Abstract

Thread lifting of the facial soft tissues without undermining has earned a controversial reputation.1 This may be due to the overly enthusiastic promotion of this “lunch-time” procedure without proper patient selection for commercial reasons. However, growing patient interest in mini-invasive techniques has made us consider thread lifting among other methods of facial rejuvenation. We distinguish 2 facial zones with different aging mechanisms: the central oval, which ages by deflation, and the lateral face, where gravitational changes predominate.2 Hence, the very idea of lifting may be productive in lower lateral facial zones but not in the central oval.

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