NOVA Threaded Lift Treatment

Until recently the only way to address problems caused by facial skin laxities, such as jowls and drooping cheeks was facelift surgery. After all, while skin resurfacing treatments can help to restore the degree of firmness, once loose skin is present, only a scalpel can truly remove it. However, while the approach of relying on injectable compounds and skin resurfacing until facelift surgery became absolutely necessary works for many patients, not everyone is willing or able to have surgery. For people in this group, a new type of procedure has been developed to fill in the gap between non-invasive facial rejuvenation and facelift surgery the “thread lift”.

What is Thread Lift?

A thread lift is a type of procedure wherein temporary sutures are used to produce a subtle but visible “lift” in the skin. Instead of removing the patient’s loose skin surgically, it is simply suspended by stitching up portions of it. This has the effect of pulling the skin back slightly and therefore lifting and tightening the face. In addition to being ideal for lifting the skin, threads combat aging by provoking the body’s healing response and causing the body to produce collagen in the treated area.

Collagen helps support growth factors that greatly influence the condition of the skin. In addition to being used for wound healing, collagen helps our skin become strong voluminous and supple. As we get older, our bodies gradually produce less and less collagen which results up to 80% reduction in skin thickness by the age of 70. This loss of volume and strength is a large factor in the creation of excess skin and wrinkles. As the skin grows weaker it is no longer able to support the tissues beneath it adequately and gravity pulls them downwards and stretches it. Creating more collagen in the skin when the signs of skin laxity are mild can help to reduce looseness and prevent it from getting worse.

Patients who have a thread lift for the purpose of stimulating collagen will notice a gradual improvement in their skin tone and firmness. When the threads are in place the body’s healing response will be constantly activated as the body will want to heal the sutures areas and expel the suture. The body is programmed to react this way when it senses a foreign substance within the dermis. Fortunately, because the threads placed under the skin are so small, the patient does not feel this happening. Most people cannot feel their sutures under the skin after the healing process has taken place.

What are the advantages of having a Thread lift instead of a facelift?

For most people, one of the biggest advantages is greatly reduced recovery time. When a person has facelift surgery they are either heavily sedated or put to sleep so they have to arrange for someone to drive them. They also require around the clock care for at least three days after the surgery. If they have children at home they also need to get childcare. A facelift usually takes one to two weeks to heal so they need to take time off. Recovery from a thread lift is comparatively easy. The thread lift is done under local anesthesia without any sedation so the patient can drive themselves immediately after the procedure. There may be a slight soreness, swelling but they can return to work after the procedure.

Thread lifts are low-risk. There is virtually no risk of scaring, severe bruising, bleeding after a thread lift procedure. Finally, as they are easier to perform than facelift they are much more affordable. It is important to maintain realistic expectations for this procedure. Though they do produce visible changes they will only lift the face by a few millimeters, they create more subtle and natural looking results than facelift surgery.

The ideal candidate is in her late thirties to early fifties. They can, however, provide an alternative for older patients who are unable to afford surgery for medical reasons. Facelift surgery does produce longer-lasting results than a thread lift. When they first came out in the late 90s the so-called “thread lift” (using surgical thread to lift sagging skin) was heralded as the kinder, gentler face-lift. But scary side effects such as scarring, infection and obvious lumps under the skin, made it a fad lift for most women.. Now thanks to technological advances, the rejuvenation technique has made its way back to aesthetic practices.

The new and improved thread lift is FDA-cleared and noninvasive. With little to no downtime. That is why it is becoming an increasingly popular way to tighten and re-suspend moderately sagging cheeks, jowls, brows, and neck.  The new sutures are composed of polydioxanone PDO), (NovaThreads) which has been safely used in cardiovascular surgery for years and are fully absorbed by the skin in six months without creating scar tissue. The old threads were made of permanent barbed sutures. If the knots made to anchor were not performed correctly, it could lead to visible bumps and nodules.

Performed under local anesthesia, today’s thread lifts take an hour or two. Sutures could be barbed which are ideal for gathering the skin and giving more lifting action, or they can be straight or curved. They can be smooth for less of a lift but are excellent for producing collagen. The Silhouette InstaLift is more focused on lifting the skin and is embedded with tiny cones that are adept in grabbing the tissue. This allows the threads to gather more skin and a more noticeable lift to the cheeks.  The threads are inserted into the skin using a small cannula, similar to those used for injecting fillers. The cones grab skin from underneath and lift it while stimulating collagen production due to inflammation which helps add volume.  Effects are immediately visible, improve over the next several months and can last up to two years.

Side effects of thread lifts include temporary soreness, swelling, bruising, similar to those of injectables. The ideal candidate has good skin quality, moderate sagging in the midface and strong underlying bone structure.

Fillers are for volume, Botox restricts wrinkle-causing muscle movement and cosmetic surgery cuts off excess tissue that is causing significant laxity. Thread Lifts can’t replace a facelift, but in combination with other treatments, they can delay the inevitable. Because the thread lift is so low-risk and has a short recovery time it is possible to combine it with other non-surgical treatments in order to get more comprehensive, noticeable results. Once your skin has healed around the thread it can be paired up with a treatment like ultherapy, which uses ultrasound energy to heat connective tissues under the skin to produce collagen. By combining these two procedures one can maximize the overall amount of skin firming and create more even lifting by treating the neck as well as the face. They can be paired with treatments to address blemishes and uneven pigmentation and fine lines with chemical peels and micro-needling.  By combining a number of different non-surgical anti-aging treatments, patients can achieve profoundly positive changes in their appearance-without enduring extended recovery time associated with surgery.


They are hypodermic needle preloaded with a PDO absorbable suture. PDO absorbable sutures are synthetic absorbable surgical suture composed of polydioxanone. PDO sutures are used to perform cardiothoracic surgery (such as open heart surgery). It is one of the safest materials to be implanted in the body.


The key is controlled healing. In medical terms “Selective Inflammatory Response”, it is the principle behind a lot of aesthetic procedures ( such as Fractional Laser, Chemical Peels, Ultherapy & MicroNeedling). Our skin is good at repairing itself, and by inserting NOVATHREADS we make it heal itself by creating new collagen, naturally.


The PDO suture is fully absorbable. During the 4-6 months needed to fully absorb the PDO suture, your skin is also repairing itself around it. NOVATHREAD injections come in two forms NU MESH and NU LIFT.

NU MESH NU MESH consists of creating a mesh under the skin i.e. 2 sutures inserted vertically & 3 sutures horizontally). Sort of like a #hashtag, or a net. This Mesh will serve as the foundation for our new collagen production. The NU MESH tightens the skin naturally from within. Results appear naturally without any drastic change!

NU LIFT NU LIFT is utilized to produce a more dramatic and immediate result. The PDO sutures have “barbs” or “cogs” which provide a grip underneath the skin. Sutures are inserted the same way, except they can be pulled in 1 or 2 directions, Creating an instant skin re-positioning. Just like the NU MESH, the skin will then build new collagen which will secure the lift!


NOVA THREADS are loaded into a needle that looks much like an IV catheter, which is usually placed by a nurse in the ER or prior to surgery so medications can be given into a vein. It ranges from about an inch to 2 1/2 inches depending on the procedure. The sutures thread stays in as the needle is removed. Each thread takes less than a minute to be placed. Most all treatment areas require multiple thread placement, often in a fan-shaped pattern. Numbing medicine is applied to the skin before placement. There should be minimal discomfort and slight redness that may last for 1-2 days.

NU MESH does not have any immediate effects. As your body breaks down and chews up the PDO Three, new collagen (like mortar between bricks) is laid down and replaces worn out collagen. NU LIFT threads with clogs or loops can help anchor the threads and can provide immediate as well as prolonged results.

Often, Threads can be used with Botulinum toxin (BOTOX) or DYSPORT) and they complement each other’s effects. Though the threads dissolve in a couple of months, the effects may last several months.



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