Smas facelift after thread lift?

Is it possible to have a smas facelift after having a threadlift a month ago? Had very disappointing results with threads.

Doctor Answers 11

Facelift after Threadlift

Dear Daf1962

Thank you very much for your question. I often have patients, who have recently had a thread lift, ask whether they can have a facelift afterwards because they are not happy with the thread lift results.

The thread lift procedure is very quick however it does not have the same longevity as a facelift. I have pioneered a new technique called the Concept Facelift where i perform the surgery under local anaesthetic, working on the SMAS muscle, and the results are instant and have the same longevity as a traditional facelift. The procedure does not require the patient to have any bandages or drains. In fact there are no dressings at all. The sutures are absorbable at the incision sight and my technique reduces the amount of bruising and swelling so many clients are out and about the next day with no trouble at all. 

Please ensure you see an accredited, board certified surgeon and ask to see their portfolio of work. I would like to wish you all the very best for the future.

With kindest regards

Mr Amir Nakhdjevani

SMAS facelift after a thread lift

Yes you can have a SMAS facelift after a thread lift, but you are probably best to wait several more months until the tissues have softened adequately.  

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 27 reviews

SMAS Lift OK After Thread Lift

Your question is a perfect illustration of why I don't do threadlifts: they historically are not predictable and fraught with problems. One month is too soon to have another surgery. Wait another five months or so and then go for the SMAS lift. The results will be much more dramatic and can last up to 8-10 years. In the meantime, shop around for your ideal facial plastic surgeon. I hope this helps.

Jonathan Kulbersh, MD
Charlotte Facial Plastic Surgeon
5.0 out of 5 stars 65 reviews

Facelift after threadlift

Great question.  Thread lifts have come and gone at some point during the last 15 years.  There is always improvements made to the material and incremental gains in what can be achieved with them.  However, they are limited in what they can achieve and for how long.  That being said, as others have noted,  this will not decrease the possibility of having a tuck up lift at some point later on - however, you should wait 6 months to a year before embarking on this as you want the tissue to settle.  Even if old threads are encountered during lifting, you can take care of them during the surgery.  

You don't lose anything by starting the consultation process now.  It would give your surgeon a chance to examine your tissue and get an idea of where the threads were placed such as to know what to expect.  Best of luck!

Miguel Mascaro, MD
Delray Beach Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

Facelift after Threadlift

Unfortunately "Thread Lifts" have lost their popularity and hype over the past decade. Simply put, most of these minimally invasive techniques just were not able to give enough result for most clients requesting a lift of their jawline or neck. Typically a more formal SMAS lift or Minilift (with muscle tightening) is necessary to achieve noticeable and acceptable results. The good news is that you can still safely have a more traditional lower facelift/SMASlift. Even if the previous threads are encountered, they can be removed or cut so that they do not effect the new result. It would be best to wait 1/2 year before having your lift in order for all thread lift results to settle. Certainly you could go for your initial consultation now so that you can have a game plan in place, as well as have the opportunity to interview a few different surgeons. Hope this helps.

Paul Lanfranchi, DO, FAOCO
Las Vegas Facial Plastic Surgeon
4.9 out of 5 stars 64 reviews


the surgery is possible, but it is better to wait 6 months to one year before doing another surgery, 

Ali Totonchi, MD
Cleveland Plastic Surgeon
5.0 out of 5 stars 8 reviews

SMAS facelift after hread lift?

 We have performed many SMAS  facelifts and removed threads that were previously placed.  Probably best to wait a few more months after that initial thread lift  placement before having them removed with the facelift.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 141 reviews

SMAS Facelift after Thread Lift

Unfortunately I've seen many people who have had similar disappointing results after a thread lift. The good news is that experienced facelift surgeons have achieved excellent results in doing a SMAS lift in patients like you. I suggest you wait until swelling secondary to the thread lift has resolved. Consult with a facial rejuvenation specialist about the timing of your procedure.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

SMAS after threads

Yes, you can have "real" surgery after the thread lift. I would prefer to have you wait at least three months from surgery though in order to let some of the natural inflammation resolve.

Ronald Schuster, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 77 reviews

Smas facelift after thread lift?

 Hi, I have performed facelifts for over 30 years and have performed many minimally, invasive type facelifts.  Non smiling photos of your face from the front and side would help in the evaluation.  Following the beauty principles outlined in my book on face and body beauty, women look the most feminine, youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks that are full and round in the front.  Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face. 

 If the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face.   I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective.

 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
  • excess skin removed
  • 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.  Any form of suspension facelift (threads, sutures etc.) won't last.  A minimally invasive SMAS facelift, as described above, could be performed a month after the thread lift as long as the skin over the face wasn't dissected to remove excess skin at the same time as the threads were placed (there would have been an incision around the front of the ears).

Hope this helps.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

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.