This procedure instantaneously yet temporarily lifts sagging skin of the face, especially the cheeks, the eyebrows and other areas around the eyes, the jowls and the neck.  A specialized thread is inserted to suspend the tissue and stitch up portions of it, with the result of a lifted and tightened face. Threads come in various configurations: short, bi-directional threads (APTOS, Feather lift); long bi-directional slings (barbed suture lift), or long uni-directional threads (contour threads). Different threads create different effects (such as firming or lifting).

These threads can be used in conjunction with traditional open facelift surgery or endoscopic techniques. The huge disadvantage of this procedure is its longevity. But people with minimal signs of ageing, or those with hesitation or contraindication of invasive procedures can undergo this type of procedure because it costs less and shorter recovery time.  People with excessive sagging may not benefit optimally from this procedure. Preparation may include a detailed history of medical history, allergies, immunological diseases, other systemic diseases, medications, and physical examination.