Will Removing Threads 4 Years Post Thread Lift Cause Jowl to Sag?

I am having a neck lift done and have had a Thread Lift for 4 years now. My doctor wants to remove the threads in the neck and jowl area while doing the Neck lift.

However, he will not be doing a Face lift, only a Neck lift. Will my face drop in the jowl area if he does this? Usually, people who remove the threads get the Face lift. I don't need one right now and think it’s because of the Thread Lift. Help!

Doctor Answers 11

Thread lifts

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Sounds like you are one of the lucky few that had a good experience with the threadlift. A recent study showed that the threads and the lift lasted no more than 3-4 months in most comers. I disagree that the scar tissue has had an effect. In my experience the only way to have an enduring lift is to lift and tighten the SMAS. Go ahead and let your docotr remove the threads!

New York Plastic Surgeon
4.8 out of 5 stars 34 reviews

Removing the threads will not cause the face to drop.

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After several months the threads which repositioned the jowls and deeper structures have done their job. Scar tissue has secured these structures in their new position and are not needed any more.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Removing threads

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I am not a plastic surgeon but as a cosmetic dermatologist knowledgable in facial anatomy and skin biology, I am not surprised that your physician wants to remove the threads that would interfere with your planned surgical procedure.  Remember that a surgical neck lift will reorient that skin -- your prior threads which were hidden, could easily become visible.  In addition, as foreign bodies in the new surgical site you could be a set up for a new inflammatory reaction or infection.

Discuss your concerns with your physician.  Confirm the reasons for the planned removal. Ask if he is removing all of your threads or just the ones in the lower face and neck.  Either he or his staff should be able to answer your questions.

I hope this answers your question. Best wishes.

Heidi A. Waldorf, MD
New York Dermatologist
5.0 out of 5 stars 10 reviews

Threadlift removal

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There should be no reason to remove threads unless they are causing problems such as they are visible, they are causing symptoms such as pain, they are protruding outside of the skin. After several months the lifting action of the treads is replaced by the lifting action of the fibrosis and collagen build-up that the threads stimulate. So after this time the removal of the treads should not cause the jowls to drop. It's best if you consult with the doctor who is performing your next lift. 


Andre Berger, MD

Andre Berger, MD
Beverly Hills Physician
5.0 out of 5 stars 13 reviews

Thread Lift Has Lost FDA Approval

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Considering a thread lift doesn't typically last four years, it should not have a significant impact now that you are having the threads removed and neck lift performed.

Your plastic surgeon may actually be doing you a favor considering the FDA has taken its seal of approval off of facial thread lifts. The reason being is because there were more risks of adverse affects. Patients usually experienced more discomfort than positive results in any case.

In addition, I would recommend writing down and then discussing any questions you may have with your surgeon. He should be able to answer them and set your mind at ease. “Dr. D”

Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
4.7 out of 5 stars 127 reviews

Thread Lift Removal

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If you have any doubts about what your surgeon is telling you then you need to get a second opinion. If he/she feels the threads can and should be removed then that is your best guide. Having done a few of these procedures over the years, I can tell you the reason they are no longer available is that the lift only lasted a few months at best. Therefore, if should make little difference if they are removed four years later. With that said, I would not have a surgery simply to remove them if they aren't bothering you. If they are deeply embedded that could be more harmful than beneficial because of the trauma to the tissues getting them out.

Generally speaking what most people call a neck lift is really what we think of as a face lift. While there are a few less common operations out there that just treat the neck, the loose skin under the chin almost always accompanies jowling and should be they addressed together. Simple removal of loose neck skin is possible but even the best scar will be immediately apparent. Instead, the scar is hidden by the ear and loose neck and facial skin is shifted to around the ear where it can be removed with a more cosmetically acceptable scar. This would be a standard face lift. Combining it with eyelid and brow rejuvenation and you have what most people refer to as a full face lift.

Barry Stuart Handler, MD
San Diego Plastic Surgeon

Thread Lift Thread Removal 4 Years After Procedure

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It is unlikely for anything to change if the threads are removed 4 years after the original procedure. I would agree with the other physicians though about the necessity for their removal. In most cases, the threads are only removed due to persistent pain or extrusion of the threads through the skin.

D.J. Verret, MD
Dallas Facial Plastic Surgeon

Thread lift and neck lift

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If you had threads placed a few years ago and the jowls are improved then likely you have enough scar tissue that will limit recurrence of the jowls. It is unlikely that removing the threads at this point will cause the jowls to return anytime soon. If your surgeon is performing a neck lift, and he notices the jowls are still present, he can possibly correct them at the same time.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Thread lift longevity

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It is difficult to know for sure but usually thread lift longevity is not more than 2 years. The reason why is the tissue that the threads suspend weakens or the threads pull through. Removing these threads at this point will USUALLY not cause significant changes in the way you look.

You should have a clear discussion with your plastic surgeon and be prepared that, while unikely, there may be changes after the threads are removed.


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Having performed hundreds of threadlifts and mini lifts, I hardly reccomend removing threads unless they are causing discomfort, or have broken and migrated. Since you are having an additional surgical procedure, removal will not likely cause your jowl to sag, although you make experience more bruising and swelling as a result of removing the threads. You should discuss this further with your surgeon.

Peter J. Malouf, DO
Fort Worth Dermatologist
4.7 out of 5 stars 87 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.