The appeal of a thread lift is straightforward: visible lifting of sagging facial tissue with no incisions, no general anesthesia, and a recovery measured in days rather than weeks. For the right patient, it delivers on that promise. For the wrong patient, it delivers disappointment at a significant cost.

Understanding the genuine strengths and the real limitations of thread lift technology is essential for making an informed decision. At my Beverly Hills practice, I've performed thread lifts on patients for whom they were the ideal solution — and redirected patients toward facelift surgery when threads simply couldn't produce the result they needed. This guide explains what you need to know to know the difference.

What Is a Thread Lift?

A thread lift is a minimally invasive procedure in which dissolvable sutures (threads) are inserted under the skin using a fine needle or cannula and used to mechanically lift sagging tissue. The threads have small barbs or cones that grip the tissue and hold it in the new, elevated position.

The two primary effects are:

Most threads used today are made from polydioxanone (PDO), which dissolves over approximately 4–6 months. The collagen response they produce, however, persists considerably longer.

Thread Types and What They Treat

Barbed Lifting Threads (Mono Cog)

The primary lifting thread. Single barbed or bi-directional barbed threads are anchored at one end and grip the tissue with barbs or cones as they are tensioned. Used for jowls, midface, brow, and neck.

Smooth Mono Threads

Single smooth threads without barbs, placed in a mesh pattern. These are used primarily for collagen stimulation and skin tightening rather than lifting — effective for fine lines, skin texture improvement, and early laxity.

Screw Threads

Two threads twisted around a needle, providing volume and density to sunken areas. Commonly used in cheeks and brows.

Areas Treated with Thread Lifts

Treatment Area Thread Type Typical Result
Jowls and lower face Barbed lifting threads Moderate definition of jawline, reduced jowling
Midface / cheeks Barbed or screw threads Restored midface volume and subtle lift
Brow Barbed lifting threads Elevated brow tail, reduced hooding
Nasolabial folds Smooth or barbed threads Softened fold appearance
Neck laxity (mild) Barbed lifting threads Mild tightening of neck skin
Skin texture / fine lines Smooth mono threads Improved skin quality, subtle tightening

The Ideal Thread Lift Candidate

Patient selection is the single most important factor in thread lift outcomes. Ideal candidates share several characteristics:

Thread lifts are not appropriate for patients with significant jowling, substantial neck skin excess, deep nasolabial folds, or moderate-to-severe facial aging. These patients will be disappointed with thread results and are better served by facelift surgery.

The Thread Lift Procedure: What to Expect

The procedure is performed in-office under local anesthesia (with optional light oral sedation). It takes approximately 45–90 minutes depending on the number of threads and areas treated.

  1. Consultation and marking: I map the insertion points and vectors based on the patient's anatomy and goals
  2. Anesthesia: Local anesthetic injections numb the insertion sites and thread tracts
  3. Thread placement: A fine needle or blunt cannula is used to pass the threads under the skin along pre-planned vectors
  4. Tensioning: The threads are gently tensioned to achieve the desired lift and the excess is trimmed
  5. Immediate assessment: Results are visible immediately, though some swelling will be present for several days

Discomfort during the procedure is typically mild with adequate local anesthesia. Most patients describe it as pressure and occasional pulling sensations rather than sharp pain.

Recovery and Aftercare

Thread lifts have a significantly shorter recovery period than surgical procedures, but they are not entirely without downtime:

Aftercare instructions:

How Long Do Thread Lift Results Last?

This is the question patients ask most often, and the honest answer is: it depends. Most patients see meaningful results for 1–2 years. Factors that influence longevity:

Maintenance treatments, placing new threads as the original results fade, are an option for patients who wish to sustain the improvement without proceeding to surgery.

Thread Lift vs. Facelift: The Honest Comparison

Factor Thread Lift Surgical Facelift
Anesthesia Local (in-office) General or deep sedation
Recovery 3–7 days 2–4 weeks
Results duration 1–2 years 7–12 years
Degree of correction Mild to moderate Moderate to dramatic
Ideal laxity degree Mild to moderate Moderate to severe
Cost (Beverly Hills) $2,000–$5,500 $18,000–$35,000+
Repeatable? Yes, annually or as needed Once, occasionally twice lifetime

Thread lifts are not a "facelift without surgery", that framing sets unrealistic expectations. They are a separate procedure for a different patient at a different stage of aging. The best approach is to understand where you are on the aging spectrum and choose accordingly.

Cost of Thread Lift in Beverly Hills

Thread lift pricing in Beverly Hills varies based on the number of threads, areas treated, and provider experience. At my practice, costs typically range from $2,000 to $5,500 for a full-face thread lift treatment. The procedure is performed in-office and includes local anesthesia.

Because thread lifts are not permanent, patients should factor in the cost of eventual re-treatment when comparing the long-term economics to a surgical facelift.

Thread Lift Consultation

The right candidate for a thread lift gets meaningful, natural improvement with minimal downtime. A consultation with Dr. Newman will clarify whether threading, fillers, a surgical facelift, or a combination approach is right for your anatomy and goals.

Schedule Your Consultation

Frequently Asked Questions

Thread lifts typically last 1–3 years depending on the threads used, the area treated, the patient's age, and skin quality. PDO threads dissolve over 4–6 months, but the collagen they stimulate continues providing support. Results in younger patients with good skin elasticity tend to last longer. Maintenance threads can be placed once the initial lift fades.
Thread lifts and surgical facelifts serve different patients. Thread lifts work best for patients in their late 30s to early 50s with mild to moderate skin laxity who are not ready for surgery. Facelifts produce more powerful, longer-lasting results and are the better choice for patients with significant sagging, deep jowls, or excess neck skin. Thread lifts are not a substitute for facelift surgery in patients who truly need it.
Recovery from a thread lift is minimal compared to surgery. Most patients experience mild swelling, bruising, and tenderness for 3–7 days. Dimpling at insertion points is common initially but resolves within 1–2 weeks. Most patients return to normal activities within 2–3 days. Strenuous exercise and facial massage should be avoided for 2 weeks.
Thread lift cost in Beverly Hills typically ranges from $2,000 to $5,500 depending on the number of threads used, the areas treated, and the provider's experience. The procedure is performed in-office under local anesthesia and takes 45–90 minutes.
Yes. Thread lifts are commonly combined with dermal fillers to restore volume while threads restore lift, with Botox to address dynamic wrinkles, and with skin resurfacing treatments to improve texture. Many patients achieve their best results with a multi-modal approach that addresses structure, volume, and skin quality simultaneously.