Thread Lifts

Thread Lifting at Prèface Cosmetic


Dr Hollenbach has been performing thread lifting at Prèface Cosmetic in excess of ten years. He has gone through a journey using different types of absorbable threads, using Promoitalia threads and now onto using Aptos Threads (PCL threads) which are the most widely used across the whole world, due to their significant advantages over threads used in other clinics. The differences will be detailed later in this segment.


Dr Hollenbach is still involved in using Promoitalia Threads specifically for chins using iNeedle threading often in combination with procedures such as laser lipofilling.


He has also developed techniques learnt in the days of Promoitalia Threads using free-floating, absorbable cheek crosslinking threads, which are done in combination with lipofilling to achieve a cheek platform full of newly laid collagen which can then be further lifted using more traditional anchoring thread techniques after a period of 6-12 months. This may be more suitable in older clients in whom normally thread lifting is not possible.

What is a Thread Lift?


A thread lift is a minimally invasive cosmetic procedure, where, rather than removing a patient’s loose facial skin surgically, threads are used to gently pull the skin back, producing a “lift” in the skin. Threads are inserted gently into the areas’ soft tissue to be lifted, and a local anaesthetic is used to calm the area and ensure a comfortable experience.


These absorbable threads dissolve within 18-24 months, but before they dissolve they create a support scaffolding of collagen for the skin that supports and lifts the skin for many years to come. Thread lifting achieves a relaxed and fresh, but natural appearance which preserves and enhances natural contours of the face. In addition to the lift effect, a thread lift will create new skin firmness with improved skin colour, skin tone, texture and hydration.


Thread lifts can be used to treat a wide variety of different areas including smoothing horizontal and vertical forehead wrinkles, lifting the brow and outer eyebrow area and restoring volume and elevation to sagging cheeks. Thread lifts can also elevate sagging jowls and help remove double chins through a chin lift procedure such as the ineedle. They can also smooth lines around the mouth and tighten sagging skin under the lower jaw. Thread lifts can also be used as a platform of collagen rejuvenation using a technique called X Linking in conjunction with lipofilling.


Dr Hollenbach may also recommend thread lifting in combination with other natural treatments such as lipofilling and other collagen treatments such as Thermage & eTwo Sublime depending on your requirements. In the chin area with the ineedle technique can readily be combined with laser liposuction. Like surgery, local anaesthesia and sedation is required.

Thread lifting is designed to address the following:

Marionette lines

Brow droop



Double chin

Frequently Asked Questions About Threadlifting

Advantages of Thread Lifts vs Traditional Procedures:

A thread lift seeks to emphasise the face’s natural contours by gently lifting and repositioning the tissues. A lifted and revitalised look can be achieved as a day procedure without scarring and with results lasting for several years to come.

Another welcome advantage of a thread lift is that it leaves the patient looking refreshed – not different. Ideally, patients who have slight sagging and loose-ness in the skin, often around the jaw, neck, brow and cheekbones are good candidates.

Patients who present with more severe skin looseness or very thin skin with little underlying fat can better achieve their desired results with a combination therapy approach or procedures such as:

Who is the ideal candidate for a thread lift?

The ideal candidate for a thread lift has sagging or loose skin and is seeking a refreshed appearance without unnecessary downtime and expense.

For the right candidate, a thread lift procedure can elevate the face and neck’s soft tissues to create a lifting effect without the need for a traditional surgical facelift. In this way, thread lifting can offer an alternative for those not wanting to “go under the knife”.

The ideal candidate for a thread lift has sagging or loose skin and is seeking a refreshed appearance without unnecessary downtime and expense.


For the right candidate, a thread lift procedure can elevate the face and neck’s soft tissues to create a lifting effect without the need for a traditional surgical facelift. In this way, thread lifting can offer an alternative for those not wanting to “go under the knife”.


As with many other cosmetic procedures, the younger the patient the greater the benefit and more long lasting the result will be. This is because for threads to work ideally, the more collagen there is start with, the greater the lift and the longer the result will last.

Results to expect?

  • Elevate sagging brows
  • Lift and add volume to sagging cheeks
  • Elevate and refresh marionette lines and nasolabial folds
  • Revitalise and lift the jowl area
  • Support and revitalise the neck area
  • Correct asymmetry of the brow and face
  • Reduce the appearance of fine lines and wrinkles

How quickly can I expect to see results?

Results are immediately obvious once initial swelling subsides at around one week and continued improvement is evident over the coming months.

Possible side effects from Thread Lifting procedure

Thread lifting requires a lot of experience and expertise to achieve desired cosmetic results. If not there can be loss of elevation very quickly after the technique has been performed. To minimise this Dr Hollenbach stresses the importance of taping for a week after the procedure and to try and lessen facial movements, in other words not to laugh or talk too much after the procedure. Not all clinics use taping but the results achieved if these necessary measures are adhered to, leads to greater longevity of the result.


Symmetry is also an issue and again requires considerable expertise and experience. Dr Hollenbach has been doing this for a long time and he has very few unhappy patients with less than desired optimal outcomes.


Other side effects include dimpling and granuloma formation, where there can be a little bit of scabbing at the end of threading. Although uncommon, these can occur and it is important that you have a surgeon such as Dr Hollenbach who can readily deal with these complications if they occur.


Infection itself is possible but rare.


Threads can also extrude over time. This is because the body treats them as a foreign body and wishes to expel them. This was particularly troublesome using the older non absorbable threads but is now minimised since using the newer types of absorbable materials such as PCL which is the material used in Aptos threads.

How long will my results last?

PCL thread lift’s benefits can last for several years, depending on the areas treated and individual response. It should be noted that PDO threads such as mint or matrix threads are not of the same calibre and usually absorb much quicker between 60 & 90 days.

Involved downtime

1 – 4 weeks. The area which has been thread lifted is taped for 1 week in order to immobilise the area to allow the threads to set in ‘the desired, elevated position’.

The Prèface Cosmetic advantage for Thread Lifting

Dr Hollenbach has seen significant increase in the popularity of thread lifting over the last few years and prides himself on his techniques which he has perfected over time. Dr Hollenbach was the original thread lifting surgeon in Newcastle. having now performed this procedure for close to 15 years. He has performed many hundreds of these procedures, making him the most experienced thread lifting surgeon in the Hunter Region.


Of course, thread lifting is not for everybody, and there are many alternative treatments both surgical and non-surgical which he will discuss with you at the time of consultation. You can be sure that he will discuss the best option for you.

Aptos: A New Generation of Thread Lifting


Prèface Cosmetic are proud to introduce the new generation of thread lifting from Aptos, the world leader in thread lifting technology. Aptos are internationally acclaimed and proud winners of numerous trophies for threads excellence. With over 30 different threads available in 51 countries, Aptos is recognised as the international leader in thread lifting.


Aptos revitalising threads are uniquely designed absorbable threads to gently move sagging tissues up and then suspend them through special techniques, to achieve a relaxed and fresh but natural appearance.

Introducing the New Generation of Aptos Thread Lifting. Read more

What are the advantages of Aptos Thread Lift?

  • Lift result can be seen immediately.
  • Improvement continues over many months.
  • New collagen is formed and skin is regenerated.
  • Improves skin tone, colour, texture and hydration.
  • Minimum of downtime.
  • Takes about 30 to 45 minutes.
  • Results last for several years.
  • Needle design ensures a comfortable experience.
  • Can be combined with dermal fillers anti-wrinkle injections.

Aptos Threads vs other threads available on the market

Why Aptos Polycaprolactone (PCL) Threads?


  • The use of a long-lasting absorbable material consisting of polylactic acid (PLA) and polycaprolactone (PCL), was a significant development in thread lifting technology pioneered by APTOS.


  • This unique combination of materials ensures long-lasting thread lifting results as the thread is absorbed over a period of one and a half to two years.


  • During this long absorption time, collagen type 1 and collagen type 3 is developed. The development of collagen types 1 and 3 results in the formation of a fibrous capsule that continues to hold soft tissues, even after the thread is fully absorbed.


  • This prolonged tissue reaction guarantees stable and long-lasting results with the APTOS thread material.

PCL Threads VS PDO Threads

Polydioxanone (PDO) threads such as Mint or Matrix threads are best used for short-term skin rejuvenation purposes, rather than to achieve a long term lifting effect on the skin. This is because PDO threads demonstrate an average absorption period of between 60 and 90 days, compared to the one and a half to two years absorption time of PCL threads, such as those offered by APTOS.


While a PDO thread lift is generally a less costly procedure, it is essential to note that PDO threads’ absorption period is significantly shorter, offering minimal collagenesis and much more limited duration of the thread lift effect.


Whilst Dr Hollenbach has used Promoitalia Mesocogs which are very similar to Mint threads, he no longer uses this technique because of the relative short longevity, lasting only months as opposed to years when using Aptos PCL threads.

About Surgical Facial Beautification at Prèface Cosmetic


Surgical procedures, which Dr Hollenbach offers are aimed at trimming away unwanted, skin as well as tightening and lifting procedures. Most procedures are either day stays at a surgical day centre requiring general anaesthesia, twilight anaesthesia or sedation, or done in the Prèface Cosmetic clinic itself.


All surgical procedures have a varying amount of down time that can be reduced using the Prèface Cosmetic “Premium Package”.


Our “Premium Package” involves preoperative, perioperative and post operative or post procedure strategies to reduce downtime and speed up healing. Combination treatments of Dermasweep Microdermabrasion, Omnilux Lights, Enzyme Masks are used and mineral makeup can be applied to mask swelling, bruising and puffiness. We are happy to discuss these treatments further at the time of your consultation.


Prèface Cosmetic offers Blepharoplasty, Thread Lift, Brow Lift, Cheek Lifts, Facelifts and Fat Transfer. Please speak to our specialised consultants for more information regarding these treatments.

Discover whether thread lifting is right for you