All about thread lifting with Dr. med. Eva Maria Strobl at LIPS and SKIN
Face lift without surgery
Are you interested in a thread lift in Munich? And you are looking for medical expertise at a fair cost? Then Dr. Eva Maria Strobl is the doctor you can trust. In her practice in Munich, she has been practicing thread lifting for several years. For skin tightening without surgery. On the face, neck, and body.
Thanks to her years of experience with thread lifting, she reliably advises patients on the prospects of success and risks. She is also transparent and reliable regarding expected thread lift costs. She has a strong sense of aesthetics and attaches great importance to a sympathetic look. For Dr. Eva Maria Strobl, thread lifting therefore primarily means natural-looking results.
Learn more about thread lifting with Eva Maria Strobl on this page.
Competence in PDO and Silhouette Soft thread lift
your Benefits with dr. strobl
quality thanks to specialization
Many years of experience with thread liftING
Sufficient time and full attention on patients
A relaxed atmosphere in a central location in Munich
Direct accessibility via cell phone and e-mail in aftercare
Fairly calculated Treatment costs
The most important facts about thread lifting in a nutshell
Thread lift at a glance
|Effect holds:||9-12 months|
|Downtime:||none, but swelling, tightness pain and mimic restrictions for several days can be considerable|
|Prices:||approx. €280-€800 with PDO threads, approx. €620-€4000 with Silhouette Soft threads|
Skin tightening in the face and on the body without surgery
What is thread lifting?
A thread lift is an innovative treatment to reduce the signs of skin aging. Whether wrinkles, sagging tissue, drooping cheeks or a facial shape that no longer resembles the youthful “V” but increasingly the “O” of old age: thread lifting can provide a visible improvement. The treatment rightly is known under the synonym “facelift without surgery” because in numerous applications needing only moderate work it has replaced surgical skin tightening. And not only on the face, but on various zones all over the body.
Preparation of a thread lift of the cheeks with Silhouette Soft.
Known for over 20 years
Thread lifting has been a proven and safe technique for over 20 years. Current materials and protocols incorporate the learnings of more than 2 decades, ranging from the choice of thread material to insertion techniques. Like several other minimally invasive treatments, thread lifts have long been enjoying strong popularity in South Korea and owe much of their development to the continued research of Korean practitioners and thread manufacturers.
Lower cost and risk
Whereas in the past a surgical facelift was the only way to counter sagging skin on the face, today a thread lift offers a less invasive method of tightening up loose skin. It rejuvenates the internal tissue in an organic way and gets rid of skin flabbiness.
As a minimally invasive technique, thread lifting not only carries fewer risks, but also incurs lower costs.
PDO vs. SILHOUETTE SOFT Lift
As an effective alternative to surgical skin tightening, I offer thread lifts in two variants: PDO thread lift and SILHOUETTE SOFT lift. The two treatments differ in terms of material and tensile strength of the threads. A Silhouette Soft lift comes at significantly higher costs than a lift with PDO threads, but also yields much stronger effects. What both techniques have in common is that the sutures are completely absorbed. After 6-12 months, the body has broken them down. What remains is the tightening effect of new collagen and elastin in the tissue, the formation of which was stimulated by the inserted threads.
Different threads for increased collagen synthesis and strong skin tightening effect
PDO threadlifting and silhouette soft
Thread lifting is a versatile treatment and suitable for many applications. Thread lifts are particularly popular in South Korea and and are constantly being developed by aesthetics practitioners there. Whereas the thread lift of a few years ago would mainly make use of “mono” threads, today’s treatments rely primarily on so-called “COG” and “cone” threads. They are anchored in the tissue through small resistance bodies and exert real traction on the skin. With their help, subtle lifting effects can already be achieved. The effect can be improved if the muscles involved are weakened with a small dose of Botox. Silhouette Soft represents a further increase in terms of tensile strength and is also suitable for more ambitious skin tightening goals.
PDO mono threads
PDO mono threads are smooth and do not exert any tensile force on the surrounding tissue. They are made of Polydioxanone (PDO), a material originally developed as a surgical suture material and still used as such today. Their effect is based on a slight lifting effect, similar to an injection with hyaluronic acid. They also stimulate collagen production, achieving a subtle skin tightening effect. To enhance the effect, mono threads are also available in spiral form. A thread lift with mono threads incurs the lowest cost, even if a dozen or more threads are inserted per side.
pdo COG and CONE threads
COG and cone threads use the principle of barbing. They are not smooth, but resemble a barbed wire. This makes it possible to anchor them in the tissue and create a much stronger lifting effect than possible with Mono threads. The resistors of today’s COG filaments are arranged in more than one plane. Threads are accordingly called 3D, 5D or 6D filaments. The choice of thread determines the strength of the effect and also the cost of the thread lift. Cone threads are even stronger than COG threads. They can also be used, for example, to perform a “Fox Eyes” brow lift. In addition to their tensile effect, these threads also stimulate the production of collagen, thus achieving a complementary effect that will last beyond the point of the thread’s complete absorption.
silhouette soft threads
Silhouette Soft threads are not made of PDO, but of PLLA, a poly lactic acid. The material is known to stimulate the production of new collagen in the tissue. It is also found in a dermal filler marketed by the same manufacturer under the name “Sculptra”. Like PDO, PLLA is completely degradable. However, it has a longer lifetime. A Silhouette Soft thread achieves its high lifting power through resistance bodies in the form of hollow cones, of which either 8 or 12 are threaded. These threads are also suitable for demanding skin tightening procedures. However, a Silhouette Soft thread lift is significantly higher in cost than conventional PDO threads.
Skin tightening on the face, neck and décolleté and body
WhEN thread lifting?
Thread lifts are particularly suitable for those areas of the body that are difficult to treat with other procedures, especially when the aging process is far advanced. These are:
Neck and décolleté
Other areas of the body are also suitable for thread lifting. Especially the thighs, buttocks, armpits, abdomen and back. However, the achievable results are often not in reasonable proportion with the treatment costs, which can be considerable in these areas.
The prerequisite for good results is always that the skin has sufficient thickness to absorb the sutures well. A suitable candidate for a thread lift is someone who has a mild to moderate skin laxity. Otherwise, alternative treatments must be considered. Thread lifting is not very promising if there is real excess skin in the narrower sense, which can no longer be treated with tissue stimulation, e.g., a fat apron. In such cases, satisfactory skin tightening will indeed only be achievable surgically.
Fox Eyes Lift, Bella Eyes Lift
Fox eyes thread lifting eyebrows
The “fox eyes” thread lift of the eyebrows is currently very trendy. Brow lifts have long been a classic because drooping eyebrows, as a typical sign of aging, are frequently perceived as unattractive. Thread lifting of the eyebrows therefore quickly established itself as a viable alternative to injections with Botox or surgical procedures.
However, young women today also have their eyebrows and forehead lifted using thread lifting to achieve a special look. This was apparently coined by the American model Bella Hadid, and therefore also circulates on the net under “Bella Eyes” or “Bella Eyes Brow lift”. This type of eyebrow lift primarily involves lifting the outer thighs of the brows, to produce a typical “fox eyes” look. However, fox eyes are not suitable for every face.
Moreover, a Bella Eyes thread lift is not as trivial as it may seem on YouTube or Instagram. This is because the muscle pull in this area of the face is strong, but the skin is thin, and these are not good conditions for a thread lift. Only forceful Cone or even better Silhouette Soft threads are suitable to achieve a significant lifting effect. In addition, a simultaneous treatment with Botox is recommended to relax the muscles somewhat. However, this ultimately makes Fox Eyes a money issue. Supposedly cheap offers for Bella Eyes with simple COG threads carry a high risk of disappointment in my opinion.
The video below shows the treatment of a young woman in her early 20s, using thread lifting to subtly lift eyebrows and widen the eye area to achieve the signature “fox eyes” look. I used cone PDO threads for this and also injected with Botox.
Trend thread lifting of brows to create Fox Eyes look
video Brow LIFT (Fox Eyes)
Thread lifting in 5 steps – for consistent quality of results and utmost patient safety
thread lift – The Process
A thread lift in my practice in Munich follows a process in five steps. For new patients, two separate appointments are required for this, as I first perform the consultation and only after a few days of consideration do I perform the treatment. The reason for this lies in my observation that prospective first-time patients are often too optimistic concerning realistic results as well as restrictions and discomfort post-treatment. I therefore want my patients to carefully think it over during a couple of days before they decide to have the treatment performed.
The first step is a detailed discussion of the patient’s initial situation and aesthetic goals. What is to be achieved with the thread lift? Is the goal realistically achievable? Which thread type and how many threads will be necessary? What are the costs? What are the risks? Are there alternative methods that would be more suitable or cost-effective? Are there any contraindications that need to be considered? Will the first (unpleasant) days following treatment collide with important events or appointments? If all questions are answered satisfactorily, then the patient signs a consent to treatment and an agreement regarding costs. This bindingly records the price of the treatment. Subsequent “surprises” are thus not possible. This step takes 15-30 minutes for new patients.
Cleaning and disinfection
On the day of treatment, thorough cleaning and disinfection of the treatment area are essential to exclude bacterial infections. Therefore, traces of makeup and other impurities must be completely removed. I then disinfect the face with a skin-friendly disinfectant. This step takes 5 minutes. If not already done during the consultation, I photographically record the current conditions before treatment. In addition, I draw the planned course of the threads, with entry and exit points (for Silhouette Soft), using a skin-friendly pen.
For a thread lift, I numb locally with Xylonest injections. For this, I inject in several injection points along the intended course of the cannula with which the thread is inserted under the skin. The effect of the anesthetic sets in within minutes.
Pulling in the threads
Since the sutures are usually inserted with blunt cannulas, I first pierce entry and exit holes with a hypodermic needle (the latter only with Silhouette Soft). The cannula with the thread is inserted through this and pushed under the skin along the previously drawn line. The cannula is then pulled out, and the thread remains in the skin. I use my fingertips to push the skin over the thread into the desired position. Due to the resistance bodies of the thread, it is fixed in it. Thread ends that extend out of the skin are cut off. The same way is done with all the threads. With Silhouette Soft, one difference is that the cannula is pushed under the skin through the entry hole and pulled out through a second exit hole. This makes it possible to lay Silhouette Soft threads at an angle, which is usually not possible with PDO threads. Finally, skin-colored Steristrips are glued along the laid sutures and must be worn for 3 days. On the one hand, they cover the entry and exit holes and, on the other hand, fix the threads in position.
Aftercare and control
The treatment is followed by a joint look in the mirror, a quick check to see if everything is okay and the result meets expectations – and we are done! After the treatment, your skin will be red and typically swell up a lot. Hematomas are also possible. The traces of the treatment may remain clearly visible for several days. During the first 3 days, the Steristrips must also be worn reliably. You should take this into account in your scheduling of appointments and events. In addition, during the first few days after the treatment you will feel tension pain, for which you can take the usual painkillers. You should reduce your mimic activity to an absolute minimum. Laugh, speak and chew only as much as necessary. You should also postpone visits to the dentist. Avoid sports and intense movements. All these restrictions serve to prevent the threads from being torn out of position before they are firmly integrated into the tissue.
In case of (rare) complications, you should contact me immediately. Threads can break and also “wander”. They are then palpable or even extend out of the skin. Both must be remedied immediately. Otherwise, we will see you for a check-up in 14 days to assess the healing progress and make corrections, if necessary.
Guideline prices for thread lifting in my practice
Thread lifting cost
The following prices for different thread lifts are indicative. Individual costs for a thread lift are always billed according to the German Medical Fee Schedule (GOÄ). They can therefore deviate from the stated guide values, even significantly.
|Treatment||Indicative price in € (incl. VAT)|
|Mono threads 2 × 10-15 pcs (e.g. cheeks, forehead)||280-395|
|Screw threads 2 × 2-4 pcs (e.g. nasolabial fold)||280-420|
|COG threads 2 × 2-4 pcs (e.g. cheeks, eyebrows, fox eyes).||400-800|
|Cone threads 2 × 2-3 pcs (e.g. eyebrows, fox eyes)||520-800|
|SILHOUETTE SOFT 2x 1 pc (e.g. Eyebrows, Fox Eyes)||620-800|
|SILHOUETTE SOFT 2 × 3 pcs (e.g. cheeks, neck)||1800-2200|
|SILHOUETTE SOFT 2× 5 pcs (face complete)||2900-3200|
|SILHOUETTE SOFT 2 × 6 pcs (face and neck complete)||3700-4000|
What patients want to know about Thread lifting
frequently asked questions
The effect of a thread lift lasts around 9-12 months with PDO threads. With SILHOUETTE SOFT threads, the results are often still visible after 2 years. The lifting threads themselves are then already absorbed by the body in both cases, but the newly formed tissue that the body has produced in response to the thread insertion remains for some time. This is true for PDO as well as SILHOUETTE SOFT threads.
Non-surgical skin tightening through a thread lift is low-risk, even in comparison with other minimally invasive procedures. In my practice, I have had no negative thread lift experiences in numerous treatments. Depending on the number of sutures used and the sensitivity of the treated area, swelling, or hematoma cannot be avoided. However, these pass after a few days. Thread lifting is not comparable with surgical procedures, but still, of course, one cannot completely rule out risks. Among the more serious complications, in addition to (always) possible allergic reactions, are raised areas that are clearly visible along the inserted threads. In addition, poorly inserted threads may show up unsightly on the surface of the skin. In both cases, the attending physician should be consulted immediately. As with all other aesthetic medical interventions, the competence, and experience of the therapist are decisive for the success of a thread lift!
In principle, you do not have any downtime after a thread lift. But still, based on my extensive thread lift experience, I would say that you will not be able to return to unrestricted social activity immediately after treatment. In addition to the usual redness and bruising that can always occur with a skin tightening procedure, significant pulling pains are noticeable for a few days, especially when cone or Silhouette Soft threads are used. With more extensive lifts, they can be uncomfortable and spoil your happy mood. In addition, you are limited in that it is important for the aesthetic success of a thread lift that you avoid strong mimic movements for a few days. You need to avoid heavy laughter. Also: strong chewing movements, intense sports activities and treatments at the dentist. Therefore, schedule a thread lift so that it does not collide with indispensable social appointments. I have summarized general behavioral tips for before and after aesthetic treatments in this blog article.
Thread lifts should be avoided during pregnancy and breast-feeding and in patients prone to keloidal scarring. Moreover, during acute infections in the treatment area and ongoing use of blood thinning medications. In patients with autoimmune disease, treatment is a matter of balance; the risk of triggering a relapse is increased.