Thread Lift:
facelift without surgery

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Facelift
with tensor threads
Thread lift

Thread Lift
A treatment to improve skin laxity and redefine facial contours without surgery.

MADRID | ZURICH

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Facial ageing involves not only the appearance of wrinkles or loss of volume, but also a progressive decrease in tissue that modifies the contours of the face.

As the skin loses firmness, the jawline becomes less defined, the cheeks droop and the facial contour loses structure.

Lifting with tension threads acts on this component, providing a controlled lifting of the tissues and an improvement in skin firmness without the need for surgery.

In Dr. Richard Fakin's practice, this treatment is an intermediate option between medical procedures and surgery, indicated in selected cases where there is mild to moderate sagging.

The aim is not to transform the face, but rather to redefine the contours and improve skin tension in a natural and proportionate way.

Indications

When is a thread lift indicated?

Thread lift is indicated when the main change experienced by the face is loss of firmness and progressive tissue decline, rather than the appearance of deep wrinkles or loss of volume.

Patients often begin to notice that the jawline loses definition, the cheeks droop slightly or the facial contours become less structured. In these cases, thread lifts can offer a visible improvement without the need for surgery.

This treatment is usually considered in situations of mild to moderate skin laxity, especially in the middle and lower third of the face. More than age, the determining factor is the quality of the skin and the degree of sagging of the tissues.

How tension threads work

Mechanism of action: immediate effect and collagen stimulation

Tension threads are reabsorbable threads that are inserted under the skin using minimally invasive techniques, following specific vectors that allow the tissues to be repositioned. The treatment works on two levels:

Immediate mechanical effect: The threads allow the tissues to be slightly repositioned by means of controlled traction, improving facial contours from the very first moment.
Progressive biological effect: Over time, collagen is stimulated around the thread, which helps to improve the firmness and quality of the skin.

This double effect means that the result is not only immediate, but also progressive.

Combined treatments with thread lift

Facial ageing is a multifactorial process. For this reason, in many cases thread lifting is combined with other treatments to obtain a more complete result. Among the most common combinations:

Hyaluronic acid, to restore volume to the cheekbones or chin
Neuromodulators, to treat expression wrinkles
Biostimulation treatments, to improve skin quality

In this approach, the threads act on skin laxity while the other treatments address volume and muscle dynamics. The combination is always defined on an individual basis.

Recovery

What post-treatment looks like

The treatment allows a relatively quick return to normal activity, although it is advisable to take certain precautions during the first few days.

It is advisable to avoid intense facial gestures, manipulation of the treated area and demanding physical exercise. These measures help ensure proper integration of the threads and minimise possible side effects.

Thread lift:
Frequently Asked Questions

How long do the results of thread lift last?

Results can be maintained for up to approximately 12-15 months, depending on skin quality and patient characteristics.

Is thread lift treatment painful?

It is performed under local anaesthesia, so discomfort is minimal and well tolerated.

Can the threads be felt or seen under the skin?

They should not be visible or palpable when treatment is correctly indicated and carried out.

How much recovery time do I need?

Recovery is rapid. In most cases, normal activity can be resumed within a few days.

What areas can be treated with tension threads?

Mainly cheeks, jawline, chin and, in some cases, neck.

Dr. Richard Fakin
Internationally recognised plastic surgeon

Dr. Richard Fakin is a Plastic, Reconstructive and Aesthetic Surgeon with extensive experience in gender-affirming procedures. He specialises in breast surgery, facial surgery and advanced body contouring procedures. His practice combines technical precision, aesthetic sensitivity and a deeply personalised approach to every procedure.

At his clinics in Madrid and Zurich, Dr. Fakin leads a highly professional and committed team of specialists who share the same philosophy: to provide medically rigorous care while maintaining a warm, compassionate approach. Each patient receives personalised support, from the first consultation through to postoperative follow-up.

As a boutique plastic surgery clinic, the approach is never standardised. The team takes the time to understand each patient's expectations, carefully assess their anatomy, and develop a surgical plan tailored precisely to their individual case. This personalised structure allows us to maintain the highest standards of quality, confidentiality, and attention to detail in every procedure. Dr. Fakin uses refined surgical techniques that prioritise safety, natural-looking results, and an optimised recovery process. Through meticulous planning and advanced technology, the clinic is able to achieve harmonious results that remain true to each patient’s identity.

Beyond surgical technique, the commitment of Dr. Fakin and his team is reflected in transparent, honest and personalised care, where each patient is treated with dedication and professionalism at every stage of the process.