Autologous Rejuvenation

Thread Lifting

A minimally invasive facial rejuvenation procedure using absorbable suture threads placed beneath the skin to lift sagging tissues, stimulate collagen production, and restore facial contour without surgery.
Overview

What Is Thread Lifting?

Thread lifting is a minimally invasive procedure in which absorbable suture threads — typically made of polydioxanone (PDO) or poly-L-lactic acid (PLLA) — are inserted under the skin using fine needles or cannulas. Barbed or cogged threads provide immediate mechanical lifting of sagging tissue, while smooth threads stimulate collagen production along their path.

At St. George Hospital, thread lifting is performed by physicians with specialized training in facial anatomy and thread techniques. The procedure offers a less invasive alternative to surgical facelifting for patients with mild to moderate skin laxity.

Thread lifting aesthetic medicine at St. George Hospital Germany
Mechanism

How Does It Work?

Barbed lifting threads are inserted along predetermined vectors and anchored to provide immediate tissue repositioning. As the threads are absorbed over 6-12 months, they stimulate a controlled fibrotic response that produces new collagen along the thread path. This collagen scaffold maintains the lifting effect even after the threads have dissolved.

Smooth PDO threads (mono threads) are placed in a mesh pattern to create a collagen-stimulating framework without mechanical lifting. This approach improves skin texture, thickness, and firmness. The combination of lifting and smooth threads allows physicians to address both structural laxity and surface skin quality in a single procedure.

Indications

Conditions Treated

Is This Therapy Right for You?

Our physicians will evaluate whether this treatment is appropriate for your condition after a thorough assessment.

Patient Experience

What Does a Session Look Like?

The procedure is performed under local anesthesia and takes 30-60 minutes depending on the number of threads and areas treated. Threads are inserted through small entry points using needles or cannulas. Mild swelling, bruising, and tenderness are normal for 5-7 days. Patients should avoid extreme facial expressions and vigorous exercise for 2 weeks. The lifting effect is visible immediately, with continued improvement over 2-3 months as collagen production increases. Results typically last 12-18 months.
Research

Evidence & Safety

Thread lifting has been studied in clinical trials with results published in journals including Dermatologic Surgery, Aesthetic Plastic Surgery, and the Journal of Cosmetic Dermatology. Evidence supports both the immediate lifting effect and the long-term collagen stimulation. PDO and PLLA threads have well-characterized safety profiles as these materials have been used in surgery for decades. Potential complications include thread migration, dimpling, and asymmetry, which are minimized by proper technique and physician experience.

Explore Thread Lifting

Contact our medical team to discuss whether this therapy may be appropriate for your condition.