Thread Lift vs. Facelift

Thread Lift vs. Facelift: Which Is for You?

Dr. Pearlman makes surgical marks on patient for facelift


When it comes down to correcting facial aging, you have many options ranging from non-invasive to minimally invasive to an actual surgical procedure. While all of these techniques aim to restore youthfulness and rejuvenate the face, the results they offer are not equal, and therefore the procedures should not be considered interchangeable. This is especially important between thread lift surgery and facelift surgery.
Both the thread lift procedure and facelift surgery improve sagging skin on the jowls, cheeks, and neck. However, while these may treat similar signs of aging, they are not substitutes for each other, and the difference between these go far beyond the fact that one is minimally invasive and the other is surgery. While both of these procedures can leave you feeling younger and revitalized, each is distinctively designed for specific candidates. The hard part is determining which may be right for your level of facial aging.


The Silhouette InstaLift™, also called a thread lift, improves the appearance of facial sagging and visible signs of aging with the use of dissolvable surgical threads. These threads work to “lift” the underlying tissues of facial structures that have been impacted by gravity and the loss of collagen. Once these threads are inserted and anchored, collagen production is stimulated, which allows for lasting results. The Silhouette InstaLift™ is non-surgical, minimally invasive, and provides natural-looking rejuvenation of your cheeks, jawline, and neck. We like to tell patients that you will get about 25 percent of the result of a surgical facelift with a thread lift.


Unlike the Silhouette InstaLift™ that uses the insertion of threads to mildly lift and tighten the underlying muscles, facelift surgery removes excess skin on the lower to midface while significantly tightening the muscles. Facelifts restore a more youthful appearance and can noticeably improve sagging jowls, vertical banding on the neck, and loss of volume in the midface. There are several levels of facelift surgery available depending on your needs. These range from the “mini-lift” that focuses on early signs of aging in the jowls and lower face to the “deep plane lift” that provides extensive rejuvenation of the jawline, jowls, midface, cheeks, and neck.


Both of these procedures are suited for those in good physical health with realistic expectations. Candidates who have noticeable and significant aging indicators such as extensive sagging, deep creases, jowls, and drooping skin under the chin are likely best suited for facelift surgery. While the Silhouette InstaLift™ will subtly reverse the early signs of aging, it cannot reach the same level of correction of traditional facelift surgery. The Silhouette InstaLift™ is typically ideal for younger patients experiencing the onset of facial aging and skin laxity. These patients are those who wish to delay the need for surgery and want to combat the signs before they worsen. This procedure is also best for patients who have already undergone facelift surgery but require a “touch-up” due to further skin laxity.
Dr. Pearlman is a facial plastic surgeon who has been in practice for almost 30 years. When it comes to the face, for both surgical and non-surgical facial rejuvenation, you should trust your face to a facial plastic surgeon. Contact our office at 212-223-8300 to schedule a consultation to see what facial rejuvenation treatment would be best for you.