"Thread lifts" are beginning to regain popularity because of the increased safety and more predictable results than in the past. However, they will never replace or achieve the results of a surgical face or neck lift. To compare a thread lift to a true neck lift of any kind would be unfair to patients and both procedures. Although patients may get excited to hear its done under local anesthesia, those who have become part of my practice know that I perform all of my facial plastic surgeries (including a variety of facelifts) under local anesthesia as well, which creates a level playing field when it comes to that part of it. In the right patients, I have found that the results of dissolving PDO sutures are worth the effort. For patients whose goals and aging patterns require surgical treatment, nonsurgical options like ulthera, thermitight, PDO, Instalift, etc. (which I perform frequently on the right patients with great success) are a waste of time and resources. That being said, I have not found any problems doing a facelift for patients who have previously had any of these procedures.