Facial treatment with suspension threads is sometimes chosen as a non-surgical option to support areas of facial laxity. It is a minimally invasive approach compared with an operation, and some people consider it when they want a subtle change and do not want an extended recovery period. However, outcomes vary and the procedure is not suitable for everyone. The skill, experience, and clinical judgement of the practitioner can influence suitability, technique selection, and risk management. This guide covers factors that may help you choose a practitioner in a way that supports informed decision-making.
This information is general in nature and is not medical advice. A consultation with an appropriately qualified and registered health practitioner is required to confirm suitability, discuss alternatives, explain expected outcomes and limitations, outline risks and recovery, and provide a written cost estimate. Results vary between individuals and no outcome can be guaranteed.
Why choosing the right practitioner is important
This procedure involves placing absorbable sutures under the skin to support targeted tissues and may stimulate collagen as part of the body’s healing response. While it is less invasive than an operation, it still requires precision, sterile technique, and a detailed understanding of facial anatomy. Choosing an unsuitable practitioner can increase the risk of complications and may lead to outcomes that do not meet your expectations.
A skilled practitioner can:
- Assess your skin and anatomy in person and discuss whether you are suitable.
- Explain which thread type and technique may be considered for your situation, and why.
- Discuss realistic outcomes, limitations, and the likelihood of needing follow-up or future maintenance.
- Provide clear information about risks, recovery expectations, and aftercare requirements.
Given the nature of the procedure, selecting an appropriately qualified, experienced, and registered professional is an important part of planning.
Credentials and qualifications
1. Registration and scope of practice
The first step is to verify the practitioner’s registration and ensure they are practising within their scope. Ask what type of registration they hold and whether the procedure is being performed by the practitioner you consulted with. If a practitioner is presented as a specialist, they should hold specialist registration in that field. Titles and claims about expertise should be clear and not misleading.
Why it matters: Practitioners should be trained in anatomy, infection control, consent, and complication management, and should be able to identify when a procedure is not appropriate.
2. Training and experience with facial treatment with suspension threads
Not all practitioners have the same training or experience with facial treatment with suspension threads. Ask about the practitioner’s specific training, how long they have been performing the procedure, how often they perform it, and what ongoing education they undertake.
Questions to ask: How long have they been performing facial treatment with suspension threads? How often do they perform this procedure? What training have they completed for the thread types they use? How do they manage complications?
Experience with facial treatment with suspension threads
1. Years of practice and case experience
While qualifications matter, hands-on experience is also important. A practitioner with experience across different skin types, facial structures, and presentations may be better placed to tailor a plan and respond appropriately if complications occur.
Why it matters: Experience can support better assessment, more careful technique selection, and clearer communication about what is realistic for your anatomy and skin quality.
2. Use of images and case information
Some practitioners may use images to explain what outcomes might look like. If images are used, they should be genuine, not edited or filtered, and used responsibly. They should not create unrealistic expectations, and they should include a clear warning that outcomes vary between individuals. You should also ask when any “after” image was taken, because early swelling can affect appearance and timing can change how results look.
Red flags: Claims that suggest guaranteed outcomes, images that appear edited or filtered, images presented in a way that idealises outcomes, or any approach that makes the procedure seem trivial.
3. Public reviews and testimonials
Be cautious about relying on online reviews when making a health decision. Advertising of regulated health services must not use testimonials. You may still see reviews posted on third-party platforms, but they may not reflect typical outcomes and should not replace a clinical discussion about risks, limitations, and suitability.
Key points to note: Does the practitioner clearly explain risks and recovery? Do they provide informed consent processes and aftercare planning? Do they encourage questions and allow time to decide?
Communication and consultation process
1. Thorough consultation
A quality practitioner should begin with a thorough consultation to assess your skin, discuss your goals, and explain what you can realistically expect. This includes discussing whether you are a suitable candidate, whether alternatives may be more appropriate, and what recovery may involve.
What to expect: Review of medical history, medications, and any relevant conditions, assessment of skin quality and laxity, a discussion of options, and clear explanation of risks and aftercare.
Red flags: Being rushed, being encouraged to proceed without a proper assessment, or being given unrealistic promises about outcomes or downtime.
2. Clear communication
Communication is key. The practitioner should explain the procedure in clear terms and answer questions about the plan, risks, and what happens if you are unhappy with the outcome. They should also explain what type of threads they recommend for your situation and why, and what follow-up is planned.
What to ask: What are the possible risks and complications? What aftercare is required? What activity restrictions may apply? What happens if there is asymmetry or an issue with a thread? Who do you contact after hours if you have concerns?
Safety and hygiene standards
1. Medical setting
Ensure the procedure is performed in a clean, clinical environment with appropriate infection control measures. This helps reduce the risk of infection and other complications.
What to check: Clean treatment areas, sterile equipment, and clear protocols for infection prevention. The practitioner should be able to explain how sterility is maintained during the procedure.
2. Aftercare and follow-up
A competent practitioner will provide written aftercare instructions and explain what is normal during healing. They should outline common expected side effects, what warning signs to watch for, and arrange follow-up to assess healing and outcome.
Red flags: No aftercare instructions, no follow-up plan, or dismissing questions about risks and recovery.
Cost considerations
1. Transparent pricing
Reputable practitioners should provide transparent pricing after assessment, including what is included in the plan, expected follow-up, and any aftercare services. Total cost should be discussed during consultation so you can make an informed decision.
Red flags: Unclear pricing, pressure to pay immediately, or costs that are not itemised in a way you can understand.
Ethical considerations
1. No pressure to proceed
A good practitioner should not pressure you into a procedure. The decision should be yours, based on understanding benefits, limitations, risks, and recovery, with time to consider your options.
2. Realistic expectations
A competent practitioner will set realistic expectations and avoid exaggeration. Facial treatment with suspension threads may provide a subtle change for suitable patients, and outcomes vary. Your practitioner should explain what the procedure can and cannot achieve, and discuss other options where appropriate.
With the right practitioner, you can approach a decision with clearer information about suitability, risks, aftercare, and expected outcomes. Always prioritise registration verification, informed consent, safety standards, and clear communication throughout the process.
Risks and Recovery
Facial treatment with suspension threads is a medical procedure and involves risks. Individual responses and results vary, and no outcome can be guaranteed.
Possible side effects and complications can include redness, swelling, bruising, tenderness, pain, bleeding, infection, scarring, puckering or dimpling, visible or palpable threads, thread migration, unevenness or asymmetry, delayed healing, and temporary or persistent changes in sensation. Rare but serious complications can occur.
Recovery varies between individuals. Some people return to many usual activities within several days, while others may need longer for swelling or bruising to settle. You may be advised to avoid certain activities for a period of time and follow aftercare instructions to reduce the risk of complications. Seek urgent medical advice if you have increasing pain, increasing swelling, signs of infection, skin colour change, vision changes, or any other concerning symptoms. This procedure is intended for adults aged 18+. A consultation is required to confirm suitability and provide personalised aftercare and recovery guidance.