Threads have been used in surgery for many years – in fact we could not manage without sewing things up again. Threads are now a treatment in their own right and can be made in varying shapes and sizes, with hooks, barbs and notches that catch onto the subcutaneous tissues and permit a lift. Threads are made from PDO (polydioxanone), PLLA (poly L lactic acid) or PCL (polycaprolactone) for their individual properties of collagen stimulation, softness and ability to dissolve.

They are inserted with a cannula (like a filler) but the cannula is larger, making the procedure more invasive than a simple filler. A thread treatment needs to be considered and the down time taken into account. Even though we use local anaesthetic the treatment can be uncomfortable and result in some bruising and swelling for up to a week. The threads take their time to settle in and in some cases can be felt under the skin before they truly soften. However the results are more substantial and a true lift can be achieved.