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Home » Blog » Thread Lift vs Facelift: 4 Important Questions

Thread Lift vs Facelift: 4 Important Questions

01/06/2023 by Homer Hojjat, MD

Facelift versus Thread Lifts
A skilled surgeon can evaluate your skin condition and understand your goals.

Have you ever looked in the mirror and wondered if there’s a way to restore your youthful appearance without going overboard? Whether you’re noticing early signs of sagging or more pronounced facial aging, today’s cosmetic options offer tailored solutions for every stage of the aging process.

Among the most talked-about treatments are the traditional facelift and the increasingly popular thread lift. Both procedures promise facial rejuvenation, but how do they differ, and which one is best suited for your goals? Read on as we break down everything you need to know.

Face Lift or Thread Lift?

If you’re beginning to notice a slight droop in your cheeks or jawline, a thread lift may be all you need to regain a refreshed look. Ideal for mild to moderate signs of aging, thread lifts are minimally invasive and offer subtle lifting. In contrast, facelifts are more appropriate for those experiencing moderate to severe skin laxity, deeper wrinkles, or sagging in the lower face and neck. As we explore the pros and cons of each procedure, as well as the costs, recovery, and risks, you’ll gain a clearer picture of which treatment best suits your current needs.

1. How Are They Any Different?

While both thread lifts and facelifts aim to tighten and rejuvenate the face, the way they go about it is entirely different. The techniques behind each procedure play a major role in their outcomes, recovery times, and the type of results patients can expect. Let’s break down how each one is performed.

The Full Facelift Surgery

A full facelift, or rhytidectomy, is a surgical procedure performed under general anesthesia or local anesthesia with sedation. It involves making discreet incisions, typically around the ears and sometimes along the hairline, to access deeper facial tissues. The surgeon then lifts and repositions underlying muscles and connective tissue (SMAS layer) to restore youthful contours, removes excess skin, and carefully closes the incisions to minimize visible scarring. This approach allows for a comprehensive and long-lasting rejuvenation of the lower two-thirds of the face and neck, so yes, a thread lift is not really a substitute for facelift surgery.

The Thread Lift Procedure

Thread lifts are minimally invasive procedures typically performed under local anesthesia. During the procedure, a cosmetic surgeon inserts biodegradable threads—often made of materials like polydioxanone (PDO)—under the skin using a fine needle or cannula. These PDO threads have tiny barbs or cones that latch onto the underlying tissue, allowing the surgeon to gently lift and reposition sagging skin. Once in place, the threads stimulate collagen production while providing a subtle lift, especially in areas like the cheeks, jawline, and neck. The entire procedure usually takes under an hour, with no incisions or sutures required.

2. How Much Do They Cost?

Cost can be a major deciding factor when choosing between a facelift and a thread lift. These procedures vary significantly in price due to their complexity, longevity, and the resources required. Understanding the general cost range for each option can help set realistic expectations and guide your decision.

Facelift Surgery Cost

A traditional facelift is a highly customized surgical procedure, and its price can vary widely based on the complexity of the case, surgeon’s expertise, and geographic location. On average, a facelift costs around $17,660, but the total can range anywhere from $5,600 to as much as $50,000. This typically includes the surgeon’s fee, anesthesia, facility charges, and post-op care. While the upfront investment is higher, the results tend to last significantly longer than non-surgical alternatives, making it a cost-effective solution over time for those with more advanced signs of aging.

Thread Lift Cost

Thread lifts are considerably more affordable than traditional facelifts, making them a popular option for those looking for subtle rejuvenation without the surgical commitment. On average, the cost of a thread lift is around $2,000, though some patients may pay up to $4,400 depending on the treatment area, number of threads used, and practitioner expertise. While the results aren’t as long-lasting as a surgical facelift, the lower cost and minimal downtime make it an attractive alternative for individuals with mild to moderate skin laxity.

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3. What Can I Expect From The Recovery?

Recovery is where these two procedures truly diverge. Since one is surgical and the other minimally invasive, the healing process, downtime, and aftercare expectations are vastly different. Knowing what to expect post-procedure can help you plan ahead and choose the option that best fits your lifestyle.

The Facelift Recovery

Most patients can expect to return to light daily activities within 10 to 14 days after a facelift, although strenuous exercise and social engagements may need to wait around four weeks. Full recovery—when all swelling has subsided and final results are visible—typically takes three to six months. Aftercare involves managing bruising and swelling with cold compresses, keeping the head elevated, and following specific wound care instructions provided by the surgeon. Follow-up appointments are essential to ensure proper healing and to address any concerns along the way.

The Thread Lift Recovery

Thread lift recovery is quick and relatively low-maintenance. Most patients can return to work and normal activities within 1 to 2 days, although it’s best to avoid vigorous exercise and excessive facial movements for about a week. Full results typically settle in after a few weeks, once minor swelling or bruising resolves. While the aftercare is minimal, patients should follow instructions such as sleeping with the head elevated, avoiding makeup for the first 24 hours, and skipping facial massages or treatments for a couple of weeks. Compared to surgical recovery, it’s a much more convenient option for those with busy lifestyles.

4. What Are The Potential Complications?

No cosmetic procedure is entirely without risk, and understanding potential complications is key to making an informed decision. While both thread lifts and facelifts are considered safe when performed by qualified professionals, each comes with its own set of possible side effects and risks. Here’s what you should know.

Facelift Risks

As with any surgical procedure, facelifts carry a risk of complications, although they are uncommon when performed by a qualified surgeon. Potential risks include infection, hematoma, nerve injury (which may cause temporary or, rarely, permanent facial weakness), and adverse reactions to anesthesia. Scarring is typically minimal and well-concealed, but irregularities in skin contour or prolonged swelling can occur. Some patients may also experience prolonged numbness or skin tightness during recovery. Choosing an experienced facial plastic surgeon significantly reduces the likelihood of complications and enhances overall safety.

Thread Lift Risks

Though thread lifts are considered low-risk, there are still some potential complications to be aware of. These may include minor bruising, swelling, or dimpling at the thread insertion sites. In rare cases, patients can experience thread migration, infection, or asymmetry. Some threads may become visible under thin skin or cause temporary discomfort as they settle. Compared to surgical facelifts, these issues are generally less severe and easier to manage. Still, results and risks greatly depend on the skill of the practitioner, making professional expertise crucial.

How To Choose the Best Type of Lift for You

When it comes to facial rejuvenation, choosing an experienced specialist isn’t just a good idea—it’s essential. A skilled surgeon can evaluate your skin condition, understand your goals, and recommend the right procedure, minimizing risks while maximizing natural-looking results.

Dr. Homer Hojjat, double-board certified in facial plastic surgery and otolaryngology-head and neck surgery, brings elite training and a sharp aesthetic eye to every procedure. As a CSFPS member and accomplished researcher, Dr. Hojjat utilizes the latest, minimally-invasive techniques for safe, effective results tailored to your face. Call us at 949-996-3274 or visit our contact page to schedule your consultation.

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