What type of sagging skin is right for Zetith Thread lift? For people who need only thread, or those considering incision

Thread lift like Zetith Thread lift works best for mild to moderate sagging skin that does not require surgical excision[1]It is less suitable for people with significant excess skin or those seeking immediate surgical-level lift[1]Even with the same sagging skin, the answer varies depending on age, how facial fat is distributed, and how much change is desired.

What type of sagging skin is suitable for Thread lift?

Thread lift works best for those with mild skin laxity and mild descent of cheek fat[1]People whose primary concern is shallow wrinkles also fall into this category[1].

Although research is still limited, good results have been reported in people with relatively low body fat, mild to moderate fullness along the jawline, and well-defined bone structure such as cheekbones[1]Since thread is a tool that supports tissue beneath the skin, it is easier to understand that faces with a strong foundation for support show more noticeable changes.

It is not limited to age-related concerns. Thread lift may also be used for people who want a more sculpted appearance without bone reduction, or those with loose skin after liposuction[2].

When should incision be considered over thread lift?

When there is significant excess skin that requires surgical removal, thread lift becomes difficult to reach[1]People with significant facial fat loss or strong descent of skin and muscle are also considered unsuitable[1].

As one guideline, if pulling cheek skin toward the ear leaves excess of 2 cm or more, surgical Facelift was previously recommended[2]Some opinion suggests this gap is narrowing due to thread improvements, but the prerequisite is choosing with full understanding of the difference from incision[2].

Japanese aesthetic surgery guidelines also state that while Thread lift can be expected to provide temporary improvement, the effect is not large and duration is short[3]"I want to lift as much as surgery" or "I want it to last for years" — if such hopes are strong, comparing incision options helps avoid regret.

Does satisfaction vary by age or number of threads?

A study of 1,500 people in Japan found that 3.4% of patients felt the effect was insufficient and returned for follow-up[4]As age increased and the number of threads used increased, this dissatisfaction became more common[4].

The turning point was around age 43 and 10 threads[4]This does not mean "you cannot have the procedure after age 43." A closer reading is that as sagging increases, more threads tend to be added, yet they often still fall short of expectations.

Note that in this study, "dissatisfaction" was counted based on whether patients returned due to insufficient effect[4]Dissatisfaction among those who did not return is not included in the count.

Dissolving threads vs. non-dissolving threads—what is the difference when choosing?

Dissolving threads like those used in Zetith Thread lift are the option with fewer complications. Research summaries also found that using dissolving threads and younger age were associated with fewer complications[5].

The same summary states that non-dissolving threads or thread lift in older patients should be used with caution[5]There are also differences by thread shape: U-shaped threads suspended from the temples provide stronger lift but are more prone to bruising and indentation, while I-shaped threads have fewer complications but produce more subtle changes.[2].

What should the doctor examine during consultation?

The three things to have examined are: how the skin is excess, the amount and descent of cheek fat, and skeletal support. Also communicate in advance how much change you want and over what timeframe.

Then ask about the type and number of threads to be used, and what options exist if thread alone is insufficient. Whether thread is enough or incision should be considered cannot be decided from an article alone, so have your face actually examined to make the determination.