Thread Lift vs Facelift: What’s the Difference?

January 26, 2026
Beyond Aesthetic Team

When early signs of aging start to appear, many people find themselves choosing between a thread lift and a surgical facelift. While both treatments aim to lift and rejuvenate the face, they differ significantly in terms of procedure, downtime, cost, and results.

This guide breaks down thread lift vs facelift in a simple, side-by-side way, so you can understand which option may be better suited to your goals, lifestyle, and expectations.


What Is a Thread Lift?

A thread lift is a minimally invasive, non-surgical aesthetic treatment designed to lift and tighten sagging skin. Dissolvable threads (commonly PDO) are placed beneath the skin to provide gentle lift while stimulating collagen production.

Thread lifts are most commonly used on the jawline, cheeks, neck, and lower face, making them ideal for patients with mild to moderate skin laxity who want visible improvement without surgery.

At Beyond Aesthetic Clinic London, we specialise in thread lifting treatments


What Is a Facelift?

A facelift (also known as rhytidectomy) is a surgical procedure that repositions deeper facial tissues and removes excess skin to create a more dramatic and long-lasting lift. It is typically performed under general anaesthetic by a plastic surgeon.

Facelifts are best suited for individuals with moderate to severe skin laxity who want the most comprehensive facial rejuvenation possible.


Thread Lift vs Facelift: Side-by-Side Comparison

FeatureThread LiftFacelift
Type of procedureNon-surgical, minimally invasiveSurgical
AnaestheticLocal anaestheticGeneral anaesthetic
Pain levelMild to moderate pressureModerate to significant post-op discomfort
Treatment time30–60 minutes3–5 hours
DowntimeMinimal (1–3 days)Significant (2–4 weeks)
Visible resultsImmediate, improving over weeksImmediate but refined over months
Longevity of results12–18 months7–10 years
ScarringNoneSmall, concealed surgical scars
CostLower upfront costHigher upfront cost
Best forEarly ageing, subtle liftAdvanced ageing, dramatic lift

Type of Procedure

  • A thread lift is a non-surgical, minimally invasive procedure that uses dissolvable threads inserted beneath the skin to lift sagging areas and stimulate collagen production.
  • A facelift is a surgical procedure that involves repositioning deeper facial tissues and removing excess skin to create a more dramatic and long-lasting lift.

Anaesthetic Used

  • Thread lifts are performed under local anaesthetic, allowing you to remain awake and comfortable throughout the treatment.
  • Facelifts require general anaesthetic, as they are performed in a surgical setting and involve more extensive tissue manipulation.

Which Is More Painful: Thread Lift or Facelift?

  • A thread lift is generally well tolerated. Most patients describe sensations of pressure or tightness rather than pain, thanks to local anaesthetic.
  • A facelift, being a surgical procedure, involves more discomfort during recovery. Pain, swelling, bruising, and tightness are expected in the weeks following surgery and are managed with prescription medication.

Treatment Time

  • A thread lift usually takes 30 to 60 minutes, making it a convenient option that can fit into a busy schedule.
  • A facelift is a much longer procedure, typically lasting 3 to 5 hours, depending on the extent of surgery.

Downtime and Recovery

  • Thread lifts have minimal downtime, with most patients returning to normal activities within a few days.
  • Facelifts require significant recovery time, often involving 2–4 weeks of swelling and bruising, with full results settling over several months.

When Results Are Visible

  • Thread lift results are visible immediately, with further improvement as collagen production increases over the following weeks.
  • Facelift results are also visible straight away, but swelling means the final outcome becomes apparent gradually over several months.

How Long Do Results Last?

  • Thread lift results typically last 12–18 months, depending on skin quality, age, and lifestyle. Collagen stimulation can extend skin quality improvements even after threads dissolve.

  • Facelift results can last 7–10 years, making it the longest-lasting facial rejuvenation option.

Scarring

  • Thread lifts do not leave scars, as threads are inserted through tiny entry points that heal quickly.
  • Facelifts involve small surgical scars, usually hidden around the ears or hairline, which fade over time but are permanent.

Cost Comparison: Thread Lift vs Facelift

  • Thread lifts are significantly more affordable upfront and are often chosen by patients who want visible improvement without committing to surgery.
  • Facelifts involve higher costs due to surgical fees, anaesthesia, theatre time, and post-operative care — but offer longer-lasting results.

Which Treatment Is Right for You?

Choosing between a thread lift and a facelift depends on:

  • Your age and degree of skin laxity
  • Your tolerance for downtime
  • Budget and long-term goals

Many patients choose thread lifts as a preventative or transitional treatment. Others opt for a facelift when non-surgical options are no longer enough.

Book Your Thread Lift With Beyond

While we do not offer facelifts, we do offer non-surgical treatments including thread lifting. If you’re interested in a thread lift procedure, reach out today to book or talk to us.

Book Your Appointment

Beyond Aesthetic Clinic delivers doctor-led aesthetic medicine with personalised care in London and Edinburgh.
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