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Niharika Mandal
Ph.D. in Biotechnology and over four years of experience as a medical writer. Her expertise includes writing and editing clinical documents such as protocols, clinical study reports, patient narratives, and manuscripts, in compliance with regulatory guidelines.

Thread Lift vs. Filler

Choosing the Right Facial Rejuvenation Treatment

Choosing between a thread lift and fillers (Restylane, Juvederm, etc) is influenced by individual preferences and goals. Thread lifts are suited for those desiring gradual, natural results with collagen stimulation, while fillers provide immediate improvements and versatility for specific concerns.

The decision hinges on desired outcomes, treatment duration, and whether one favors a subtle lift or instant enhancement. Let’s delve into the details to better understand these cosmetic procedures.

Thread Lift vs. Filler - Wilderman Cosmetic Clinic

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Thread Lift vs. Filler: What is the difference?

Here’s a breakdown of the key distinctions between these two facial rejuvenation treatments:

Procedure:

  • Thread Lifts: Involve the insertion of dissolvable threads beneath the skin through small incisions. The threads are then lifted to achieve a subtle facial lift.
  • Dermal Fillers: Administered through injections directly into the target areas, typically without the need for incisions. The procedure is relatively quick and straightforward.

Mechanism of Action:

  • Thread Lifts: Stimulate collagen production, promoting a gradual lift and improved skin elasticity over time.
  • Dermal Fillers: Add volume to specific areas instantly, reducing the appearance of wrinkles and fine lines through the filler material itself.

Concerns They Address:

  • Thread Lifts: Effective for addressing sagging or loose skin, particularly in the midface and jowls.
  • Dermal Fillers: Versatile, addressing concerns such as volume loss, and wrinkles, and enhancing specific facial features like lips and cheeks.

Treatment Areas:

  • Thread Lifts: Primarily used for lifting and tightening sagging skin, often in the midface and jawline.
  • Dermal Fillers: These can be applied to various facial areas, including lips, cheeks, nasolabial folds, marionette lines, and other areas with volume loss.

Treatment Time:

  • Thread Lifts: Typically take around 30 to 45 minutes.
  • Dermal Fillers: Quick procedures are often completed within 20 and 30 minutes, depending on the area being treated.

Duration of Results:

  • Thread Lifts: The results of a thread lift can last for up to 1-2 years, depending on the individual and the type of threads used.
  • Dermal Fillers: The duration of results varies but generally lasts from 6 months to 2 years, depending on the type of filler and the treated area.

Minimally Invasive Procedure:

  • Thread Lifts: Generally considered minimally invasive, but patients may experience some discomfort during and after the procedure. Local anesthesia is typically used to minimize pain.
  • Dermal Fillers: Typically considered minimally invasive with minimal discomfort. Some formulations include a local anesthetic to enhance comfort during the procedure.

Budget:

  • Thread Lifts: Often more expensive than dermal fillers due to the nature of the procedure and the longevity of results.
  • Dermal Fillers: Generally, it is more cost-effective, but the cumulative cost over time may be a consideration due to the temporary nature of the results.

Comparing the benefits

Both thread lifts and dermal fillers offer unique benefits, addressing different concerns and providing distinct results. Here’s a comparative overview of the benefits of each treatment:

Thread Lifts:

  1. Natural-Looking Lift: Thread lifts provide a gradual and natural-looking lift to sagging skin, contributing to a more youthful appearance.
  2. Collagen Stimulation: The insertion of dissolvable threads stimulates collagen production, promoting improved skin elasticity and firmness over time.
  3. Longer-Lasting Results: Results from a thread lift can last up to 1-2 years, making it a longer-lasting solution compared to some dermal fillers.
  4. Minimal Downtime: While some post-procedure effects like swelling and bruising may occur, the downtime is generally shorter than that of surgical options, making it suitable for those with busy lifestyles.

Dermal Fillers:

  1. Immediate Results: One of the primary advantages of dermal fillers is their ability to provide instant volume restoration and noticeable improvements immediately after the procedure.
  2. Versatility: Dermal fillers can address a wide range of concerns, including volume loss, wrinkle reduction, and enhancement of specific facial features such as lips and cheeks.
  3. Quick and Convenient: The injection process is typically quick, and the procedure can often be completed in less than an hour, making it a convenient option for those with busy schedules.
  4. No Downtime: Dermal filler treatments generally involve minimal downtime, allowing individuals to resume their daily activities shortly after the procedure.

Potential risks and side effects

Both thread lifts and dermal fillers are generally considered safe when performed by qualified and experienced professionals. However, like any cosmetic procedure, they come with potential risks and side effects. It’s crucial to understand these risks before deciding on a particular treatment. Here are the potential risks associated with thread lifts and dermal fillers:

Thread Lifts:

  • Infection: As with any procedure involving incisions, there is a risk of infection. This risk is typically minimized through proper sterilization and aftercare.
  • Visible or Palpable Threads: In some cases, the threads used in the lift may become visible or palpable beneath the skin, leading to potential dissatisfaction with the aesthetic outcome.
  • Bruising and Swelling: Mild bruising and swelling are common after a thread lift. These side effects are usually temporary but can be a consideration, particularly in the days following the procedure.
  • Asymmetry: There is a potential risk of uneven results or asymmetry, especially if the threads are not placed symmetrically or if there is an uneven response to the treatment.
  • Puckering or Dimpling: In some cases, the skin may react to the threads in a way that causes puckering or dimpling, which may require further correction.

Dermal Fillers:

  • Allergic Reactions: While rare, some individuals may experience an allergic reaction to the filler material. Most dermal fillers are made from hyaluronic acid, which is generally well-tolerated.
  • Infection: Any injection carries a risk of infection, but it is minimized by using sterile techniques during the procedure.
  • Bruising and Swelling: Common side effects after dermal filler injections include bruising and swelling, which are usually temporary.
  • Lumpiness or Irregularities: In some cases, the filler may cause lumpiness or irregularities under the skin. Proper injection techniques can help minimize this risk.
  • Migration of Filler: There is a slight risk that the filler may move from the injection site, leading to unintended results. This is more common with thinner fillers and can often be corrected.

Can you combine the treatments?

Yes, combining thread lifts and dermal fillers is a common approach to facial rejuvenation. Each treatment addresses different aspects of aging, and when used together, they can provide a comprehensive and harmonious enhancement.

Thread lifts are often used to address sagging or loose skin in specific areas, providing a subtle lift over time. Dermal fillers can be strategically used to restore volume, smooth wrinkles, and enhance facial features, such as the lips, cheeks, or nasolabial folds.

Combining thread lifts and dermal fillers allows for a more customized and tailored treatment plan, addressing multiple concerns simultaneously.

While thread lifts stimulate collagen production and provide a gradual lift, dermal fillers offer immediate volume restoration. Together they can produce more immediate and long-term improvements, providing a balanced and natural-looking outcome.

Thread lifts contribute to longer-lasting results, and dermal fillers provide immediate effects with a duration that varies.

Combining these treatments may extend the overall duration of the rejuvenation effects, with the potential for periodic maintenance treatments as needed.

Both thread lifts and dermal fillers are minimally invasive, making the combination a viable option for individuals seeking facial rejuvenation without the downtime associated with surgical procedures.

It’s important to note that the decision to combine thread lifts and dermal fillers should be made in consultation with a qualified and experienced aesthetic professional.

What is the best treatment for me?

Determining the best treatment for you depends on various factors, including your specific concerns, aesthetic goals, skin condition, and personal preferences. Consulting with a qualified and experienced aesthetic professional is crucial to receiving personalized advice based on your unique situation. However, here are some general considerations for choosing between thread lifts and dermal fillers:

Thread Lifts:

  1. Ideal for specific areas like the midface or jawline with sagging or loose skin.
  2. Offers a subtle, gradual improvement by stimulating collagen production.
  3. Typically provides longer-lasting results compared to some dermal fillers.
  4. Involves minimal downtime, but expect some initial swelling or bruising.

Dermal Fillers:

  1. Effective for addressing volume loss, wrinkles, and fine lines.
  2. Provides instant results, making it suitable for those seeking immediate improvement.
  3. Can enhance various features, such as lips and cheeks, offering a versatile solution.
  4. Quick and convenient treatments, ideal for busy schedules.

Combining Treatments:

Combining thread lifts and dermal fillers addresses both sagging skin and volume loss for optimal results. Allows for a tailored approach, meeting specific needs and achieving a harmonious overall result.

Takeaway

The decision between thread lifts and dermal fillers depends on your unique aesthetic goals, concerns, and preferences. Both treatments offer distinct benefits, and in some cases, a combination of the two may provide a comprehensive solution for facial rejuvenation.

If you are primarily dealing with sagging or loose skin in specific areas and prefer a gradual improvement, a thread lift could be a suitable option. Thread lifts stimulate collagen production, contributing to long-lasting results and a natural-looking lift over time.

On the other hand, if your concerns include volume loss, wrinkles, or the desire for immediate results, dermal fillers may be more appropriate. Dermal fillers offer versatility, allowing for the enhancement of specific facial features and providing instantly visible improvements.

The best approach is often a collaborative one, where a qualified and experienced aesthetic professional assesses your individual needs and recommends a personalized treatment plan. This may involve a combination of thread lifts and dermal fillers or other treatments to achieve optimal and harmonious results.

Botulinum toxin, hyaluronic acid fillers, and thread lifting are the “gold triad” of successful long-term aesthetic correction

Reference

MD Beauty Clinic. Thread Lift vs. Filler: What’s the Difference? https://mdbeautyclinic.ca/blog/thread-lift-vs-filler/#:~:text=At%20the%20same%20time%2C%20thread,the%20same%20way%20filler%20can.

Qazi Clinic. Threads or Fillers: Making the Right Choice. https://qaziclinic.com/resources/threads-or-fillers/.

NHS (National Health Service). Dermal Fillers. https://www.nhs.uk/conditions/cosmetic-procedures/non-surgical-cosmetic-procedures/dermal-fillers/#:~:text=Injections%20are%20given%20around%20the,on%20the%20area%20being%20treated.

American Society of Plastic Surgeons. What You Need to Know About Thread Lifts. https://www.plasticsurgery.org/news/blog/what-you-need-to-know-about-thread-lifts#:~:text=First%2C%20local%20anesthesia%20will%20be,to%20return%20to%20work%20afterward.

Gutop EO, Murakov SV. Combined treatment protocols of age-related changes of the face: botulinum toxin, fillers, and thread lifting. Plastic Surgery and Aesthetic Medicine. 2021; No. 3:92-101. https://doi.org/10.17116/plast.hirurgia202103192

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