Lifting threads

Lifting threads are absorbable threads, introduced under the skin using a needle or a fine cannula; depending on their type, they aim to exert mechanical support on the tissues and may stimulate the local response of those tissues, before gradually resorbing. I want to make this clear from the outset: this technique is not a substitute for a surgical procedure, and my role is to situate its place accurately, according to each person’s morphology and degree of laxity.

The session opens with an examination of the tissues and the identification of the areas concerned, the path of which is then drawn on the skin; arrangements for local anaesthesia may be offered, defined case by case. The threads are introduced, then positioned according to the outline chosen. The type of threads, their number, the length of the session and any repetition of the procedure depend on each situation and are specified in consultation.

The procedure concerns the face, in particular when support for certain areas or a redefinition of the facial contour is sought in moderate laxity; the proposal takes into account the quality of the skin, the thickness of the tissues and the degree of laxity. My approach rests on medical judgement, and so the indication is never automatic: in cases of marked laxity, of very thin skin or of certain past history, the procedure may not be selected, and another direction may then be proposed to the patient. What may be obtained varies according to the situation and cannot be announced in advance; the same applies to the duration of the effect, which is discussed in consultation.

After-effects may occur, such as oedema, bruising, tenderness or sensations of tightness in the days that follow, as well as irregularities or puckering of the skin. The possible complications are set out before the procedure, as are the signs that should lead to seeking medical advice and the precautions to observe. A prior consultation is mandatory: it allows the indication to be assessed, contraindications to be looked for, the patient to be informed and their consent to be obtained.