Non-Surgical Facelift with COG Threads

Modern aesthetic medicine is increasingly focused on treatments that deliver quick results with minimal downtime and scientifically proven effectiveness. One such method is the COG thread lift, which not only provides an immediate lifting effect but also stimulates the skin’s natural regeneration at both the cellular and collagen levels.

What Are COG Threads?

COG threads are advanced, biodegradable threads equipped with microscopic barbs that securely anchor the tissue and create a strong lifting effect. Originally developed in South Korea, these threads are designed to naturally dissolve over time.

The COG thread lift is a non-surgical procedure in which the threads are inserted just beneath the skin to lift and tighten targeted areas of the face or body. This method is especially effective for the midface, lower face, jawline, and double chin area.

COG threads can also be used to firm other parts of the body, such as the décolletage, abdomen, arms, and buttocks when needed.

Types of COG Threads

All COG threads share the same core purpose — to stimulate collagen production in the treated area. The selection of thread type depends on your age, skin condition, and the depth of correction required. There are three main types of COG threads:

• PDO (Polydioxanone)
• PLLA (Poly-L-lactic acid)
• PCA (Polycaprolactone)
• These materials are fully biocompatible and FDA, CE, and KFDA approved. They have been safely used in surgical and vascular procedures for over 30 years.

How Do COG Threads Work?

COG threads work in two ways:

• The immediate lifting effect occurs as the tiny barbs mechanically anchor and lift the tissues.
• The long-term biostimulation triggers the body to recognize the thread as a “bio-implant,” which activates the natural production of collagen, elastin, and hyaluronic acid.

Scientifically Proven:

A 2020 review published in Clinical, Cosmetic and Investigational Dermatology confirms that the collagen-stimulating effects of COG threads can continue for up to 12 months after the threads have fully dissolved.

Areas of Application:

• Face: cheeks, cheekbones, nasolabial folds, jawline
• Neck and chin area: Sagging skin, jawline lift
• Eyebrow and Eyelid Region: fox eye effect
• Décolleté and Body: based on individual indications

Is the COG Thread Lift Right for You?

The COG thread lift is recommended for individuals aged 30–55 who are starting to show signs of gravitational ptosis (sagging skin) but do not yet have significant volume loss or require a surgical facelift.

COG Threads Are Used to Correct:

• Sagging (ptosis) of facial and body tissues
• Nasolabial folds and jowls
• Volume loss in the cheeks, chin, and neck
• Fine lines around the eyes and horizontal neck lines
• Skin laxity on the arms, abdomen, and lower body
• Atrophic and post-acne scars
• Stretch marks

When Is a COG Thread Lift Not Recommended?

In some cases, thread lifting with COG threads is not recommended due to limited effectiveness or an increased risk of complications. These include:

• Pregnancy and breastfeeding
• Blood clotting disorders
• Viral or infectious skin conditions at the treatment site
• Cancer
• Severe facial ptosis with significant skin sagging (where surgical facelift is more appropriate)
• Uncontrolled diabetes
• Allergy to the thread material or local anesthetic

Results of COG Thread Lifting

COG thread lifting effectively smooths deep wrinkles and folds, rejuvenates the face without plastic surgery, and restores a youthful facial contour.

Scientific Fact:

A 2019 study published in the Journal of Cosmetic Dermatology confirmed that PDO and PLLA threads stimulate neocollagenesis (new collagen formation), angiogenesis (formation of new blood vessels), and improve skin structure within 2–6 months after the procedure.

Recovery Period After COG Thread Lifting

Full recovery after COG thread lifting typically takes a few weeks. The most important precautions apply during the first few days:

• Avoid using makeup or cold compresses.
• Do not massage your face for the first 2–3 days.
• Refrain from saunas, tanning beds, and intense physical activity for several days.
• Sleep on your back for at least one week.

Benefits of COG Threads:

• Clinically proven rejuvenation effect
• Minimal risks and short recovery time (3–7 days)
• Minimally invasive: no incisions or scarring
• No general anesthesia required — only local numbing
• Long-lasting results: 12–24 months
• Natural-looking outcome: lifting without altering facial expressions
• Suitable for various areas: face, neck, décolleté, arms, abdomen, buttocks

Interesting Fact:

A 2017 study found that 87% of patients maintained improved skin texture and density six months after PDO thread implantation.

Source: Dermatologic Surgery, 2017

How Is a COG Thread Lift Performed?

• Medical consultation and creation of a personalized treatment plan
• Marking the treatment area and applying anesthesia (numbing cream or local anesthesia)
• Inserting the threads under the skin using a thin, blunt cannula through small micro-openings
• Lifting the tissues and securing the threads
• Final step: antiseptic treatment and post-procedure care instructions

The entire procedure is performed in sterile conditions, following strict hygiene and safety protocols.

The treatment takes approximately 30–60 minutes, and you can return home immediately after the session.

How Many Threads Are Needed?

The number of threads depends on the treatment area and the desired outcome. For example:

• Cheek area: 2–4 threads
• Jawline and lower face: 4–8 threads
• Neck: 4–6 threads

Are Threads Safe for the Face?

Yes. The threads are non-toxic, do not cause allergic reactions, and naturally dissolve in the body over time.

When Will the Results Be Visible?

The immediate lifting effect is visible right after the procedure. The final results will gradually develop within 1 to 1.5 months.

How Long Do the Results Last?

On average, results last between 6 to 12 months, depending on your skin condition, lifestyle, and how well you follow aftercare instructions.

What Is the Recovery Like After the Procedure?

After thread lifting, mild swelling or small bruises at the entry points may occur. You might also notice temporary unevenness along the thread paths, slight tension, tingling, or altered skin sensitivity. These are common reactions and usually resolve on their own within a few days without the need for additional treatment.

Can Thread Lifting Be Combined with Other Treatments?

Absolutely. Thread lifting combines well with botulinum toxin (Botox), Exion Face, Emface, biorevitalization, Exion Clear RF, mesotherapy, Profhilo, and more.

Interesting Fact:

A 2022 study found that combining COG threads with mesotherapy increased collagen production by 45% compared to injections alone.

Source: Seoul National University Aesthetic Dept., 2022

Wondering If Thread Lifting Is Right for You?

Book a consultation, and our doctor will carefully assess your facial structure and skin condition to create a personalized rejuvenation plan. We will select the ideal COG thread type, outline your expected results, and ensure a safe and effective treatment process tailored just for you.