Thread Lifting vs. Laser Lifting: Differences and Selection Criteria

When looking into lifting procedures for sagging skin or reduced elasticity, one often has to decide between 'thread lifting' and 'laser lifting.' While the two procedures share similar goals, their approaches are fundamentally different. This article organizes information on the principles and characteristics of each procedure, as well as home care during the recovery process.

The Principle of Thread Lifting

Thread lifting is described as a procedure that can be performed under local anesthesia using a cannula thinner than a human hair. Medical threads (such as PDO, PCL, PLLA) are inserted into the subdermal fascial layer to physically pull the tissue, while the gradual absorption of the thread within the body is expected to induce collagen production and improve elasticity.

The rate of absorption and duration of effect are known to vary depending on the thread material. Among them, PDO threads are reported to have greater tensile strength compared to other absorbable threads and an absorption period of 6 months or longer, which is mentioned as one reason for their widespread clinical use. They are also sometimes used together for the purpose of improving static wrinkles or adding volume.

The Principle of Laser Lifting

Laser lifting delivers laser energy of a specific wavelength to the dermis or deeper tissue to apply thermal stimulation. This thermal stimulation is intended to induce contraction of collagen fibers and subsequent collagen remodeling, aiming to help improve skin elasticity over time. Unlike the physical support method of thread insertion, laser lifting focuses on stimulating biological responses within the tissue.

Differences Between the Two Procedures — Duration and Perceived Results

With thread lifting, a relatively immediate physical lifting sensation can sometimes be felt right after thread insertion; however, according to a randomized controlled clinical study, initial improvements in volume and tissue repositioning tended to decrease within 60 days. The same study also reported that the number of threads used did not have a significant effect on sustained lifting results or satisfaction.

Because laser lifting relies on the biological process of collagen remodeling, its effects appear gradually, and the timing and degree of perceived results vary significantly depending on individual skin condition and degree of aging. For both procedures, it should be noted that the degree and duration of effects vary by individual and are not guaranteed by absolute figures.

Reference Data on Combination Use and Satisfaction

A small prospective study (32 subjects) on improving nasolabial folds reported that combined use with Botox was associated with more natural and longer-lasting results compared to thread lifting alone. However, as this is the result of a small-scale study on a specific area, it cannot be assumed to apply equally to all cases.

A review combining 4 domestic studies (127 subjects total) reported patient satisfaction with thread lifting at 86% or higher; however, this is a subjective satisfaction measure and should be understood separately from objective long-term efficacy. Several academic reviews commonly point out that research evaluating the long-term efficacy and safety of combination thread lifting therapy is still insufficient.

Downtime and Recovery Process

During thread lifting, minor swelling, bruising, a sensation of pressure, and temporary redness may occur during thread insertion, with recovery time varying by individual. With laser lifting, a warm sensation and redness may occur immediately after the procedure, and the pattern of recovery may vary depending on the equipment and intensity used.

For both procedures, the skin barrier may become temporarily sensitive right after treatment, so skin care during this period can affect the overall recovery process. Sun protection, avoiding irritating ingredients, and adequate hydration are generally recommended directions for care.

The Importance of Home Care After the Procedure

Immediately after the procedure, the skin barrier is weakened and may become sensitive to external stimuli. During this period, skincare focused on soothing and hydration can be helpful, and as the skin stabilizes over time during the recovery period, it is generally recommended to switch to care focused on deep hydration.

Since recovery speed and necessary care may vary depending on the type of procedure and individual skin condition, it is necessary to consult with the medical institution that performed the procedure regarding pre- and post-procedure care methods.

Home Care Determines Post-Procedure Recovery

During sensitive periods like right after a procedure, using low-irritation products focused on soothing and barrier care can be helpful. The Abiju Cream consists of 2 steps: STEP1 Ultra Cera-Rich focuses on soothing redness and barrier care immediately after the procedure, while STEP2 Hydro Re-Boosting is designed for deep hydration care during the subsequent recovery period. STEP1 can be used as a reference after lifting or thermal energy-based procedures, followed by STEP2 during the later stabilization stage. However, this is a supplementary home care method and does not guarantee the results or recovery speed of the procedure itself, as effects vary by individual.

Medically reviewed by 아비쥬의원 의료진. (September 10, 2026)