.webp 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">A thread lift suits people with early to moderate sagging whose skin is still elastic and who do not have too much excess skin.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">People suited to this procedure often start to notice that their jawline is less defined and their cheeks have dropped slightly. The fat layer beneath the skin needs to be the right thickness, not so thin that the threads show and not so thick and heavy that it is more than the barbs can support.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For people with severe sagging, a large amount of excess skin or a thick fat layer, a thread lift may not support the weight of the tissue enough, and another approach may be considered, such as <a href=\"https:\/\/s45clinic.com\/en\/facelift-necklift\/\">a facelift.<\/a><\/p>\n\n\n\n<h2 id=\"\u0e0a\u0e19\u0e34\u0e14\u0e02\u0e2d\u0e07\u0e44\u0e2b\u0e21\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32\u0e41\u0e25\u0e30\u0e04\u0e38\u0e13\u0e2a\u0e21\u0e1a\u0e31\u0e15\u0e34\u0e02\u0e2d\u0e07\u0e40\u0e2a\u0e49\u0e19\u0e44\u0e2b\u0e21\u0e41\u0e15\u0e48\u0e25\u0e30\u0e41\u0e1a\u0e1a\" class=\"wp-block-heading\"><strong>Types of Thread Lift Threads and Their Properties<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1200\" src=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-04.webp\" alt=\"4 barb types of thread lift threads, made from dissolvable PDO, PLLA and PCL: 1. smooth threads, 2. unidirectional barbed threads, 3. bidirectional barbed threads, and 4. moulded cog threads\" class=\"wp-image-12304\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-04.webp 1200w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-04-450x450.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-04-1080x1080.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-04-250x250.webp 250w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-04-768x768.webp 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Thread lift threads are made from synthetic medical materials such as PDO, PLLA and PCL, which dissolve over time. Each type differs in how much lift and support it gives and how long it holds, as follows:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Differences Between Dissolvable PDO, PLLA and PCL Threads<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Dissolvable thread materials commonly used to lift and support the skin fall into 3 main groups, based on how long they take to break down and how they stimulate collagen:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>PDO (polydioxanone) threads:<\/strong> these break down in about 6 to 8 months and are very flexible. They suit fine detail work and support for early sagging.<\/li>\n\n\n\n<li><strong>PLLA (poly-L-lactic acid) threads:<\/strong> these take longer to break down than PDO threads, with the time varying by product. Their key feature is stimulating collagen production.<\/li>\n\n\n\n<li><strong>PCL (polycaprolactone) threads:<\/strong> these take longer to break down than PDO threads, with the time varying by product. The threads are soft, strong and flexible.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Barb Types and How Threads Grip the Tissue<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">As well as the material, the pattern of barbs around the thread is another factor that decides how much lift it gives and how well it grips the fat pads beneath the skin:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Mono threads (smooth threads):<\/strong> these have no barbs. They are inserted in a mesh pattern to stimulate collagen and restore firmness to the skin, rather than to lift the tissue directly.<\/li>\n\n\n\n<li><strong>Unidirectional barbed threads:<\/strong> the barbs all face the same way, which helps pull the tissue in a set direction.<\/li>\n\n\n\n<li><strong>Bidirectional barbed threads:<\/strong> the barbs point in opposite directions towards the middle of the thread, which helps gather the tissue and hold it in place.<\/li>\n\n\n\n<li><strong>Moulded cog threads:<\/strong> these are formed in a mould, so the barbs are larger and grip firmly at first. Evidence on how long they hold compared with threads that have cut barbs is still limited.<\/li>\n<\/ul>\n\n\n\n<h2 id=\"\u0e02\u0e49\u0e2d\u0e14\u0e35\u0e41\u0e25\u0e30\u0e02\u0e49\u0e2d\u0e08\u0e33\u0e01\u0e31\u0e14\u0e02\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e23\u0e49\u0e2d\u0e22\u0e44\u0e2b\u0e21\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32\u0e17\u0e35\u0e48\u0e04\u0e27\u0e23\u0e23\u0e39\u0e49\" class=\"wp-block-heading\"><strong>Benefits and Limitations of a Thread Lift to Know About<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A thread lift is a non-surgical medical procedure whose main strength is convenience. Understanding both its benefits and its limits helps you set suitable expectations:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Benefits of a thread lift:<\/strong> there is no large surgical incision, only small needle entry points, and it uses a local anaesthetic, so you do not need a general anaesthetic. There is usually less swelling and bruising than with surgery, and you can return to your daily routine as your body recovers.<\/li>\n\n\n\n<li><strong>Limitations of a thread lift:<\/strong> it cannot trim or remove excess skin directly, and the lift only reaches the fat layer beneath the skin, not the deeper muscle layer. The results are also temporary, because the threads break down over time.<\/li>\n<\/ul>\n\n\n\n<h2 id=\"\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32-vs-\u0e23\u0e49\u0e2d\u0e22\u0e44\u0e2b\u0e21-\u0e41\u0e15\u0e01\u0e15\u0e48\u0e32\u0e07\u0e01\u0e31\u0e19\u0e2d\u0e22\u0e48\u0e32\u0e07\u0e44\u0e23\" class=\"wp-block-heading\"><strong>Facelift vs Thread Lift, How Are They Different?<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1200\" src=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-05.webp\" alt=\"2 layers of tissue treated differently, thread lift vs facelift: 1. a thread lift hooks into and supports the fat layer beneath the skin and cannot remove excess skin, and 2. a facelift works as deep as the SMAS layer and can trim excess skin directly, shown with cross-sections of the skin, fat, muscle and bone layers\" class=\"wp-image-12305\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-05.webp 1200w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-05-450x450.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-05-1080x1080.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-05-250x250.webp 250w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-05-768x768.webp 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Although both methods share the aim of making the face look firmer, medically they work in different ways and treat different layers of tissue.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A thread lift is a minimally invasive procedure in which dissolvable threads are inserted to hook into and support the fat layer beneath the skin. A facelift works deeper, down to the deep layer of facial muscle, and can trim excess skin directly. Understanding the strengths of each method helps you choose an approach that suits your skin and what you want.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Comparison Table of Lift, Tissue Layers Treated and Recovery<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">To show the main differences between a thread lift, an endoscopic facelift and a traditional facelift, the key details are compared in the summary table below.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Factor<\/th><th>Thread lift<\/th><th>Endoscopic facelift<\/th><th>Traditional facelift<\/th><\/tr><\/thead><tbody><tr><td><strong>Tissue layer<\/strong><\/td><td>Subcutaneous fat layer<\/td><td>Deep layers, such as beneath the periosteum, the layer covering the bone (subperiosteal)<\/td><td>Deep layer of facial muscle (SMAS)<\/td><\/tr><tr><td><strong>Excess skin<\/strong><\/td><td>Cannot remove excess skin<\/td><td>Redistributes the skin up towards the hairline<\/td><td>Surgically removes excess skin directly<\/td><\/tr><tr><td><strong>Scars<\/strong><\/td><td>Small needle entry points<\/td><td>Small incisions of no more than 3cm in the hairline<\/td><td>Long incisions in front of the ears and along the hairline<\/td><\/tr><tr><td><strong>Type of anaesthesia<\/strong><\/td><td>Local anaesthetic injections<\/td><td>General anaesthetic given by an anaesthetist<\/td><td>General anaesthetic, or local anaesthetic with sedation<\/td><\/tr><tr><td><strong>Recovery time<\/strong><\/td><td>About 3 to 7 days<\/td><td>About 7 to 14 days<\/td><td>About 2 to 4 weeks<\/td><\/tr><tr><td><strong>How long results last<\/strong><\/td><td>Temporary, varies by person and thread type<\/td><td>Depends on your skin, age and self-care<\/td><td>Depends on your skin, age and self-care<\/td><\/tr><tr><td><strong>Suitable level of sagging<\/strong><\/td><td>Mild to moderate<\/td><td>Moderate, in the upper and middle face<\/td><td>Moderate to severe, with a lot of excess skin<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Does a Previous Thread Lift Affect a Facelift in the Future?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">If you have had a thread lift before, you can still have <a href=\"https:\/\/s45clinic.com\/en\/facelift-surgery\/\">a facelift<\/a> in future, but you must tell your doctor about all your previous procedures.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A thread lift stimulates the body to form scar tissue around the threads in the fat layer beneath the skin. If you have had several thread lifts or a large number of threads, the build-up of scar tissue may make the tissue layers tougher and harder to separate. The surgeon needs to take care when separating the layers, to lower the chance of affecting nerves and blood vessels.<\/p>\n\n\n\n<p style=\"border-left: 3px solid #10CFC9; padding-left: 12px;\"><strong>Check how long results last: <\/strong><a href=\"https:\/\/s45clinic.com\/en\/how-long-does-a-facelift-last\/\">how long does a facelift last? Factors that make results last for different lengths of time<\/a><\/p>\n\n\n\n<h2 id=\"\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32\u0e40\u0e17\u0e04\u0e19\u0e34\u0e04\u0e2a\u0e48\u0e2d\u0e07\u0e01\u0e25\u0e49\u0e2d\u0e07-\u0e04\u0e37\u0e2d\u0e2d\u0e30\u0e44\u0e23-\u0e17\u0e32\u0e07\u0e40\u0e25\u0e37\u0e2d\u0e01\u0e22\u0e01\u0e01\u0e23\u0e30\u0e0a\u0e31\u0e1a\u0e41\u0e1c\u0e25\u0e40\u0e25\u0e47\u0e01\" class=\"wp-block-heading\"><strong>What Is an Endoscopic Facelift? A Lifting Option With Small Incisions<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1200\" src=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-06.webp\" alt=\"3 features of an endoscopic facelift, a lifting option with small incisions: 1. incisions of no more than 3cm in the hairline, 2. an endoscope (a thin tube with a camera) guides the surgery, and 3. fixation with Endotine devices, shown with a woman in profile with small marks in her hairline\" class=\"wp-image-12306\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-06.webp 1200w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-06-450x450.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-06-1080x1080.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-06-250x250.webp 250w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-06-768x768.webp 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">An <a href=\"https:\/\/s45clinic.com\/en\/deep-plan-full-face-lift\/\">endoscopic facelift that works at a deep level<\/a> is a lifting technique that fills the gap between a thread lift and a facelift with long incisions. It is designed for people who want to reshape the face at a deep level while keeping the surgical scars small and hidden along the hairline.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Endoscopic Technique and Hiding Small Scars Along the Hairline<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">An endoscopic facelift was developed to reduce the drawbacks of the long incisions used in traditional surgery. The surgeon makes several small incisions of no more than 3cm each, hidden along the hairline.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Through these small openings, the surgeon inserts an endoscope (a thin tube with a camera) that gives a magnified view to guide the surgery. It shows the blood vessels, nerves and tissue layers on a screen, which helps the surgeon separate the deep layers along the correct anatomical planes and disturb the surrounding blood vessels and tissue less. The small scars along the hairline gradually fade over several months, depending on each person&#8217;s body and aftercare.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>How Endotine Fixation Devices Work in a Facelift Compared With Thread Lift Barbs<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Endoscopic surgery is used together with Endotine fixation devices. If you are wondering <a href=\"https:\/\/s45clinic.com\/en\/service\/why-endotine-is-important\/\">what Endotine is,<\/a> it is a medical device made from a bioabsorbable material that the body breaks down on its own over several months.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The key feature of Endotine is its several tines (small prongs) that grip the tissue, which spread the lifting force evenly. This differs from thread lift barbs, which take the weight at points along the line of the thread. Once the tissue has healed back onto the bone beneath, the device gradually breaks down on its own, so it does not need to be removed with surgery.<\/p>\n\n\n\n<h2 id=\"\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32\u0e14\u0e49\u0e27\u0e22\u0e40\u0e17\u0e04\u0e19\u0e34\u0e04\u0e2a\u0e48\u0e2d\u0e07\u0e01\u0e25\u0e49\u0e2d\u0e07-\u0e40\u0e2b\u0e21\u0e32\u0e30\u0e01\u0e31\u0e1a\u0e43\u0e04\u0e23\" class=\"wp-block-heading\"><strong>Who Is an Endoscopic Facelift Suitable For?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">An endoscopic facelift is an approach often considered for people who want to reshape the upper and middle face at a deep level but want the surgical scars to be small and placed along the hairline.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This method suits people with <a href=\"https:\/\/s45clinic.com\/en\/drooping-outer-eye-corners\/\">droopy outer eye corners,<\/a> droopy eyebrows or a middle cheek that has started to sag and form nasolabial folds, whose skin is still elastic without too much excess skin. It also suits people who want a deep lift and are ready for a recovery period in which swelling and bruising usually improve within 7 to 14 days. During this recovery, the doctor usually advises wearing <a href=\"https:\/\/s45clinic.com\/en\/compression-garment-after-facelift\/\">a facial compression garment after the facelift<\/a> to help support the tissue while the wounds heal.<\/p>\n\n\n\n<h2 id=\"\u0e17\u0e33\u0e44\u0e21\u0e40\u0e25\u0e37\u0e2d\u0e01\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32\u0e17\u0e35\u0e48-s45-clinic\" class=\"wp-block-heading\"><strong>Why Choose S45 Clinic for a Facelift<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1200\" src=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-07.webp\" alt=\"3 approaches to care at S45 Clinic, with care planned for each person: 1. analysing how the skin sags, 2. placing Endotine devices for each person, and 3. close follow-up of your recovery, shown as icons of a face with a magnifying glass, a device on a curved surface and a calendar with a tick\" class=\"wp-image-12307\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-07.webp 1200w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-07-450x450.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-07-1080x1080.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-07-250x250.webp 250w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-07-768x768.webp 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Choosing a method to lift the face needs a thorough assessment of each person&#8217;s skin and bone structure. At S45 Clinic, we place importance on planning care for each person, because skin condition, the amount of fat beneath the skin and the level of sagging differ from person to person.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Analysing How the Skin Sags to Choose a Suitable Procedure<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">At S45 Clinic, we place importance on assessing the shape of your face, how elastic your skin is, the amount of fat beneath your skin and how much each area sags.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The doctor works with you to find the main cause of the sagging. If there is a build-up of excess skin or sagging in the deep layers, the doctor may recommend a facelift or the endoscopic technique, to plan care that matches each person&#8217;s goals.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Endotine Fixation Devices and Placement for Each Person<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">An endoscopic facelift uses Endotine fixation devices, made from a bioabsorbable material that the body breaks down on its own over several months.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The doctor assesses your bone structure and the direction in which the pulling force spreads through your tissue, to decide where to fix the Endotine devices in positions that suit your facial anatomy.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Close Follow-Up and Care During Recovery<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">As well as planning the procedure, we place importance on ongoing follow-up of your symptoms and progress after the procedure or surgery.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The doctor arranges appointments to check how your skin is recovering, how the tissue is healing and how your face is settling at each stage, and gives you close advice on caring for yourself, so you get suitable care during recovery.<\/p>\n\n\n\n<h2 id=\"\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48\u0e1e\u0e1a\u0e1a\u0e48\u0e2d\u0e22\u0e40\u0e01\u0e35\u0e48\u0e22\u0e27\u0e01\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e23\u0e49\u0e2d\u0e22\u0e44\u0e2b\u0e21\u0e14\u0e36\u0e07\u0e2b\u0e19\u0e49\u0e32\" class=\"wp-block-heading\"><strong>Frequently Asked Questions About Thread Lifts<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Does a Thread Lift Hurt During the Procedure?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">During a thread lift, the doctor injects a local anaesthetic and may also apply numbing cream. What you feel during the procedure is mostly light pressure or a feeling of tightness and heaviness as the doctor adjusts the threads beneath the skin. After the anaesthetic wears off, the skin may feel sore for the first few days. This can be eased by taking the medicine your doctor gives you.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>How Many Days After a Thread Lift Does Swelling Go Down and Settle?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Swelling and bruising after a thread lift usually happen in the first few days. This is a normal reaction of the tissue to the procedure. After that, the swelling keeps going down, and the tissue gradually heals around the threads over several weeks, depending on each person&#8217;s skin and self-care.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>How Long Do Thread Lift Results Last?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The results of a thread lift are temporary. How long they last varies with the thread material, your skin and your self-care, and long-term medical evidence is still limited. After the threads have fully dissolved, the new collagen the body has made still helps support the skin. How long results last also depends on your habits, such as avoiding intense heat, managing your weight and your facial expressions in daily life.<\/p>\n\n\n\n<h2 id=\"\u0e2a\u0e23\u0e38\u0e1b\" class=\"wp-block-heading\"><strong>Summary<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A <strong>thread lift<\/strong> is a non-surgical option for reshaping the face that suits early to moderate sagging. Understanding the limits of threads helps you weigh it up against a facelift, especially the endoscopic technique with small incisions, which treats the deep layers and holds them in place with Endotine devices.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Choosing a lifting approach that matches your goals needs to take into account your existing skin and its elasticity. An assessment by a doctor helps you get straightforward advice and plan to reshape your face in keeping with your existing features.<\/p>\n\n\n\n<div class=\"wp-block-group s45-cta\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n\n<h3 class=\"wp-block-heading\">Because every face shape&#8230;<br\/>is different<\/h3>\n\n\n\n<p class=\"s45-cta-lead wp-block-paragraph\">An otolaryngologist <strong>assesses every case before treatment<\/strong> and gives advice based on your actual concerns.<\/p>\n\n\n\n<p class=\"s45-cta-slogan wp-block-paragraph\">\u201cReveal the beauty within you\u201d<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n\n<div class=\"wp-block-button s45-cta-line\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/page.line.me\/s45clinic.official\" target=\"_blank\" rel=\"noreferrer noopener\">Chat with us on LINE<\/a><\/div>\n\n<\/div>\n\n\n\n<p class=\"s45-cta-free wp-block-paragraph\">Message us online<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a class=\"s45-cta-tel\" href=\"tel:+6621252543\">Call us +66 2 125 2543<\/a><\/p>\n\n\n\n<div class=\"s45-cta-clinic\"><a class=\"s45-cta-map\" href=\"https:\/\/maps.app.goo.gl\/7cTTtDAiE7NVN4yZA\" target=\"_blank\" rel=\"noreferrer noopener\"><span><strong>S45 Clinic (Sukhumvit 33)<\/strong><em>View map and directions<\/em><\/span><\/a><\/div>\n\n<\/div><\/div>\n\n<p class=\"s45-cta-warn wp-block-paragraph\">Surgery and medical procedures carry risks. Find out about them and consult a doctor before you decide. Results depend on each person.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Example image used in advertising. Not a real patient. Key Points Sagging facial skin with age can show as cheeks that start to droop, deeper nasolabial folds (the lines from the nose to the corners of the mouth) and a less defined jawline. Many people then start looking for ways to reshape the face. A&#8230;<\/p>\n","protected":false},"author":3,"featured_media":12373,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"categories":[521],"tags":[],"class_list":["post-12352","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-brow-lift"],"taxonomy_info":{"category":[{"value":521,"label":"Brow lift"}]},"featured_image_src_large":["https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/10\/thread-lift-facelift-cover-1080x608.webp",1080,608,true],"author_info":{"display_name":"S45 Clinic","author_link":"https:\/\/s45clinic.com\/en\/about-us\/"},"comment_info":0,"category_info":[{"term_id":521,"name":"Brow lift","slug":"brow-lift","term_group":0,"term_taxonomy_id":521,"taxonomy":"category","description":"","parent":0,"count":34,"filter":"raw","cat_ID":521,"category_count":34,"category_description":"","cat_name":"Brow lift","category_nicename":"brow-lift","category_parent":0}],"tag_info":false,"_links":{"self":[{"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/posts\/12352","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/comments?post=12352"}],"version-history":[{"count":1,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/posts\/12352\/revisions"}],"predecessor-version":[{"id":12366,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/posts\/12352\/revisions\/12366"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/media\/12373"}],"wp:attachment":[{"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/media?parent=12352"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/categories?post=12352"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/tags?post=12352"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}