Thread Lift

Thread Lift in Malaysia FAQs

Above: Photos before and after thread lift treatment. Consent obtained for use of images. Individual results may vary

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What is Thread Lift?

Thread lift procedure was introduced in the late 90’s with the purpose of lifting and sculpting sagging facial tissues. Thread lifts use temporary, medical grade sutures to hold on to facial tissues and pull them taut.


During the initial stages, thread lift was viewed with suspicion as there were high incidences of complications. However, with advances in technology as well as technique, the safety and efficacy of thread lifts have tremendously improved.


Thread lift procedure is considered a minimally invasive procedure. More and more patients are now seeking thread lift procedures done as an alternative to the more invasive and major surgical facelift. 

What are the benefits of thread lift?

Above: Before and after thread lift treatment photos. Patient had thread lift performed for her cheeks, jowls, jawline and neck. Consent obtained for use of image.

A thread lift can be used to lift and sculpt the face and neck areas, therefore it is considered a skin tightening procedure suitable for sagging skin.

The most suitable candidate for thread lift is a patient in their late 30s’ to early 50’s, although skin quality and the tissue heaviness is also a major consideration. The physician will perform a proper clinical assessment before deciding if a person is suitable for the procedure.

Thread lift can be used to treat certain indications such as

  • Jowls and jawline
  • Brow line
  • Under eyes area
  • Forehead
  • Cheeks
  • Neck

Photos before and after thread lift treatment. Consent obtained for use of images. Individual results may vary

What are the different types of threads?

There are various ways to classify thread, based on the design as well as the material. In this article, we will explore in more detail regarding the materials used instead of the design.


The design of threads used for face lift are continuously innovating, and are typically classified as Mono, Screw and Cog type. There are also innovative designs such as Cone type as used in Silhouette Soft. The differences between the design is beyond the scope of this article.

PDO Threads

PDO material is usually used as stitching suture in surgeries. The material usually dissolves in approximately 6 months, but continues to stimulate production of collagen in the skin up to 12 months.

PLLA Threads

PLLA is another material usually used in surgical sutures. It is shown to be even better than PDO in stimulating collagen, particularly Collagen Type I and Type III. 


PLLA Threads can last in the skin for a duration of up to 2 years. When it dissolves, the PLLA breaks down into harmless ordinary substances like lactate, glucose, carbon dioxide and water.  

PCL Threads

PCL Threads can last in the skin more than 2 years, because the chemical bonds and structure are stronger. PCL is also extremely effective in stimulating collagen production when compared to PDO or PLLA. 


Even after the thread has dissolved after a duration of 2 years, the collagen stimulating effect continues for up to a year. PCL Threads dissolve into nontoxic substances.

Is thread lift safe?

Thread lift is generally considered as a low risk procedure, but there are still some side effects to bear in mind.


Minor side effects include bleeding, bruising, swelling and slight pain at the treated area. Around 15-20% of patients may report some dimpling of the skin, but this would also depend on the technique of the treating physician.  

How is it performed?

Being a minimally invasive procedure, thread lift is usually performed under local anaesthesia, meaning you will be aware during the procedure. 


The whole procedure would take approximately 45 to 90 minutes, depending on how complicated the areas being treated are. 


After cleaning your face, and disinfecting with either iodine or alcohol solution, a thin needle or cannula will be used to introduce the threads under your skin. 


Once the threads have been inserted, the needles or cannula will be removed. You would feel some pulling or pressure on your skin. You may require dozens of threads to achieve the desired effect.


Upon successful completion of the procedure, you are allowed to go home immediately. Compared to surgical facelift, thread lifts have minimal recovery time and therefore can be done as a lunchtime procedure.

How long does it last?

Depending on the type of thread used in the procedure, lasting results can be expected between 1-3 years. It is possible to repeat the procedure during this time, to get even better or more refined results. 


Thread lifts can also be combined with other nonsurgical skin tightening procedures such as Microneedling RF to tighten the skin on multiple levels. Thread lifts work best on the subcutaneous and the SMAS layer, whereas Microneedling RF produces skin tightening at the dermis layer.

Thread Lift by Dr Bob Clinic

Dr Bob Clinic utilises White Medience threads from a GMP and ISO certified company based in Korea. They manufacture high quality PDO as well as PCL Threads with state of the art technologies. 

Their products are widely used worldwide, and they are registered as medical device by the Medical Device Authority (MDA) of Malaysia. 

Dr Bob Klajo has attended full technical training for Plastic Surgery of Thread Lifting at the WMC Webinar.

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