Project Description

Thread lift


Thread lift


Dr. Eva Maria Strobl – Your expert for thread lift in Munich

You have heard of face lift without surgery and are now interested in getting a thread lift in Munich?

In Dr. Eva Maria Strobl you will find a competent physician you can trust!

She combines profound medical expertise with a natural sense of aesthetics and has gained experience with thread lifts in the most diverse applications.

She will welcome you in the pleasant, discreet atmosphere of her office near “Bavaria” in Munich, fully equipped at the latest medical standards.

Learn more about thread lift by Dr. Eva Maria Strobl. These are the topics:

At a glance

As a general rule, the price of a thread lift depends on the size of the treatment area and the number and type of threads  needed.

Although the calculation of an individual treatment follows the rules set forth in the German code of fees for physicians (GOÄ), the following reference values can be given based on my experience to date: approx. 25 Euro/thread for monofilaments and 100-200 Euro/thread for cogs/barbs.

So you can expect the average treatment of crow’s feet or wrinkles in the oral area to cost about 400 Euro in total. A similar price range should be expected for treatments with 1-2 cog threads per side, like brow lifts or tightening of the jawline.

The advantages of thread lifting can be summarized in the following 10 points:

  1. Safe procedure without major complications
  2. Easy to perform, yet versatile in applications
  3. Fast procedure (duration 20-30 minutes)
  4. Results immediately visible (full effect after 2-4 months)
  5. High efficiency and reliability
  6. No incisions and scars
  7. The effect lasts for about 1 year
  8. The threads are completely resorbed by the body
  9. The threads are neither visible nor palpable
  10. Short recovery time and immediate social ability

BOTOX wirkt nicht? Dr. med. Eva Maria Strobl sagt Ihnen wieso

I offer you the following advantages:

  • Flexible appointments
  • Extensive experience with thread lifting and continuous development of skills
  • Sufficient time for my patients
  • A relaxed and discreet atmosphere, in a stylish and comfortable environment
  • Direct accessibility via mobile phone and email in the aftercare

Based on my previous experience, you should expect a thread lift to take about 90 minutes including consultation, photo documentation, local anaesthesia and the actual insertion of the threads.

If you have to make an appointment afterwards, then plan for an additional 30 minutes until any redness in the treated areas has subsided somewhat.

I keep medical make-up available in my practice, so we can make you fully operational again immediately.

My thread lift in Munich starts with a detailed patient interview in which you tell me everything about previous illnesses, medication, allergies and the like.

Afterwards we have a consultation in which I compare your wishes with what I see in your face/body.

Together we discuss what is medically feasible and what is aesthetically reasonable. I will share my thread-lift experience with you and also explain cases where problems may arise after thread-lifting treatments.

In addition to the risks, I inform you about possible side effects, the expected results and possible treatment alternatives. I also will point out that your health insurance will almost certainly not cover the costs of the thread lift.

On the basis of our discussion, we will establish a detailed treatment plan and agree on my fee. In addition, you must submit an explicit declaration of consent in which you agree to the treatment, confirm that you have been advised on risks and possible side effects and agree to the fee.

This is followed by a detailed photo documentation of the status quo.

For the treatment, I first remove any make-up, thoroughly clean and disinfect the areas to be treated and prepare everything for the treatment.

In addition, I apply the anaesthetic cream and leave it on for about 30 minutes while I prepare the threads. When using COGs or Barbs, I may also inject a local anaesthetic in the areas where the threads are to be implanted.

After the treatment I will give you ice packs for cooling. After about 15 minutes, redness and swelling will usually have subsided considerably. Any small haematomas, which unfortunately can never be completely ruled out, can be covered with medical make-up.

And that’s already it.

See you again at the check-up in 14 days!

No, the treatment does not result in any downtime. However, I advise you to avoid intensive sports, sauna and solarium visits on the day of the treatment and the following 5-10 days.

Based on my previous experience with thread lifts, it may happen during the first 3 days after the treatment that strong facial expressions and chewing movements lead to pain.

Therefore, take food that is rather pasty and liquid, and try to avoid heavy laughter.

Immediately after the treatment, redness, swelling and small haematomas can occur in the treated areas.

Also a feeling of subtle pain has been reported, which may be reminiscent of sore muscles or ressemble itching and pressure pain.

Serious side effects such as nerve or arterial damage are rare and usually occur only with inexperienced therapists.


Why a thread lift?

A Thread lift is a relatively new cosmetic procedure that can be used to tighten sagging skin.

It is also very effective against wrinkles, and requires no surgery.

A thread lift is easy to perform, complications are rare.

My own experience with thread lift so far has been consistently positive and are in accordance with the vast majority of clinical reports of cases worldwide.

Flaccid tissue

Why does slack skin occur at all? Because the aging process causes the tissue fibres to lose elasticity.

From the early 40s onwards, the body reduces the production of both collagen and elastin, which gradually deprives the tissue of its ability to defy gravity.

In addition, a visible loss of volume sets in in important areas of tissue, for example on the cheeks of the face, caused by the breakdown of muscle tissue and fatty body, reduced hyaluronan content and age-related bone structure remodelling.

Last but not least, negative environmental influences, above UV light from the sun, contribute to the ageing of the skin and the slackening of the tissue.

Even though the exact mechanism has not yet been scientifically clarified, the specific contribution to skin ageing caused by the sun is probably due to the fact that on the one hand it inhibits the new production of collagen fibres, while on the other hand it stimulates the production and activity of collagen-degrading enzymes (so-called “matrix metalloproteinases”).

Furthermore, UV rays probably also promote the formation of aggressive oxygen molecules, which in turn attack the DNA in the tissue cells.

Under the harmful influence of these factors, parts of the face such as the chin or cheeks now increasingly create a “drooping” impression and no longer look attractive.

Taut and well-contoured proportions from a young age melt into a soft and unstructured form, and bulge at their compression points to form bulging tissue mountains, which are interspersed with deep wrinkles in their valleys.

This is the case of age-related nasolabial folds, for example, whose principal cause is not a contracting muscle underneath, but the loss of tissue volume in the cheek areas.

“O” instead of “V”

These factors eventually change the entire shape of the face: the slender, taut “V” of the young age is transformed into an increasingly compressed face with a rounded shape. The appearance appears tired, old and visually unattractive.

In the past, a surgical facelift was the only remedy that promised relief in such cases.

In the meantime, however, thread lift has become a very good and, according to all accounts, low-risk alternative.

Thread lift on the neck (Video: Network Global Health)

Thread lift of the cheeks (Video: Network Global Health)

Frequently asked questions

As already mentioned above, modern thread-lifting procedures rely on the mechanical pulling action of the threads as much as on the stimulation of collagen regeneration. And thus the regeneration of the tissue.

In this respect, thread lifting is similar to microneedling, which also aims at activating collagen synthesis, by means of microfine injuries in the dermis (dermis), but without affecting the epidermis (epidermis). This results in tissue remodelling without the risk of scarring.

I pursue the same goal in my procedure, into which I have incorporated my accumulated thread-lifting experience from working with numerous patients.

More specifically, the goal of the thread-lifting treatment can be broken down to the following points:

    1. improvement of the vascular situation of the tissue (increased blood circulation)

fibrotic collagen


  • stimulation of the growth factors
  • formation of myofibroblasts. Myofibroblasts are an intermediate form between smooth muscle cells and fibroblast and are characterized by a high production of collagen. They are formed during the wound healing process.
  • firming of the skin (the so-called “ shrinking effect“)
  • Increased elasticity of the skin


Of course, with LIPS and SKIN I also use the fact that in certain cases, with certain threads, slack fabric can be pulled into shape. Nevertheless, my thread lifting in Munich follows the motto: “first the framework, then the pull“. In my experience, this procedure also leads to very natural looking results.

You have to imagine that the thread, or actually already the needle inserting the thread, creates a local wound in the tissue under the skin. This micro-fine injury under the skin, not even visible from the outside, mobilises the body’s healing and growth powers. And these then cause the formation of new tissue.

This is the basis for the tightening effect of the thread lifting. In medical terminology it is called “Bridging Effect“: New tissue bridges the wound caused by the needle and thread in the tissue.

According to my previous thread-lifting experience, this effect is maintained for up to 18 months after the threads themselves have long been absorbed by the body. The thread, i.e. actually already the cannula with which it is inserted into the skin, provokes a reaction in the body, which makes a large part of the treatment success.

This is of great importance for a long-term effect. This is because the sutures placed under the skin dissolve completely within a few weeks. The body breaks them down into CO2 and water as part of normal metabolic processes.

Let’s recap: Modern thread lifting does not only rely on the mechanical pulling effect of the threads inserted under the skin.

Instead, thread lifting unfolds its effect in three different ways:

  1. By stimulating cell renewal and collagen production, which improves the skin’s appearance and eliminates fine lines and wrinkles, for example the first wrinkles under the eyes.
  2. By contraction of the subcutaneous fatty tissue, which also visually contributes to tightening.
  3. As in the original form of thread lifting, through a weak mechanical pull, as a result of which skin areas are brought into shape and optically tightened.

Which principle of action is preferred depends on the individual goal of the lift and the treated face or body region.

Different types of threads in variable lengths are available for different applications, from which I can choose as therapist in order to achieve best results for my patients.

A thread lift can easily be performed in several different body areas in one session.

A combination with other therapies is also possible, e.g. hyaluronic acid injection. I regularly combine my thread lift in Munich with hyaluronic acid injections, especially for older patients with significantly slackened facial tissue.

However, thread lifting is the treatment with the significantly fewer possible complications, so wherever possible I like to use it alone.

In most cases, a thread lift is today performed with polydioxanone threads.

The material polydioxanone has been known to medicine for a long time. It has been successfully used for more than 30 years in all kinds of surgical operations where absorbable sutures are required.

Monofilaments made of polydioxanone were introduced into surgery as early as 1981 under the name “PDS” and were the first completely biodegradable suture material at that time.

PDO is used millions of times in orthopaedics, surgery and plastic surgery. The degradation of the sutures is effected by hydrolysis, i.e. the suture gradually decomposes in the body into water and carbon dioxide and is absorbed.

Modern PDO threads offer high safety and are 100% broken down by the body, usually within 6 months after treatment.

This is one of the reasons why no major risks need to be considered when lifting threads with PDO threads.

As the PDO threads are completely absorbed, they disappear completely from the treated tissue after the procedure.

However, the lifted facial contours are retained for another 6-12 months due to the rejuvenating effects at the cellular level.

The success of the method is therefore not only determined by the mechanical traction that brings the tissue into shape, but also by the stimulation of the skin cells to produce new collagen and additional blood vessels.

Threads for thread lift come in different shapes and materials

Threads for thread lift come in different shapes and materials

There are numerous manufacturers of PDO threads nowadays, many of them based in South Korea.

Their thread products are certified for distribution in the EU and are generally very safe.

All PDO threads come sterile packed and are used for treatment immediately after opening the packaging.

I pay great attention to quality and safety aspects when selecting my sutures in order to minimize risks for my patients during thread lifts.

PDO threads come in many different shapens and forms today. But in principle they fall into 3 different categories:

  1. Flat threads (basic threads, monofilaments): They are inserted deep into the skin and develop almost no pulling effect, the distances are 2 mm to a maximum of 1 cm
  2. Spiral threads (Tornado, Spring): they have a stronger stimulation effect, in addition a low pulling effect.
  3. Threads with barbs or attached cogs (barbs, cogs). These types of threads are inserted deep into the skin (usually above the so-called submusculo-aponeurotic system, which is a layer of connective tissue, muscles and fat under the skin) and have the strongest pulling effect.

According to my experience, monofilaments are sufficient for many facial applications.

From a cost perspective and with a view to patient comfort, I therefore refrain from using the significantly more expensive and uncomfortable Barbs and Cogs in my practice in Munich whenever possible.

Lifting with Barbs and Cogs requires, among other things, a significantly stronger local anaesthetic than lifting with monofilaments.

In addition, the pulling in the tissue can be felt much more strongly during the first period after the treatment, which is often perceived as unpleasant.

However, certain treatments, such as the eyebrow lift, need as strong a pulling-force as possible. In such cases a COG thread is the only option.

My thread lift in Munich is a minimally invasive procedure that does not require a scalpel at all.

After superficial anaesthesia or injection of the local anaesthetic (for use in deeper tissue layers or the use of Barbs and Cogs), the PDO threads are inserted into the intended skin layers via special cannulas.

After insertion, the needles are removed and the sutures are anchored in the skin. This creates a weak mechanical lifting effect.

The inserted threads form a stable network under the skin, which, due to the tensile stress of the threads and the increased build-up of the body’s own collagen and fibrin, visibly tightens the skin structure in the treated area. The result will look absolutely natural.

Depending on the treated area, the procedure takes 15-30 minutes. In my experience, a thread lift is not painful, as the areas to be treated have been sufficiently anaesthetised beforehand.

The number of threads required depends on the size of the affected area of skin and the patient’s individual expectations.

Fadenlifting München - Wangen

Thread lifting is particularly suitable for those parts of the body that are difficult to treat with alternative methods, especially in the case of advanced aging. These are:

  • neck and décolleté, sagging facial skin, turkey neck
  • Fine lip wrinkles, wrinkles around the mouth, puppet wrinkles
  • lower eyelid wrinkles, wrinkles under the eyes, crow’s feet
  • Lifting eyebrows, shaping eyebrows
  • Jaw line contouring – optimal in combination with lipolysis and filler

It can also be successfully used on other parts of the body to bring excess skin tissue into shape. Especially at the following places:

  • Thigh: Remove riding breeches, tighten thighs
  • Buttocks: Tighten buttocks
  • Tighten upper arms
  • Armpits: Compacting fat under the armpits
  • Tighten stomach, back
  • Remove stretch marks

Fadenlifting München - Körper

The prerequisite for a successful thread lifting is always that the skin in the area to be treated is sufficiently thick to be able to absorb the threads in sufficient depth. If this is not the case, alternative treatments must be used.

Absolute NO GO for thread lifting are also “real” skin surpluses in the narrower sense, which can no longer be treated with tissue stimulation (fat aprons and the like).

In such cases only a surgical tightening will bring success. If you are not sure which procedure might be the right one for you, please contact me for a consultation.

Lifting with PDO sutures is low-risk, even compared to other minimally invasive procedures.

Depending on the number of threads used and the sensitivity of the treated area, swelling or haematomas may occur.

However, according to my experience with thread lifts to date, they are problem-free, can be covered with make-up at any time and subside quickly.

Although not comparable to surgical procedures, one cannot completely deny the risks of thread lifting.

Among the more serious complications, besides (always) possible allergic reactions, are especially elevations that can occur at the insertion points of the sutures.

It can also happen that badly laid sutures become unattractive on the skin surface. In both cases the treating therapist should be consulted immediately.

As with all other cosmetic interventions, the competence and experience of the therapist are crucial for the success of a thread lift!

For a fresh, attractive look