Hi, I have performed many facelifts over the past 30 years and many of these have been minimally invasive type SMAS facelifts. I have experience and knowledge with thread lifts and other suspension techniques but no longer use them because they do not last or provide consistent results like a proper SMAS facelift. The threads (made of tough permanent material) can work its way through the softer tissues of the face. This might be the cause of your headaches...if the anchor (fixation) point or the thread is reacting with and eroding through tissue. This would be highly suspect if touching a specific spot on your temple or face elicited the headache type pain. I have included information on the minimally, invasive SMASS facelift that I have performed on numerous patients that had thread lifts or suspension sutures placed by other doctors. Using this technique the threads can be removed and the SMAS properly addressed. If you have "jowls” these are sagging facial tissues and an indication for some form of a SMAS facelift. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last). The excess skin is then removed and the facelift incisions closed. My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits: very small incisions and no incisions extend or are placed within the hair. minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned) can be performed in 90 minutes or less, with or without general anesthesia no incisions within the hair = no hair loss excess fat can be removed from the face and neck excess skin removed from the face and neck cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants most patients fly back home to parts all over the world in as little as 3 days post-op I combine facial shaping with every facelift procedure. When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face. Hope this helps.