American Society of Plastic Surgeons
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Lisa Schneider
5 years ago
Answered

Mini facelift vs Thread lift

Not sure what procedure to get for facial wrinkles , especially wrinkles under the eyes. Are Thread facelifts any good?

Procedure: Facelift
Location: New York, NY

Replies 4

Michael Law
ASPS Surgeon
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If your concern is the under eye area, a lower blepharoplasty may be the procedure for you to consider. For some people, a little BOTOX and / or laser skin tightening, PRF and / or light chemical peels might do the trick.

The eye area is very delicate and experience and expertise on the part of your surgeon is critical. Too often, I see patients with hollow lower eyelids following surgery where fat has been removed. This result makes them look older and less vibrant than they looked prior to surgery. Some people, with hollows, in fact could benefit from fat grafting.

I would suggest looking at many, ,many before and after images and finding a plastic surgeon that offers a combination of surgical and non-surgical options to design a custom plan that can address your specific concerns.

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Jed Horowitz
ASPS Surgeon
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Thread lifts are not the best choice under the eyes. Eyelid sugery, chemical or laser peel or radiofrequency will tighten the eyelid skin .

Threadlifts are better for the lower face, mid face and neck.

Fat grafing and other fillers can give great results.

Dr. H

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Jon Ver Halen

Dear Lisas831,

Hello and thank you for your excellent question. In general, a thread lift is not useful for wrinkles under the eyes. A blepharoplasty, microneedle, or fat grafting is best for these areas. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!

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Mark Solomon
ASPS Surgeon

Eyelid skin will not benefit from threadlift surgery. Eyelid skin issues are often a problem of muscle action along with an excess of skin and fat. Each of these has a different solution. Without an exam, it is difficult to know your best option. But threadlifts, which try to elevate cheek skin, will increase the amount of skin around the eyes and may make your situation worse. Your best option is to consult with a surgeon certified by the American Board of Plastic Surgery who can outline your options, both surgical and non-surgical. Hope this helps!

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