Is TEX3D Lift right for my sagging (skin laxity)? Who it suits and who it doesn't

A dissolving Thread lift like TEX3D Lift tends to suit people with mild sagging (skin laxity) who do not seek the dramatic change that surgical cutting would bring.[1][2]. Conversely, people with strong sagging (skin laxity) or those expecting lifting comparable to surgery often find the results insufficient.[3][4]. How well it works also varies depending on age, the amount of facial fat, and the number of threads used.[3][5].

What degree of sagging (skin laxity) can threads reach?

Threads work best on mild sagging (skin laxity) that begins when skin firmness starts to decline.[1]. Threads are also used for people whose face appears widened by sagging (skin laxity), or those concerned with nasolabial folds or marionette lines (lines extending downward from the corners of the mouth).[1].

On the other hand, in cases of strong sagging (skin laxity), threads alone are said to be unable to fully restore the skin.[1]. When the skin can be pulled toward the ear with more than 2 cm remaining, a cutting Facelift has traditionally been recommended.[1].

Does effectiveness decrease with age?

The tendency is for more people to report insufficient results as age increases. A survey of 1,500 people in Japan found 51 people (3.4%, roughly 3 in 100) who returned for a follow-up visit due to insufficient results, with higher rates in those 43 and older.[3].

Researchers believe this reflects declining skin elasticity and unrealistic expectations comparable to surgical results.[3]. Some research also notes that beyond age 50, complications increase and long-term satisfaction tends to decline.[6].

However, age alone does not determine suitability. Even if deep sagging (skin laxity) cannot be fully addressed, it may be an option if the goal is to soften facial contours or skin texture.[1].

Does it make a difference whether someone has a fuller or slimmer face?

Research suggests that thread effects are more apparent in people with less facial fat. A study comparing photographs of 143 Japanese individuals showed that thread effects were more clearly visible in those with normal to slim BMI (body mass index).[5].

In exchange, when subcutaneous fat is limited, threads may be placed more superficially, and for a period after the procedure, threads can be more noticeable.[5]. In this study, no patient treated with dissolving threads showed visible threads from the skin surface beyond 3 months.[5].

Can increasing the number of threads reach strong sagging (skin laxity)?

Increasing the number does not always reach it. A survey of 1,500 people in Japan found more follow-up visits for insufficient results among those who had more than 10 threads placed.[3].

Researchers concluded that it is important to tailor thread application according to age and sagging (skin laxity), and to align realistic expectations before surgery.[3]. Note that this survey used PDO, a different thread material, and did not specifically examine TEX3D itself.

How long does the effect last?

The effects of dissolving threads do not last for years. The Japanese Association for Aesthetic Surgery guidelines state that while Thread lift can provide temporary improvement, the effects are limited and persistence is short, making thorough informed consent necessary.[2].

Depending on thread type, some dissolve in approximately 6–8 months, while others like PCL persist for about 12 months.[6]. A review of international research also concludes that lifting effects are limited and do not last long.[4].

To determine suitability, what should be assessed during consultation?

You should have assessed whether your sagging (skin laxity) is within the range threads can reach, and what changes might occur and for how long. Skin elasticity, facial fat volume, and skin laxity can only be determined through direct facial examination by a physician.[1][5].

Dimple-like depressions were observed in 11.7% of participants in a study of 342 Japanese individuals.[6]. Ask about management if they occur during consultation, and if threads alone are insufficient, compare options with injection or cutting procedures.