Thread lifting: choosing the thread type is not enough if the sequence is wrong
"Which is better, a thread lift or Ultherapy?" "Wouldn't having both be better?" "Can I have a device treatment immediately after threads are inserted?"
These are often the questions people get stuck on when researching types of thread lifts.
Let me start by saying that choosing the order and interval has a greater influence on the result than choosing a type of thread. With the wrong sequence, the two treatments can diminish each other's effects.
I do not perform thread and device treatments on the same day. I prefer to keep the period when the threads are settling separate from the time when heat from the device is acting on the tissue.
Three criteria for choosing the order and interval
I consider three things when planning a combination. First, what is the main problem? If redirecting sagging tissue is the urgent priority, threads may come first; if building the tissue's elastic foundation matters more, the device may come first. Second, recovery time. Thread insertion sites need several weeks to heal, so I determine when to add thermal stimulation by examining recovery directly. Third, the interaction between heat and threads. Care is needed when deciding when to apply strong heat over inserted threads, so I sometimes consider a plan that puts the device first and threads later. For example, in someone with marked deep sagging and substantially reduced dermal elasticity, the sequence changes both the recovery schedule and when results can be assessed. There is no single fixed answer; the order depends on the condition and objective. That is why I answer "Which usually comes first?" by looking at the person's face, rather than citing statistics.
"Can't we do both on the same day?" — spacing supports safety
Busy people want to finish everything at once. I understand. But to give the answer first, I often advise against rushing a combination. I believe it is better for both results and safety to see how the skin responds to the first treatment before deciding the next step. Before a combination is a plan to add effects, it must be a plan that allows safe intervals. Increasing the recovery burden just to save a few weeks gets the priorities backward. If you have a wedding or another important event, we can also plan backward from the event date, so please mention any fixed schedule at the consultation. The interval is part of the plan, not wasted time.
How we plan at LUNN
I do not decide on combined treatment in a single consultation. I check the degree of sagging, skin thickness and practical recovery conditions such as work and other commitments, then decide the sequence and intervals together with the patient. I personally continue to provide treatment and follow-up. Since the treating doctor does not change midway, decisions about adjusting the next step to recovery can remain consistent. The plan lists not only the treatment names, but also the interval between each step and why that interval is needed. A thread lift can cause pulling sensations, bruising and swelling afterward; device treatments can also cause temporary redness and swelling. Results vary between individuals. I explain these points during planning.
Before comparing types of thread lifts, I recommend asking how they should be sequenced with device-based lifting. If the practice can explain the sequence, choosing the thread type comes next.
Related column: Ultherapy vs. Thermage: how do they differ, and do you need both? Related treatment information: Lifting and tightening lasers
