Tensor threads for facial sagging

Dermato Aesthetic Clinic – Paris, 16rd

Absorbable facial thread lifts offer a non-invasive medical alternative to surgical facelifts. These very fine fibers, made from a material safe for the face, help combat the effects of skin aging, which cause loss of firmness, a sagging appearance, and more pronounced wrinkles.

To perform the procedure, the thread is inserted under the skin, at the level of the fatty layer. Once in place, it is gently tightened to reposition the tissues and smooth the lines. This technique creates an immediate lifting effect, without the need for surgery.

Then the thread is naturally absorbed in 12 to 18 months, and during this time it stimulates the skin to produce collagen, a substance that firms and thickens the skin.

As a result, the skin is firmer, wrinkles are reduced, and the face regains a natural radiance.

WHAT ARE ABSORBENT TIGHTENING THREADS?

The absorbable lifting threads used are medical devices made from polydioxanone (PDO), a biocompatible and completely absorbable material, recognized for its safety and effectiveness in aesthetic medicine. These very fine threads are specifically designed to treat skin laxity, a natural phenomenon linked to skin aging. Over time, the skin loses its elasticity and firmness, causing sagging tissues, the appearance of wrinkles, jowls, and creases on the neck and décolleté.

PDO threads, made from polydioxanone, offer your patients a simple, non-surgical anti-aging method for smoothing, firming, and repositioning tissues. This strong, biocompatible synthetic fiber has been used for over 30 years in cosmetic surgery and hospital settings for skin and subcutaneous sutures. It is naturally absorbed by the tissues and provides a range of well-tolerated treatment options for patients whose aesthetic needs change with age.

These lifting threads are inserted under the skin, into the subcutaneous fat layer, where they exert a dual beneficial action. First, thanks to their bidirectional barbs, called barbed threads, they grip the tissues to reposition and tighten them immediately, providing a lifting effect without surgery. This mechanical action helps restore volume to sagging areas.

Secondly, these threads are tissue inducers: by slowly dissolving over a period of 12 to 18 months, they stimulate the natural production of collagen. Collagen is a protein essential for skin firmness, density, and quality. This gradual stimulation improves skin texture, increases skin thickness, and restores volume to the face. In addition to a lifting effect, these threads therefore offer a true skin revitalization treatment, resulting in smoother, firmer skin and a radiant complexion.

Healthcare professionals are increasingly opting for thread lifts or bioregenerative threads because they are simple to insert, easy to use, and offer a faster recovery period for patients than after surgery. PDO threads are chosen to redefine contours, reposition tissues, restore initial volume, reduce wrinkles and fine lines, and improve skin tone, elasticity, and texture.

Absorbable thread lifts offer a non-invasive medical alternative to surgical facelifts. Unlike permanent threads, they guarantee a natural result without a frozen effect, thanks to their gradual absorption by the body.

This technique is ideal for those who wish to correct sagging skin while maintaining a natural facial expression, with a protocol tailored to the area to be treated, skin type and desired effect.

Who are tension wires intended for?

There is no specific age for using thread lifts, as skin aging varies from person to person and aesthetic needs can arise at different times in life. These threads are particularly suitable for patients wishing to restore dynamism and tone to their face, lift the skin naturally, and enhance their features with a subtle contouring effect.
However, thread lifts are primarily recommended for correcting moderate skin laxity. They are suitable for both women and men, from the age of 30, who desire skin revitalization and an overall rejuvenation of their appearance.

How is a thread lift procedure performed?

Before installation: 

The expert physician begins by analyzing your facial anatomy and assessing the signs of skin aging. They listen carefully to your aesthetic concerns in order to propose the most suitable solution to meet your expectations.

During the break: 

The doctor begins by making pre-treatment markings on the skin with a marker to precisely locate the entry points and the path of the threads under the skin. These markings allow for the precise planning of the thread lift placement. Next, the area to be treated is carefully disinfected, and then a sterile drape is placed around the face to ensure complete asepsis.

For the placement, we use the range of absorbable threads. Countourel® From the Croma laboratory. These threads, composed of polydioxanone, are absorbable and safe. They provide a natural lifting effect while stimulating the skin.

The procedure is performed under local anesthesia, via injections at the entry points and along the entire length of the threads. The mechanical principle is simple: the thread is inserted at an initial anchor point, called point A, then it is pulled taut and secured at point B. By pulling the thread between these two points, the loose tissues are repositioned and tightened, immediately restoring contour and a natural lifting effect without surgery. The number of threads used and their placement vary depending on the area to be treated and the degree of skin laxity.

After installation: 

Absorbable threads typically last between 12 and 18 months in the body, during which time they stimulate collagen production and maintain the lifting effect. However, they can be replaced at any time.

Absorbable thread lifting technique:

For our treatments, we use the Countourel® range of absorbable threads from the Croma laboratory. These threads are composed of polydioxanone (PDO), a biocompatible and completely absorbable material, widely used in aesthetic medicine for its safe and effective properties.

There are two types of thread lifts: absorbable threads, which dissolve naturally over time, and permanent threads, which are non-absorbable. Some threads are inserted with a needle, while others, like our Countourel® threads, are placed using a cannula. This cannula technique is easier to perform and generally less painful for the patient.

PDO threads are very fine and equipped with bidirectional micro-barbs, called barbed threads, which allow them to grip firmly to subcutaneous tissues. This mechanical characteristic ensures an immediate tightening effect, repositioning and lifting sagging tissues.

Beyond this mechanical effect, PDO threads induce progressive tissue stimulation:

  • They trigger a controlled inflammatory response that activates fibroblasts, cells responsible for the natural production of collagen.
  • This neocollagenesis improves skin density and firmness in the long term, ensuring a lasting lifting effect even after the threads have completely dissolved.

The threads are inserted under the skin using cannulas, following specific paths determined by the areas to be treated and the patient's needs. The procedure is performed with precision to avoid any discomfort or risk and to optimize results.

The PDO threads are fully absorbed between 12 and 18 months, during which time the newly formed collagen fibers maintain the skin's tone and youthful appearance. The threads can be replaced at any time during this period.

Technical characteristics of Countourel® yarns: 

  • Tensile strength: High tensile strength provides maximum lifting capacity.
  • Fixation capacity: The patented molding technique guarantees stable and durable notches, ensuring excellent anchoring capacity in tissues.

Most common treatments:

  • Facial and body skin firming
  • Facial and body contour correction
  • Correction of wrinkles and fine lines
  • Lip contour correction
  • Firming of the mid-neck area
  • Rejuvenation of the neck and décolleté area

The different areas that can be treated:

During the consultation, your practitioner will select the type of thread best suited to the area to be treated. This anti-aging technique is primarily used on the face and neck to combat skin laxity.

The main areas concerned are:

  • The front
  • Eyebrows
  • The cheeks and cheekbones
  • The oval of the face
  • The neck

Each area benefits from a specific thread placement, chosen to maximize the lifting effect and skin firming. The number of threads placed varies depending on the area and the degree of skin laxity:

  • Facial oval / double chin: 2 to 4 threads per side (i.e., 4 to 8 threads in total)
  • Neck (vertical baleen plates, loose skin): 4 to 6 vertical threads in the center
  • Wrinkled skin (horizontal neck wrinkles): 4 to 8 threads

The application can be carried out in a targeted manner, on one or more specific areas, or globally on the entire face to obtain a truly natural and harmonious lifting effect.

This personalized adaptation optimizes the result, ensuring a natural and lasting facelift.

What are the results ?

Thread lifts offer a dual effect in combating skin aging:

  • Immediate tightening effect From the moment of placement, the barbed threads grip and reposition loose tissues, providing a visible lifting effect without surgical intervention.
  • Progressive firming effect Over the weeks, the threads stimulate the natural production of collagen by fibroblasts. This tissue induction phenomenon improves skin density and elasticity, restores volume, and smooths wrinkles.

The results are natural, without a frozen effect, leaving a younger, brighter, and firmer appearance. This effect generally lasts between 12 and 18 months, depending on the type of threads used and the quality of the skin.

Expected results : 

  • Natural skin radiance
  • Correction of wrinkles and fine lines
  • Strengthening and illumination
  • Skin revitalization

To prolong and optimize the benefits, maintenance sessions may be recommended, depending on skin aging and your expectations.

What are the contraindications?

Thread lifts are recommended for patients with moderate skin laxity who wish to lift, firm, and revitalize their skin without resorting to invasive surgery. They are generally suitable for people aged 30 and over, when the first signs of skin aging appear, and are suitable for both women and men.

Contraindications: 

  • Autoimmune diseases (such as lupus) or chronic inflammatory diseases (rheumatoid arthritis, multiple sclerosis).
  • Allergies or hypersensitivities to the components of the yarns (polypropylene, polylactic acid, polydioxanone).
  • Active skin infections or inflamed areas increase the risk of complications.
  • Pregnancy and breast feeding.
  • History of use of permanent fillers (e.g., silicone).
  • Coagulation disorders, hemophilia, taking anticoagulants, increasing the risk of bleeding or hematomas.
  • Poorly controlled diabetes, which can slow down healing.
  • Major skin laxity or significant excess fat: in these cases, a surgical facelift will be more appropriate.

Prices for a TENSION WIRE INSTALLATION SESSION

Installation of tensor wires

€220 per thread

INSTALLATION OF TENSOR WIRES Paris: make an appointment

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Discover the treatment information sheet

faq

Tension threads are generally recommended for patients who have signs of aging such as wrinkles, sagging skin and loss of volume. The best candidates for tension threads are people who have slightly sagging skin, but still have good skin elasticity. They are also suitable for people who want a non-surgical treatment with natural results.

Thread tension results can last between c. 18 months, but this may vary depending on the type of wires used, number of wires inserted and individual patient response. Tensor threads also stimulate collagen production, which can prolong treatment results.

Before treatment, it is important to tell the doctor about any medications you are taking and any underlying health problems. It is also advisable to stop taking aspirin and other blood thinners for a few days before treatment to avoid bruising. After treatment, patients should avoid activities that may put pressure on the treated area and should avoid hot baths and saunas for 48 hours following treatment. Patients should also avoid massaging the treated area and touching the threads for several weeks. Finally, patients should take precautions to avoid infection, such as washing their hands frequently and avoiding touching the treated area with dirty hands.

Tension threads are considered a safe treatment with few side effects. However, as with any medical treatment, there are potential risks. Common side effects may include bruising, swelling, and redness, but these effects usually disappear within a few days after treatment. More serious complications such as infection, thread extrusion, and nodules can occur, but these are very rare and can be treated.