Swelling and bruising that tend to appear after thread lift are reported to continue for approximately 1–2 weeks[1]. Most cases settle down with continued post-procedure care.[2]. However, dimple-like indentations, thread protrusion, or redness and swelling that intensify later are signs you should seek evaluation promptly[2][3].
When does swelling and bruising subside?
Swelling and bruising are the most commonly observed symptoms after thread lift.[1]The expected duration is approximately 1–2 weeks.[1].
Immediately after the procedure, pain and slight bleeding may occur.[2]These typically settle down with continued post-procedure care.[2].
Is it okay to wait and see with tightness or numbness?
After the procedure, you may experience a sensation of skin being pulled (tightness), numbness, or itching.[2]In an overseas review of 160 cases, temporary facial stiffness was seen in 1.2%.[1].
One study advised avoiding large facial movements, massage, and dental treatment for approximately 2 weeks after the procedure[4]. Actual recovery guidelines should follow the instructions of the clinic where you received the treatment.
What should I do if dimple-like indentations appear?
Dimple-like indentations on the cheeks are one of the common concerns after thread lift.[2]A Japanese survey of 342 people found this in 11.7% (approximately 12 per 100 people).[3].
Indentations tend to occur when the thread is pulled too tightly or placed in an incorrect position.[2]While the indentation can often be corrected with a procedure to reshape it manually, the likelihood and correction method vary depending on the thread type and placement location.[2].
Before attempting to massage the area yourself, consult with the clinic where you had the procedure.
What if I can feel, see, or the thread is coming out?
In the same 342-person survey, 2.3% reported feeling the thread when touched, and 0.9% experienced temporary asymmetry.[3]Most cases of visible or protruding thread are mild and managed by partial thread removal or similar procedures[5].
. Non-dissolving threads are reported to carry a higher risk of sensory abnormalities and thread protrusion compared to dissolving threads.[3]Keeping a record of which type of thread was placed can be helpful later.
When should I contact the clinic right away?
Redness and swelling around the thread entry or exit points, or pus accumulation, may be signs of infection.[5]In an overseas review of 160 cases, mild infection was observed in 6.2%.[1].
Early detection and treatment with medication or thread removal is important.[2]The temple area is also a site where blood can accumulate easily.[2]If swelling or pain intensifies day by day, do not wait to report it.
Though rare, there are reports of inflammation or nodules forming around the thread years after the procedure[6]. If you experience recurrent swelling in the same area, inform your doctor that you have had thread lift, even if considerable time has passed.
What should you ask during your consultation about recovery outlook?
Thread lift effects are temporary and reportedly have a short duration[7]. Depending on thread type, some dissolve in approximately 6–8 months, while others like PCL persist for approximately 12 months.[3].
The tendency for swelling and indentations varies depending on the thread type used and placement location.[2]At your consultation, confirm the thread type and number of threads, post-procedure guidelines for approximately 2 weeks, and which symptoms warrant contacting the clinic.
- 1Surowiak P. Barbed PDO Thread Face Lift: A Case Study of Bacterial Complication. Plastic and Reconstructive Surgery Global Open. 2022. doi:10.1097/GOX.0000000000004157
- 2Yi KH, Park SY. Facial Thread Lifting Complications. Journal of Cosmetic Dermatology. 2025. doi:10.1111/jocd.16745
- 3Tamura 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
- 4Park 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
- 5De-Pablo-Gómez-de-Liaño L, Ly-Yang F, Burgos-Blasco B, et al. Ophthalmological Complications of Aesthetic Medicine Procedures: A Narrative Review. Journal of Clinical Medicine. 2025. doi:10.3390/jcm14155399
- 6Baek SO, Shin J, Lee JY. Epidermal Inclusion Cyst Formation After Barbed Thread Lifting. Journal of Craniofacial Surgery. 2020. doi:10.1097/scs.0000000000006556
- 7Japan Society of Aesthetic Surgeons. Guidelines for Aesthetic Medical Care, CQ2-6 (Thread lift treatment for facial wrinkles and sagging can be expected to provide temporary improvement; however, the effect is limited and the duration is short, making adequate informed consent necessary. Recommendation level 2, weakly recommended.)