Fillers Vs Thread Lift

I'm in my 30's. I would like the nasolabial folds and mouth corners lifted as they are drooping.. (FYI, I've lost 20 pounds in 2 months). Do you think fillers can fix my problem? or I need a thread lift?

Doctor Answers 6

Filler & Thread Lift! Perfect Combo!

I would suggest getting both filler & thread lift, The filler brings up those nasolabial folds and fills those hollow spaces in the cheek area that we have lost with age. Down closer to the jawline the thread lift does an amazing job pulling up those lines that the filler can not get to! The Thread lift is highly suggested for clients who have dropping in that area and last up to 12 months! PDO Thread lift has 0 downtime and is non-invasive lunchtime procedure! I hope this helps you with your journey!:)

The Woodlands Family Physician
4.4 out of 5 stars 31 reviews

Treatment of nasolabial folds

Thank you for your question and for sharing your photo.  Both fillers and Instalift can help address your concern.  Both will result in a nice a softening of the nasolabial folds and can provide an even stronger result when used together.  If you plan on both, then I would recommend doing the Silhouette Instalift first as this will help recruit some of the laxity away from the nasolabial folds.  If you are happy with the results, then you are done.  If you decide you want further softening, then a dermal filler can be used.  Best of luck.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 34 reviews

Combined approach

A combined approach of fillers, thread lift, and laser therapy would be optimal for you to see the best results.

Dr. Elkeeb

Laila Elkeeb, MD, FAAD
Corona Del Mar Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

Fillers or Threads

Bravo on losing weight! It's likely that you need volume replacement due to weight loss that may be sufficient and would be a good foundation. After which threads can be added if necessary to achieve the results you desire. As always, I recommend going to an experienced injector and experienced cosmetic surgeon who has worked with treads. 


Andre Berger

Andre Berger, MD
Beverly Hills Physician
5.0 out of 5 stars 9 reviews

Fillers Vs Thread Lift

Fillers will improve, not the threading! Be very careful. Remember fillers last from a few months to a year depending on which type you use. And you will need at least 2 to 3 syringes. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 171 reviews

Fillers vs. lift surgery

The photo you posted shows fairly deep nasolabial folds, early marionette lines down from the corners of the mouth and early jowling. The best option for the nasolabial folds is a filler. You need to decide which filler after consulting with the doctor you choose to do the procedure. The jowling is a bit too early in the process to warrant a major operation in my opinion though some surgeons would want to do it. You could try some of the non-invasive skin tightening procedures. I would recommend against doing a threadlift which is the placement of barbed sutures to lift the facial soft tissues. These initially looked good but then the barbs would split along the length of the suture and the suture would break on the upper part. The lower ends would then migrate under the skin like a snake and then pop through the skin in areas far from where they were initially placed. That is why the FDA took those threads off the market.

Some surgeons would recommend placing a filler in the concave area of the jowl. I personally do not think that gives patients a more youthful natural look so I do not do that.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Aaron Stone, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 1 review

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.