Skip to content
Dr. Nahed Kassem Specialist Dermatologist

Journal

Thread lift or fillers? The difference and which suits your face

Fillers replace lost volume; threads lift sagging skin. Understanding the real change in your face is what decides the answer.

Written by Dr. Nahed Kassem 5 min read

"I want a lift without surgery" — many consultations start with this sentence. The two best-known options are thread lifts and fillers, but they treat two different problems.

What happens to the face with age?

Two things happen together: volume loss — reduced fat and bony support in the cheeks and temples — and laxity, where skin loosens and descends. Knowing which dominates in your face is the key to choosing.

Fillers: to restore volume

  • Restore fullness to cheeks and temples and define the jawline and chin.
  • Results are immediate and last 9 to 18 months depending on area and product.
  • Quick recovery, with possible mild swelling or bruising.

Thread lifts: to lift the skin

  • Dissolvable medical threads placed under the skin to lift sagging tissue, especially along the jawline and cheeks.
  • They stimulate collagen as they dissolve, improving skin quality over time.
  • Results typically last 12 to 18 months.
  • A feeling of tightness and mild swelling may last a few days.

When do we combine them?

In many faces after forty the best answer is a combination: filler to rebuild mid-face support and threads to lift the lower face. The order and amount are decided at assessment.

And when is neither enough?

With more advanced laxity, non-surgical technologies such as Ultherapy or Sofwave may be part of the plan — and sometimes the most important advice is an honest one: that surgery would serve you better.

Read about the thread lift and contouring fillers, and book a consultation to assess your face.

This article is for general education and does not replace a medical consultation.

More articles