Injectables & Facial Contouring
Thread Lift
Uses absorbable barbed threads to reposition and lift facial tissue, with a gradual collagen build as the threads absorb.
Thread lifts in Vancouver
Understanding Thread Lift.
A thread lift places fine absorbable sutures under the skin to reposition tissue that has started to drift downward along the cheeks, jawline or neck.
Two things are worth knowing before you read any further. The lift is modest, and it is temporary — the threads dissolve over months and the effect fades with them.
That does not make it a bad treatment. It makes it a specific one. Threads suit mild to moderate laxity in someone who wants a subtle repositioning without surgery, and they suit almost nobody else.
If your laxity is significant, a thread lift will not give you what a surgical lift would. We would rather tell you that at consultation than after you have paid for one.
Sagging along the lower face can be approached in more than one way, and the three main routes are not interchangeable. This is the honest comparison.
Concerns & Goals
Concern guides connected to this treatment.
Smile Lines and Marionette Lines
Creases around the mouth, from the nose to the mouth corners and from the mouth toward the chin, that deepen with movement, volume change, and tissue descent.
Marionette Lines & Downturned Mouth
Lines running from the corners of the mouth toward the chin that can give the lower face a downturned or unhappy look.
Cheek Volume Loss
Reduced cheek fullness and downward tissue movement that can create hollows or deepen nearby folds.
Jowls and Lower-Face Laxity
Softening or sagging of tissue along the jawline that can blur the once-defined border of the lower face.
Loose or Crepey Skin
Reduced firmness and mild tissue descent related to aging and the decline of collagen and elastin.
Neck Laxity and Neck Lines
Loose neck skin, horizontal creases, or visible muscle bands that can reduce definition of the neck and jawline.
Neck Laxity & Loose Neck Skin
Reduced firmness beneath the chin and along the neck that can soften definition of the jawline.
Jawline Definition
A softer or less-defined jawline shaped by chin structure, facial fat, muscle size, skin laxity, or tissue descent.
Treatment options and technologies
A thread lift is one of several clinically recognised approaches to tissue descent in the lower face and neck. It is not a fixed answer, and it is not always the appropriate one — where there is genuine excess skin, a surgical opinion is the more honest recommendation.
The options available here, selected according to clinical findings:
- APTOS Threads — considered where the planned vector suits a barbed or multidirectional suture to reposition soft tissue along the cheek, jawline or upper neck
- Silhouette InstaLift — considered where a bidirectional-cone suspension suture suits the midface tissue being repositioned and the degree of descent present
More than one is sometimes indicated within a single plan, placed along different vectors rather than selected against each other.
The selection is a clinical decision, not one you are expected to make. A physician examines how your face sits and moves, identifies where the descent actually is and how much of the change is laxity rather than lost volume, and reviews skin thickness, bleeding tendency, autoimmune conditions and any previous facial surgery, filler or threads before any approach is recommended.
Ask a Physician What Threads Could Reposition on Your Face →
Concerns a thread lift may help
Threads may be considered for:
- Early jowling where the jawline has begun to soften but skin quality is still reasonable
- Midface descent that has flattened the cheek and deepened the fold beside the nose
- Mild neck laxity in selected cases
- Loss of definition along the lower face, where a small amount of repositioning changes the outline
- Asymmetry of descent, where one side has dropped more than the other
What threads do not do is remove skin. If there is more skin than the underlying structure can support, lifting it with sutures tends to gather it rather than smooth it.
Who may benefit
Threads tend to work best when:
- Laxity is mild to moderate rather than advanced
- Skin still has reasonable thickness and elasticity
- You want a subtle change and are not expecting a surgical outcome
- You accept that the effect fades and may need repeating
Threads tend to disappoint when:
- There is significant sagging or genuine excess skin
- The main problem is volume loss rather than descent — lifting deflated tissue does not refill it
- Very thin skin makes threads more likely to be felt or seen
- The hope is to avoid surgery indefinitely rather than to make a modest improvement now
Being told threads are not right for you is a useful outcome of a consultation, not a wasted appointment.
Your consultation
Your consultation is with one of our physicians — Dr. Gidon Frame, Dr. Sarina Govindasamy or Dr. Teri Fisher.
We examine how your face moves and sits. Where the descent actually is, how much of the change is laxity versus lost volume, and how your skin behaves when lifted by hand — which gives a fair preview of what threads could achieve.
We review your history. Medications, bleeding tendency, autoimmune conditions, previous facial surgery, fillers or threads, and how you heal.
We talk about the ceiling. Not just what threads can do, but where the limit is for your face specifically, and whether energy-based treatment, volume restoration or a surgical opinion would serve you better.
Sitting down with a physician to hear all that is complimentary. There is no consultation fee, including for the fairly common conversation that ends with a recommendation against threads. A booking fee is charged to reserve the appointment, which holds the time, covers the physician's time and reduces no-shows.
What treatment is like
Before. You may be asked to pause medications or supplements that increase bruising, where it is safe to do so.
Anaesthetic. The area is numbed with local anaesthetic, so the procedure is generally well tolerated.
Placement. Threads are introduced through small entry points using a needle or cannula, positioned along planned vectors, and the tissue is then drawn into position and the threads secured.
What you may feel. Pressure and pulling rather than sharp pain. The sensation of tightness is normal and often more noticeable than expected.
Afterwards. You will see a lift straight away, but it sits on top of early swelling, so it is not yet your result.
Results and what to expect over time
What a thread lift can improve: the position of soft tissue along the cheek, jawline or upper neck, producing a modest lift and a cleaner outline.
What a thread lift cannot do: remove excess skin, replace lost volume, change bone structure, treat skin texture or pigment, or produce the degree of change that surgery produces.
When change appears. There is an immediate lift on the day, partly masked by swelling. As swelling settles over the following weeks the true position becomes clear — and it is usually less dramatic than day one suggested. Any collagen-related firmness develops more slowly over the months that follow.
Series and maintenance. Threads are absorbable, so the mechanical lift is finite. Repeat treatment is needed to maintain an effect, and the interval differs between people and thread types. Your physician will give you a realistic expectation for the threads used rather than a fixed figure.
What influences the outcome: the degree of laxity at the start, skin thickness and elasticity, tissue weight, your age and healing, smoking, weight change, and how well the threads settle.
Variation is genuine here. Two people with similar-looking laxity can get noticeably different results from the same technique, because the tissue the barbs have to grip differs.
Anti-Aging Medical & Laser Clinic
Looking for the right next step?
Anti-Aging Medical & Laser Clinic can help you understand this treatment, explore related technologies and concerns, and build a plan around your goals.
Recovery and aftercare
The first few days. Swelling, bruising, tenderness and a tight or pulling sensation are usual. Small puckers near entry points are common early on.
The first few weeks. Tightness eases, puckering usually smooths as tissue relaxes, and the settled position becomes visible.
What helps:
- Sleeping with your head elevated
- Eating soft food and limiting wide mouth opening and exaggerated expression early on
- Avoiding pressure on the treated area, including sleeping face-down and resting on your hand
- Pausing facial massage, facials and dental work that requires prolonged wide opening, until cleared
- Holding off on vigorous exercise and heat for the period you are advised
Contact the clinic if you notice increasing or one-sided pain, spreading redness, fever or discharge, a thread end coming through the skin, a visible ridge or dimple that is not settling, or new asymmetry.
Common side effects
Most people experience some of the following, and they settle:
- Swelling, particularly over the first several days
- Bruising at entry points and along thread paths
- Tenderness or soreness when chewing, yawning or smiling broadly
- A tight, pulling or stretched sensation
- Small dimples or puckers near entry points
- Temporary irregularity or slight unevenness while swelling is present
- Awareness of the threads when moving the face
Less common but important risks
These are less frequent, but they are the ones worth understanding before you consent:
- Thread extrusion — a thread end working its way through the skin, which needs assessment and may require the thread to be trimmed or removed
- Palpable or visible threads — feeling the thread under the skin, or seeing its outline, particularly where skin is thin
- Skin dimpling or puckering that does not settle on its own and may need release or correction
- Thread migration — movement from the intended position, which can distort the lift
- Asymmetry between the two sides, sometimes needing adjustment
- Infection along a thread track, which may require antibiotics and sometimes thread removal
- Nerve injury — rare, and may cause altered sensation or weakness of movement in the affected area
- Prolonged pain or tenderness, granuloma formation, or an unsatisfactory or under-corrected result
Some of these are managed by removing or revising threads, which is a further procedure with its own recovery.
When a thread lift is not appropriate
Treatment may need to be deferred or avoided if you have:
- Active infection, inflamed skin or an open lesion in or near the treatment area
- Significant skin laxity or excess skin, where the honest answer is a surgical opinion
- A bleeding disorder, or anticoagulant therapy that cannot safely be interrupted
- A history of keloid or hypertrophic scarring
- Autoimmune or connective-tissue disease, or immunosuppression
- Poorly controlled diabetes or another condition that impairs healing
- Recent facial surgery, or existing threads or implants in the intended area
- Known sensitivity to the thread material
- Pregnancy or breastfeeding
- Active smoking, which affects healing and is worth discussing
- Expectations that a thread lift cannot meet
This is not a complete screening list. Your full medical history, medications, previous facial procedures and healing history are reviewed by a physician before treatment.
Request a Physician Assessment Before Committing to Threads →
Where skincare fits
Skincare and threads solve different problems, and it helps to be clear about that.
Threads act on the position of tissue beneath the skin. Skincare acts on the surface — texture, tone, pigment and hydration — and daily sun protection helps preserve the collagen and elasticity that make a thread lift hold better in the first place.
A good routine will not lift anything. It will make the skin over a lifted structure look better, which is worth having.
Technologies Used
Technologies that may support this treatment.
APTOS Threads
APTOS Threads are specially structured surgical sutures with barbs or multidirectional elements used in thread-lift procedures to reposition and lift soft tissue.
Silhouette InstaLift
Silhouette InstaLift is an absorbable suspension-suture system with bidirectional cones, used in minimally invasive thread lifts to reposition and hold midface soft tissue.
Anti-Aging Medical & Laser Clinic
Why patients choose our clinic
- Physician-performed. Threads are placed by Dr. Gidon Frame, Dr. Sarina Govindasamy or Dr. Teri Fisher — not delegated.
- Careful patient selection. We turn people away from threads when the anatomy says surgery, energy-based treatment or volume restoration is the better answer.
- Realistic expectations set in advance, including the point at which the lift will fade.
- Access to alternatives under one roof, so the recommendation is not shaped by what we happen to offer.
- Serving Vancouver since 2001, with the experience to judge which faces threads genuinely suit.
FAQ
Questions about Thread Lift.
Less than you are probably picturing. A thread lift produces a modest repositioning — enough to soften an early jowl or restore some definition to a jawline, not enough to change the shape of a face with established sagging. A useful test at consultation is to lift the skin gently with a finger: the change threads can produce is generally smaller than that.
Only if your laxity is mild enough that a facelift was never really the answer. Threads reposition tissue but remove no skin, so where there is genuine excess they tend to gather it rather than smooth it. If surgery is what your anatomy calls for, threads will not substitute for it, and we will tell you so.
Sometimes, particularly where skin is thin. Threads can be palpable under the skin for a period, and occasionally their outline is visible. Most of this settles as tissue relaxes around them. Persistent visibility or a thread end working through the skin needs to be assessed rather than waited out.
Yes. The threads are absorbable and break down in the tissue over months, so nothing permanent is left behind. The mechanical lift fades as they go. Any residual firmness comes from collagen laid down along the thread paths, which is a subtler effect than the original lift.
Small puckers near the entry points are common in the first days and usually smooth as swelling settles and tissue relaxes. What is not routine is a dimple that persists beyond the early weeks, or a visible ridge along a thread. Contact the clinic rather than waiting — these are more easily addressed early.
Often yes, but the sequence and the plane matter, so tell us exactly what you have had and when. Filler changes the tissue the threads have to pass through and grip, and placing threads through a heavily filled area needs care. Existing threads from a previous treatment also affect where new ones can safely go.
Yes. The pulling or stretched sensation is one of the most commonly underestimated parts of recovery and can feel odd for a couple of weeks, especially when smiling widely, yawning or chewing. It eases as tissue accommodates the threads. Persistent pain, as opposed to tightness, is a reason to call us.
Thread lifts are performed by our physicians — Dr. Gidon Frame, Dr. Sarina Govindasamy or Dr. Teri Fisher. Thread placement depends on knowing the depth of facial nerves and vessels along each vector, which is why it sits with a physician rather than being delegated. We confirm who will be treating you when you book.
Tell us. Some issues — asymmetry, a persistent dimple, a palpable thread — can be adjusted, released or in some cases the thread removed, though that is a further procedure with its own recovery. An under-corrected result cannot always be improved by adding more threads, and where that is the case we will say so rather than keep treating.
The consultation itself is complimentary, so hearing a physician's honest read on whether threads suit your face — or whether surgery is the better route — costs you nothing in consultation fees. A booking fee applies to hold the appointment; it covers the physician's time and helps reduce no-shows.
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What patients say about the clinic experience.
Reviews help show the human side of care, from the first consultation to comfort, communication, treatment planning, and follow-up.

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Why Anti-Aging Medical & Laser Clinic?
- A medical clinic with physicians and experienced medical-aesthetic providers on the team.
- Science-informed assessment, treatment planning, and realistic expectations.
- Laser, injectables, skin, body, hair, wellness, and medical services available in one clinic.
- Complimentary aesthetic consultations are available for appropriate cosmetic and laser services.
- Personalized skincare and product consultations based on your goals and routine.
- Home-care guidance to support your skin between in-clinic appointments.
- Professional skincare products available through the Anti-Aging Vancouver shop.
- Clear guidance on treatment options, preparation, downtime, aftercare, and next steps.
- Ongoing follow-up so your plan can evolve as your needs and goals change.