Thread lifting, or suture suspension, is a facial rejuvenation technique in which practitioners insert and pass one or more threads under the skin surface, pull to lift the ptotic tissue and anchor the threads at the site of entry.1-6 This technique has been studied for more than 20 years.7
The goal of thread lifting is to reposition soft tissue (such as superficial fat pads) without undermining tissue, while maintaining safety and producing sustainable results.7,8 Middle-aged patients with mildly/moderately ptotic tissues and good skin quality have been considered ideal candidates for thread lift procedures.9 Traditionally, patients with heavy tissues or thin skin have not been considered candidates, but I have found that the technique described below overcomes many of these shortcomings.9
Since the practitioner’s technique is the bridge between basic science and clinical outcome, optimising each step in thread placement is essential for success.
