top of page

Thread Lift: Is It Worth the Hype?

Updated: May 12

About the author: Dr V.P.S Ghotra

Dr Ghotra received his MD degree from Maastricht University and a PhD from Leiden University. Complementing his substantial academic credentials, he acquired a Master's degree in Ageing and Aesthetics from the prestigious University of Manchester. Leading his clinic in the vicinity of Amsterdam, Dr. Ghotra specializes in an array of minimally invasive aesthetic procedures. His expertise encompasses a wide range of treatments, from the precision of Botulinum toxin applications to the innovative techniques involved in thread lifts, fillers, and the latest advancements in laser therapies, providing his patients with cutting-edge solutions in the field of aesthetic medicine.

Welcome to an enlightening journey into the world of facial rejuvenation. Today, we explore the fascinating realm of thread lifts, with a special focus on their structural support capabilities, illustrated through the analogy of a bridge. This analogy will help you understand how thread lifts, particularly the APTOS method, offer support and lift to ageing skin, much like a bridge that supports a roadway.

The Fundamentals of a Thread Lift

A thread lift is a minimally invasive procedure that involves inserting medical-grade threads under the skin. These threads act to lift and sculpt the facial structure. It's a sought-after alternative to more invasive surgeries like facelifts. In this procedure, absorbable threads are inserted under the skin using needles. These threads attach to the skin tissue and are then pulled back to lift and smooth the face. Over time, these threads stimulate collagen production, helping to create a naturally youthful appearance.

How Does a Thread Lift Work?

To understand the concept of thread lifts in aesthetic medicine, let’s use the analogy of a bridge. This comparison offers a clear, detailed perspective on how thread lifts function and their role in facial rejuvenation.

The Bridge: A Symbol of Support and Structure

Picture a bridge spanning a river. The bridge is supported by cables that hold up the structure, keeping it suspended and functional. Over time, however, these cables can become less taut, causing the bridge to sag. This is where the bridge needs reinforcement to regain its original shape and function.

Thread Lifts: The Cables of Facial Rejuvenation

In this analogy, your facial skin is the bridge. With age, just like the cables on a bridge, the supportive structures in your skin (such as collagen and elastin) begin to lose their strength and elasticity, leading to sagging and wrinkles.

Inserting the Threads

During a thread lift procedure, medical-grade threads are inserted under the skin using fine needles. Think of these threads as new, strong cables being added to the bridge. They latch onto the underlying tissues and, when pulled tight, provide an immediate lift to the sagging areas of the face.

Collagen Stimulation

The insertion of threads also stimulates collagen production in the skin. Collagen is a key protein that provides structure and firmness. This process is akin to strengthening the materials of the bridge itself, not just relying on the cables for support.

How is the thread lift carried out?

Dr Ghotra uses special suture threads with bidirectional barbs. These threads are inserted under the skin using fine needles. The process includes several key steps:

Consultation and Planning

Dr Ghotra uses advanced imaging technologies like VECTRA 3D systems for his patient consultations and treatment planning. VECTRA 3D is an advanced imaging system that captures high-resolution, three-dimensional photographs of the patient's face.

It provides a detailed analysis of the patient’s facial structure, highlighting areas of volume loss, asymmetry, and sagging, which are the key factors in planning a thread lift. This advanced imaging system empowers the patients to visualize the potential results of the thread lift procedure, offering a realistic preview of how their face might look post-treatment.

With this detailed 3D imagery, Dr Ghotra can create a highly customized treatment plan, ensuring that the placement and tension of the threads are optimally tailored to the patient's unique facial structure.


The treatment area is cleansed, and a local anaesthetic is applied to minimize discomfort.

Insertion of Threads

Using a fine needle, the threads are introduced under the skin. The unique barbed design of these threads allows them to anchor to the underlying tissues securely.

Lifting and Tightening

Once the threads are in place, the physician gently pulls them to reposition and lift the sagging tissues. The bidirectional barbs ensure the threads grip the tissues effectively, providing an immediate lifting effect.

Stimulating Collagen Production

The insertion of threads also triggers the body’s natural healing response, leading to increased collagen production around the threads. This not only enhances the lifting effect but also improves the overall texture and firmness of the skin.

Which patients are the ideal candidates for a thread lift procedure?

The ideal candidates for a thread lift are typically individuals in their late 30s to early 50s who are experiencing mild to moderate sagging facial skin. These individuals should have realistic expectations and be in good overall health.

Eyebrow sagging

Threads can be used to elevate sagging eyebrows, restoring a more youthful and alert appearance.

Mid-Face and Cheek sagging

The threads can lift and reposition drooping cheeks, enhancing the natural contours of the face.

Jowl and Lower Face sagging

Threads are effective in addressing sagging in the lower face and jawline, providing a more defined and rejuvenated profile.

Neck sagging

They can also be used to tighten sagging skin in the neck area, reducing the appearance of wrinkles and folds.

What are the Potential Complications of a Thread Lift?

While thread lifts are generally safe, they can have complications, such as:

  • Minor pain or discomfort

  • Swelling and bruising

  • Infection

  • Thread migration or protrusion

  • Asymmetry

How Long Does the Effect of a Thread Lift Last?

The effects of a thread lift, particularly with APTOS threads, can last anywhere from 1 to 2 years. This varies depending on the individual’s skin condition and lifestyle.

What Should Patients Expect During Recovery?

Post-procedure, patients might experience some swelling and bruising. It's generally recommended to avoid strenuous activities for a week or so. Results can often be seen immediately, with improvements continuing as collagen production increases.


Thread lifts offer a promising solution for those seeking facial rejuvenation without the invasiveness of surgery. However, it's crucial to consult with a qualified aesthetic physician to determine if this is the right procedure for you.

Ready to Lift the Years Away?

Are you noticing signs of ageing in your face that creams and serums just can’t address? It might be time to consider something more impactful. Discover the rejuvenating power of thread lifts and see how this minimally invasive procedure can restore your youthful contours with natural-looking results. Don’t let sagging skin dictate your appearance.

128 views0 comments


bottom of page