Advanced Techniques in Thread Lifting: Combining Fillers with Threads for Natural and Long-Lasting Results
Sep 24, 2025
Introduction: The Importance of Advanced Techniques in Thread Lifting
Thread lifting has undergone remarkable advancements in recent years, becoming one of the most popular non-surgical solutions in aesthetic medicine. Owing to its ability to provide natural and sustained lifting, it is an effective approach to managing skin laxity and wrinkles. With the growing demand for minimally invasive treatments, advanced techniques such as the integration of dermal fillers with thread lifting have emerged as a leading strategy, enabling physicians to achieve more comprehensive and long-lasting outcomes for patients.
Combining Fillers with Threads: Achieving Optimal Outcomes
Concept of Combination Therapy
The integration of dermal fillers with thread lifting has proven to be a highly effective approach for achieving balanced and natural facial rejuvenation. Threads provide lifting and structural support, while fillers restore lost volume and correct age-related depressions. When combined, the two modalities deliver synergistic effects that rejuvenate and contour the face, resulting in enhanced firmness and a more youthful appearance.
Strategic Approach
Fillers are typically injected in volume-deficient areas such as the cheeks or tear troughs, while threads are placed in areas requiring lifting, such as the perioral lines or jawline. This dual approach allows for immediate volumization alongside gradual lifting. Moreover, threads stimulate collagen production, contributing to progressive improvements in skin elasticity and wrinkle reduction over time.
Types of Threads Used: Comparative Overview
PDO (Polydioxanone) Threads
PDO threads are among the most commonly used options. They are ideal for mild-to-moderate lifting needs and are well known for their collagen-stimulating properties. PDO threads naturally dissolve over time, making them a safe and effective choice for subtle yet noticeable results.
PCL (Polycaprolactone) Threads
PCL threads are designed for patients with moderate-to-severe skin laxity. These threads last longer than PDO, providing stronger support and more pronounced lifting effects. They also induce significant collagen stimulation, contributing to sustained results.
PLLA (Poly-L-lactic Acid) Threads
PLLA threads offer potent collagen induction and are particularly effective for patients requiring long-term lifting and rejuvenation. They gradually improve skin elasticity, restoring youthful contours and firmness. PLLA threads are often the choice for deeper facial laxity and advanced skin aging.
Ensuring Natural and Sustainable Results
Precision Injection Techniques
Achieving natural outcomes depends on precise injection and placement techniques. Poorly balanced or excessive application can result in unnatural appearances. Therefore, physicians must carefully assess facial anatomy and customize treatment to maintain harmony with the patient’s natural features.
Long-Term Collagen Stimulation
Threads’ ability to stimulate collagen production is a key factor in ensuring durable outcomes. While fillers deliver immediate volumization, threads enhance skin quality over time by promoting neocollagenesis. This dual mechanism provides both instant and progressive rejuvenation, ensuring results that are natural and long-lasting.
Future Directions: Emerging Trends in Combination Therapies
The field of aesthetic medicine is expected to witness further refinement in the combined use of fillers and threads. Recent studies highlight the potential of “smart threads” and modified fillers, designed to yield superior outcomes in shorter treatment times. Integration of non-surgical techniques with evolving technologies will expand therapeutic options, allowing physicians to offer patients safer, more efficient, and more personalized rejuvenation protocols.
Conclusion
The integration of dermal fillers with thread lifting represents an advanced and highly effective approach to achieving natural and sustainable facial rejuvenation. By carefully selecting appropriate thread types and fillers tailored to each patient’s needs, physicians can restore youthful contours and firmness without surgical intervention. With ongoing advancements, this combination therapy is poised to become a cornerstone in modern aesthetic practice, delivering superior outcomes with high safety and patient satisfaction.