Age brings a person wisdom, life experience, and knowledge, but it can also bring unpleasant physical changes, such as wrinkles, age lines, and visible folds or fat deposits.
Facial ageing is a complex interaction between degradation in skin texture and loss of facial volume. It reflects the dynamic, cumulative effects of time on the skin, soft tissues, and deep structural components of the face. Many of the facial manifestations of ageing reflect the combined effects of major contributory forces including:
While face thread lift procedures will not turn back the clock or permanently stop the ageing process, they will help lessen the visible signs of ageing by removing unwanted, excess fat, and tightening loose skin and the underlying muscles for a more flattering, youthful look.
Today, face thread lift is sought after by patients wishing to
A face thread lift is a type of minimally invasive procedure suitable for people who want a face lift, but prefer not to go under the knife. With this procedure, threads made from biodegradable polymers are inserted into your skin with a special cannula or blunt needle.
At 1aesthetics, we tend to use PDO (polydioxanone) threads which are fully biocompatible with the body.
These threads are bio-resorbable – meaning that they will be dissolved naturally by the body in 6-12 months (polydioxanone or PDO), 12-18 months (poly-L-lactic acid or PLLA) or 16-24 months (polycaprolactone or PCL). These materials are completely broken down by our cells into water and carbon dioxide and will not have any long-term residue.
Face threads placed within or underneath the skin form a scaffolding that provides mechanical support for the skin. Such threads lend tensile strength to the skin while stimulating the production of more elastin and collagen. Longer barbed face threads anchor to relatively immobile tissue such as the temporal fascia and literally lift up the saggy skin and tissue, reposition the prolapsed facial fat pads and hold them in place.
Besides that, face threads kickstart the skin cells to produce more collagen and elastin around the threads, to form a stronger, firmer collagen network, plumping up the skin, restoring hydration, reducing wrinkles and rejuvenating the skin. The number of threads used will vary from patient to patient, but generally, most doctors use 1-5 per insertion point for the best results. I usually go for at least 10 thick threads per patient in order to simulate the effects of what a surgical facelift would be like, but the number and types of threads used really would depend on the individual's vector of sagging that would inform the design of the threadlift.
Thread lifting takes some skill from the doctor as if the threads are not appropriately placed, extrusion and other side effects might occur. However, this is generally rare and thread lifts are considered to be a safe minimally invasive procedure in Singapore.
A thread lift procedure takes only around an hour to complete. Thread lift procedures are done under local anaesthesia, so you won't feel any pain during the threadlift. Face thread lifts give immediate results with sagging skin being visibly lifted and are thus highly desirable for patients seeking a quick lunchtime lift procedure. As the downtime is low, patients going for a face thread lift in Singapore will be able to return to their work immediately after the thread lift procedure is completed.
In Dr Wan’s view, every face is different. The face does not age as one homogeneous object, but as many dynamic components that are best analysed, restored, and replaced individually. Structural deficiencies, subcutaneous fat and skeletal support are present in each patient in different proportions. All four structural tissue layers—skin, muscle, fat, and bone—should be considered in ageing and it is necessary to address each layer in turn in order to produce a well rounded, holistic face lifting effect.
For example, if we only addressed tightening of the skin and SMAS layer (as in a surgical facelift) in a patient who mainly lacks facial volume, then the result would look like a shrunken head. Conversely, if we try to treat a patient who has prominent jowls and sagging skin with only fillers, the result may be a bloated, overfilled face.
There’s no one size fits all treatment and it is crucial to identify the relative contribution of each layer and specifically address the deficiency effectively, while being very careful to respect facial balance and proportions. Thus, it is paramount to understand the multifaceted effects of ageing on facial structures in order to address and correct each component correctly.
Ageing of the human face reflects both textural wrinkling of the skin surface and changes in the 3D topography of the underlying facial anatomy. The soft tissues (subcutaneous and deep fat compartments, superficial musculoaponeurotic system or SMAS, and fascia), and structural support (bone and teeth) are individually affected by the ageing process and together determine the appearance of the face throughout life.
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HIFU tightens the SMAS and cartridges with deeper focal depth such as 4.5mm or 6mm can be used to reduce the excess fat in ptotic fat compartments such as the jowls or nasolabial folds. Subdermal Laser can also be used to tighten the walls of the fat compartment.
Threadlifts directly lift and reposition the sagging mobile superficial fat compartments and stimulate the formation of new collagen, producing a rapid dramatic improvement.
Dermalift produces a fast, natural lifting effect with no downtime that is suitable for patients looking for a subtle party-ready lift.
Combination treatment usually yields better results with threadlifts provide immediate lifting and repositioning while gradual tightening and fat resorption is produced by the stimulation of the energy devices.
Ageing of the facial skeleton results from changes in the relative dynamics of bone production and bone atrophy:
Volume should be replaced using highly cohesive, high G prime fillers with high viscosity and elasticity. This will help to support the overlying true facial ligaments and SMAS, lifting the sagging tissues lower down in the face.