Shopping Lift can be expected to provide temporary improvement of sagging (skin laxity). The effect is not substantial and does not last long—a realistic expectation—and the Japan Society for Aesthetic Surgeons guideline only gives it a weak recommendation. How long effects last varies by thread material and location, and research findings are inconsistent.
How does the society evaluate it?
The Japan Society for Aesthetic Surgeons guideline evaluates Thread lift for facial wrinkles and sagging (skin laxity) as capable of delivering temporary improvement, but notes that the effect is not substantial and the duration is short[1]. With that in mind, it is positioned as a treatment to be performed only after thorough explanation, with a recommendation grade of 2 (weak recommendation)[1].
Shopping Lift is a type of Thread lift using PDO—a material that dissolves in the body. Rather than meaning "you must not have it," the appropriate understanding is that it is a treatment where modest expectations are a prerequisite.
How long does the effect last?
The guideline is approximately six months to one year. A report consolidating over 110,000 procedures performed domestically states that effect duration is generally 6–12 months, and PDO threads are absorbed by the body within 6–8 months[2].
On the other hand, advertisements sometimes claim 12–18 months of duration, but peer-reviewed research findings are not that consistent[3]. Reports are also cited showing that in 50% (half) of cases sagging returned within 6 months, and in some people it began returning within 8 weeks[3].
How trustworthy are the research figures?
Most figures come from studies with no comparison group. While the 110,000-case dataset is large in number, it is from a single corporate group, and there were no objective records of satisfaction or visible changes[2].
Criteria for how many threads to insert and for what purpose have also not yet been established[4]. The scarcity of trials comparing standardized conditions is why it is difficult to set expectations.
In what types of patients do expectations and results most likely diverge?
In older patients and those receiving many threads. A domestic study of 1,500 cases found that 3.4% of patients (roughly 1 in 30) returned for follow-up feeling the effect was insufficient, with the threshold around age 43 and 10 threads[5].
The explanation is that as age increases, skin becomes lax and is harder to support with threads[5]. Since patients with stronger sagging may have more threads inserted, thread count alone cannot be said to be the cause.
What risks come with the effect?
A domestic study of 2,000 cases found some complication in 12.4% (roughly 1 in 8)[6]. The most common were skin tightness and dimpling (6.35%), asymmetry (2.9%), and pain (1.75%)[6].
For each additional thread, the likelihood of complications increased by approximately 1.12 times[6]. It is important to know that adding more threads to increase effect also increases risk together.
Before undergoing the procedure, how should you set your own expectations?
There are three benchmarks for deciding. First: whether you would still want it even knowing effects fade within six months to a year[2][3]. Second: for your age and degree of sagging, how much lifting can you realistically expect[5]. Third: the reason for the number of threads proposed and how complications will be handled[6].
How much Shopping Lift will help your own sagging cannot be decided from an article alone. Have a physician examine your skin laxity in person at a consultation to confirm what degree of change is realistic.
- 1Japan Society for Aesthetic Plastic Surgery Bulletin Special Issue (Vol. 44 Supplement). CQ2-6 Thread lift treatment for facial wrinkles and sagging (Recommendation Level 2, weakly recommended).
- 2Tamura T, Okumura K, Funakoshi Y, Teranishi H. Multicenter Review of More Than 110,000 Facial Thread Lifting Cases From a Cosmetic Surgery Group. Plastic and Reconstructive Surgery Global Open. 2025. doi:10.1097/GOX.0000000000007335
- 3Park BY. Prospective Study of Three-Dimensional Bi-directional Barbed Threads for Midface and Nasolabial Fold Rejuvenation. Aesthetic Plastic Surgery. 2026. doi:10.1007/s00266-025-05327-4
- 4Weng YC, Hsieh CH, Liang BCP. A Retrospective Observational Study of Combination Treatment of Thread Lift and High-intensity Focused Ultrasound for Facial Aging. Plastic and Reconstructive Surgery Global Open. 2025. doi:10.1097/GOX.0000000000006899
- 5Okumura K, Tamura T, Funakoshi Y, Teranishi H. Predictors of Dissatisfaction After Polydioxanone Thread Lift: A Multicenter Retrospective Analysis. Plastic and Reconstructive Surgery Global Open. 2025. doi:10.1097/GOX.0000000000007190
- 6Okumura K, Tamura T, Funakoshi Y, Teranishi H. Incidence and Predictors of Complications After Polydioxanone Thread Lift: A Multicenter Retrospective Cohort Study. Aesthetic Plastic Surgery. 2026. doi:10.1007/s00266-026-05963-4