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2026.08.14

A Plastic Surgeon Explains in Detail: How to Choose Between a Facelift and a Thread Lift, and the Concept of Natural Rejuvenation (Ginza, Tokyo Consultation Guide)

幡手 亜梨子
Supervising Physician
Board Certified Plastic Surgeon, Japanese Society of Plastic Surgery Hatate, Ariko

As a plastic surgeon, he has experienced many cases and has developed precise techniques and a deep anatomical understanding. Currently, combining his knowledge of plastic surgery with the latest technology, he provides a wide range of cosmetic treatments for skin, contouring, sagging, and other concerns of aging. He has also shared the responsibility of writing Japan's first textbook on gynecological cosmetic surgery, "Basic Techniques of Gynecological Cosmetic and Plastic Surgery. From her experience as an idol during medical school, she realized that "natural beauty" goes beyond the will to choose how you want to be, and she focuses on supporting her patients to "love yourself more every day". We are English-speaking and value counseling that is easy to talk to.

形成外科専門医が丁寧に解説:フェイスリフトや糸リフトの選び方と自然な若返りの考え方(東京・銀座ご相談ガイド)

 

The sagging jawline and loose skin on the cheeks reflected in the mirror.

 

Even if you’re not ready to undergo surgery, you might want to achieve a more natural-looking lift—and when that thought crosses your mind, many people think of “thread lifts” (non-surgical procedures).

 

On the other hand, a surgical “facelift (incision)” is a standard method for correcting sagging by addressing the underlying structures. First, it’s important to clarify that these are two distinct procedures; the best approach is to compare them using the facelift as a benchmark, with a focus on future satisfaction.

 

For those who have just started looking for a clinic in Tokyo, or those who are exploring their options based on information about the Ginza area, we’ll carefully explain the differences and how to choose a clinic from the perspective of a board-certified plastic surgeon recognized by the Japanese Society of Plastic and Reconstructive Surgery.

 

To put it simply, if you prioritize lifting the facial contours from the underlying structures and achieving long-lasting results, a surgical facelift is often the procedure of first choice.

 

Thread lifts are effective for natural, subtle adjustments and temporary support for mild to moderate sagging, provided that the “indications” and “design” are appropriately aligned.

 

In either case, combining a thorough diagnosis from a cosmetic surgery clinic with a skincare regimen from a cosmetic dermatology clinic makes it easier to develop a realistic treatment plan that addresses both the surface and the underlying structure. Rather than worrying about where in Ginza, Tokyo, to receive treatment, clearly articulating “what you hope to achieve” is the key to satisfaction.

 

In this article, we’ll explain how thread lifts and surgical facelifts work, the differences between them, how their results are expected to last, downtime, risks, and the consultation process in Ginza, Tokyo. We’ll also clarify the differences between the roles of plastic surgery and cosmetic dermatology, so this should be helpful for anyone weighing their options.

 

[DOCTOR’S POINT]

Rather than saying that one is better than the other, thread lifts and facelifts simply have different treatment goals and approaches.

 

Many people think, “I’m still hesitant about surgery, so I’ll try a thread lift for now,” but I believe it’s important to choose a treatment based on the current degree of sagging and how long you want to maintain a youthful appearance.

 

In particular, when age-related changes are progressing throughout the entire face—such as sagging along the jawline, drooping cheeks, or a loose appearance around the mouth—a thread lift alone may not be sufficient to achieve the desired results.

 

On the other hand, if the condition has not yet reached the stage where surgery is necessary, non-surgical treatments such as thread lifts may be appropriate.

 

Rather than deciding first whether to choose “threads or a facelift,” we first determine what is happening to your face right now, and then select the necessary treatment based on that. We believe this is the approach to taking is for choosing treatments that will help you maintain a natural, youthful appearance for the long term.

Before Considering Thread Lifts in Ginza, Tokyo

First, I want to point out that facial contours, skin thickness, fat distribution, and daily routines vary from person to person.

 

When you're exposed to all the information about Tokyo, it's easy to get swept up in its glamorous image, but the choice you make should ultimately be what's best for you.

 

Whether you’re in the heart of Ginza or in the suburbs, it’s important to consider “what matters most to you about your face” as your guiding principle, while taking into account the appropriate uses and limitations of both surgical facelifts and thread lifts.

 

Please note that results, duration of effects, pain, downtime, and risks may vary from person to person. The “Before & After” photos are for reference only and do not guarantee the same results.

 

During your consultation in Ginza, Tokyo, you’ll first have your eligibility for a surgical facelift assessed. We’ll work together to confirm the appropriateness of the proposed plan by openly discussing your expectations and concerns, including whether a thread lift might be a realistic alternative or complementary option.

The Basics of Thread Facelifts: What a Board-Certified Plastic Surgeon Wants You to Know

How Yarn Works and What Changes We Aim to Achieve

A thread lift is a procedure that tightens the facial contour by inserting threads into the subcutaneous support layer to distribute tension and temporarily support sagging skin.

 

The goal is to improve skin firmness through the thread’s own tensile force and collagen induction; it’s easier to understand if you think of it as “creating support.”

 

In contrast, a surgical facelift restores not only the skin but also the underlying structures, such as the SMAS, to their proper positions and trims excess skin, thereby rebuilding the anchor points that resist the effects of gravity.

 

For concerns primarily involving sagging facial contours, surgical approaches generally tend to be more effective in terms of both the degree of improvement and the duration of results.

 

In both cases, combining a three-dimensional facial design from a cosmetic surgery clinic with skin care from a cosmetic dermatology clinic makes it easier to achieve a balance between the surface texture and the underlying structure.

Duration and Maintenance Considerations

The results of thread lifts are influenced by factors such as skin type, body fat, and lifestyle habits, so this procedure is often performed with the expectation that readjustments will be needed over a relatively short- to medium-term period.

 

In contrast, a surgical facelift is characterized by the fact that, while the effects of aging continue, it is easier to achieve long-term stability by correcting the underlying structure.

 

In line with Tokyo’s fast-paced lifestyle, it becomes easier to create a realistic plan at a conveniently located facility in Ginza—one that centers on surgical facelifts while incorporating minor maintenance procedures such as thread lifts and cosmetic dermatology treatments as needed.

Downtime and Impact on Daily Life

Thread lifts generally allow for a quicker return to daily activities than surgeries involving incisions, but they may cause swelling, bruising, or a tight sensation.

 

On the other hand, while surgical facelifts require downtime and preparation, there are many cases where the predictability and longevity of the results justify the effort.

 

If you have a busy work schedule in Tokyo, consider making choices that fit your lifestyle—such as choosing a time when your schedule allows for it or prioritizing easy access to the clinic in Ginza.

Approaches to Estimating and Deepening Consultations

The number of threads required and their distribution vary depending on the purpose, and the cost of a surgical facelift also varies depending on the technique and extent of the procedure.

 

When considering a quote, it makes sense to compare not just the “one-time cost,” but also the cumulative cost of repeated thread lifts with the total cost of opting for a surgical facelift, which reduces the frequency of follow-up procedures.

 

By designing your facial contours through cosmetic surgery while simultaneously improving your skin texture through cosmetic dermatology, it becomes easier to strike a balance in your investment.

The Differences and Roles of Cosmetic Surgery and Cosmetic Dermatology (What to Look for When Choosing a Clinic in Ginza, Tokyo)

Cosmetic surgery focuses primarily on approaches that address "shape"—such as facial contours and volume—and includes surgical facelifts and thread lifts.

 

On the other hand, cosmetic dermatology specializes in improving “surface” aspects such as skin tone, texture, pores, and firmness.

 

There are many facilities in Ginza, Tokyo, that house both services under one roof, and they have systems in place that allow patients to receive integrated consultations on the same day.

 

Rather than focusing on which option is better, it’s more practical to choose based on your goals. If your primary concern is sagging facial contours, it makes sense to first have a cosmetic surgeon evaluate whether you’re a candidate for a surgical facelift and, if necessary, combine that with a thread lift or cosmetic dermatology treatments as supplementary measures.

 

If you’re unsure about which approach to take, it’s a good idea to consult a doctor in Tokyo who specializes in both cosmetic surgery and cosmetic dermatology and work with them to prioritize your options.

 

The Ginza area's excellent accessibility makes it ideal for patients planning multiple visits.

Who is this best suited for? Who should consider this carefully?

Whether something is a good fit or not depends on your lifestyle and values.

Based on the rhythm of daily life and work in Ginza, Tokyo, please use the following as a general guideline.

  • Ideal Candidates (Surgical Facelift): Want to effectively improve moderate to severe sagging along the facial contours / Prioritize the certainty and longevity of results / Want to minimize the frequency of follow-up treatments and cumulative costs / Can plan ahead to allow for downtime

  • For those who want to consider their options carefully (primarily planning to undergo thread lifts): Seeking significant results for noticeable sagging (where thread lifts alone may not be sufficient) / Prone to stiffness or unevenness from previous procedures / Wanting to be ready in time for an upcoming event (results vary greatly from person to person, and swelling or bruising may occur)

  • People for whom another option might be a better fit: Primarily characterized by volume loss, with complaints focusing more on sagging and shadows than on facial contours (injection treatments may be effective) / Since the main cause is a decline in skin quality, it is more reasonable to start with treatments at a cosmetic dermatology clinic to restore the skin's condition.

In either case, keep in mind your commute to your medical appointments in Tokyo and your daily life in the Ginza area, and prioritize a schedule that’s manageable for you.

Tips for Dealing with Risks and Side Effects

With thread lifts, there is a risk of swelling, bruising, pain, asymmetry, a tight or pulled sensation, visible threads, and infection.

 

With a surgical facelift, in addition to swelling and bruising, potential risks include scarring at the incision sites, numbness, asymmetry, and risks associated with anesthesia.

 

Although most of these symptoms tend to subside over time, the severity and course of the symptoms vary from person to person.

 

When consulting in Ginza, Tokyo, it’s reassuring to discuss the “range” of possible changes and confirm the aftercare contact information and communication procedures in advance.

 

In addition, there are a wide variety of factors that affect facial contours, including skin type, lifestyle habits, teeth grinding, and tension in the masseter muscle.

 

Combining aesthetic dermatology treatments with at-home care and taking a comprehensive approach to managing your skin will make long-term maintenance in Tokyo much easier.

Consider the differences between other options in terms of suitability, not superiority or inferiority

Thread lifts are often considered a procedure that falls somewhere between "surgical" and "non-surgical" treatments.

 

Injection treatments are well-suited for optimizing volume, while energy-based treatments help improve skin firmness and texture.

 

If sagging of the facial contours is the primary concern and you are seeking significant and long-lasting results, a surgical facelift is often the best option—provided you are a suitable candidate—though it does require downtime and preparation.

 

Which one you choose depends on your current location, your destination, and your lifestyle constraints.

 

During a consultation in Ginza, Tokyo, it’s practical to first determine whether a surgical facelift is appropriate and then decide at what stage to combine it with thread lifts or cosmetic dermatology treatments—that is, to distinguish between “what to do now” and “what to postpone” when developing a treatment plan.

How to Interpret "Before & After" Images: Tips for Not Getting Swayed by the Information

"Before & After" photos provide clues about the treatment approach and aesthetic sensibilities.

 

However, the impression can vary greatly depending on the shooting conditions, facial expressions, and lighting.

 

When comparing numerous photos on Tokyo cosmetic surgery or Ginza information websites, be sure to check the camera angles, lighting, the time period indicated, and the effects of makeup and hairstyles.

 

The photos are for "reference only," and it is important to keep in mind that results may vary from person to person.

 

Furthermore, the interpretation of the photo depends on whether it shows a surgical facelift or a thread lift, and whether it is a standalone procedure or a combination of procedures.

 

Ask about the distinction between standalone and combined effects, and see if you can visualize how this applies to your own plan in Ginza, Tokyo.

Consultation Process and Checklist in Ginza, Tokyo

During the initial consultation, the first step is to put your concerns into words. For example, describing specific issues—such as “the sagging skin next to the mouth when viewed from the front” or “the shadow along the jawline when viewed from an angle”—will lead to a more precise diagnosis.

 

At cosmetic surgery clinics in Tokyo, we prioritize treatments while considering the overall balance of the face and first assess whether a surgical facelift is appropriate. Based on that assessment, we then consider combining it with thread lifts or cosmetic dermatology treatments.

 

Here is an example of a checklist. If you go over it before your consultation in Ginza, it will help the conversation go more smoothly.

  • Put into words the impression you want to create (e.g., sharp, soft, etc.)

  • Acceptable Levels of Downtime and Clinic Visits (Work and Daily Life in Tokyo)

  • Information on Medical History, Medications, Allergies, etc.

  • Can Cosmetic Surgery and Cosmetic Dermatology Be Combined? Preferred Order of Treatment

  • Budget and long-term maintenance considerations (travel routes to medical appointments in the Ginza area)

Once you receive a quote, you don’t have to make a decision right away. With so many options available in Tokyo, it’s easy to feel overwhelmed by all the information. Sometimes it’s best to take a break at a café in Ginza and reassess the situation with a clear head.

Frequently Asked Questions (FAQ)

How much does a thread facelift hurt?

Individual experiences may vary. Thread lifts may cause localized discomfort or a tightening sensation. Since a surgical facelift is a surgical procedure, it is important to consider the anesthesia as well as post-operative swelling and tightness. During your consultation in Ginza, Tokyo, be sure to openly discuss any concerns you may have, your sensitivity to pain, and your work and daily routine, and confirm the plan for anesthesia and pain management.

How soon will I be able to return to work?

While thread lifts generally allow you to return to your daily routine relatively quickly, they may sometimes cause bruising or swelling. Surgical facelifts involve a longer downtime, but they offer more predictable and long-lasting results. Please make your plans based on your lifestyle in Tokyo, taking into account your job responsibilities and whether you can work from home. If you work in Ginza, it’s a good idea to factor in your commute as well.

Can this treatment be combined with other treatments?

Depending on your goals, we may combine injection treatments, energy-based devices, and cosmetic dermatology care. In some cases, it makes sense to design a treatment plan centered on a surgical facelift, with minimal supplementary procedures added to the necessary areas. The order and timing of these procedures will be customized for you by our cosmetic surgery team. Let’s discuss your overall treatment plan during your consultation in Ginza, Tokyo.

Are there any age or gender restrictions?

Adaptability is more important than age. We also take into account skeletal differences and skin characteristics based on gender. The choice between a surgical facelift and a thread lift depends on the degree of sagging, skin quality, and lifestyle constraints. Please work with your doctor to develop a realistic plan in Ginza, Tokyo.

How often is maintenance performed?

Results vary from person to person. Thread lifts often involve considering readjustments over a relatively short- to medium-term period, while surgical facelifts tend to focus on long-term follow-up. Let’s work together to determine a treatment schedule that’s sustainable for you in Tokyo, taking into account both cosmetic surgery and cosmetic dermatology.

How to Choose a Counselor and What to Do Next

The selection criteria are “ease of communication,” “consistency in explanations,” and “commitment to after-sales service.”

 

Even when looking in Tokyo or Ginza, don’t base your decision solely on signage or location—make sure to prioritize how well you connect with the counselor during your consultation.

 

It’s reassuring to be able to confirm whether the clinic offers both surgical facelifts and thread lifts and can recommend either option impartially based on the patient’s needs, as well as whether it has sufficient experience with facelift cases and a well-established postoperative follow-up system in place.

 

There’s no need to rush into a decision. Start by scheduling a consultation to see if this is the right fit for you. Located in Ginza, Tokyo—a convenient spot to visit—feel free to take that first step.

Summary

If your primary goal is to correct sagging facial contours, a surgical facelift is the leading option, as it realigns the “position” from the foundation up, aiming for significant and long-lasting results.

 

Thread lifts are useful for mild to moderate skin tightening—within the appropriate range of indications—and as a temporary solution to bridge the gap between treatments.

 

Let’s move forward with a plan tailored to your lifestyle, combining the diagnosis of a cosmetic surgeon with the skin care provided by a cosmetic dermatologist.

 

Precisely because Ginza and Tokyo are hubs of information, it’s important not to rely solely on “before and after” photos, but to build your confidence through open dialogue. While we’ll assess your suitability based on surgical facelift criteria, if you find yourself thinking, “I want to know if this is right for me,” please feel free to schedule a consultation. Let’s work together to find the best solution at your own pace. Whether you’re considering cosmetic surgery or dermatology, having a space where you can speak openly and feel at ease will help you take that next step.

 

"Which is better, a thread lift or a facelift?" is a question I get asked all the time during consultations.

 

While thread lifts are a simple procedure that requires no incisions, facelifts are surgical treatments that address not only the skin but also the deeper layers that cause sagging.

 

To begin with, I believe these two treatments are not simply “the same anti-sagging treatment with different intensities,” but rather distinct treatments with different purposes and approaches.

 

In my daily practice, I place great importance on choosing treatments not just based on “which option to choose right now,” but also by considering “how I want the patient’s face to look in a few years.” Some patients opt for thread lifts, thinking, “Maybe it’s still too early for surgery,” but depending on the degree of sagging, considering a facelift from the start may actually help avoid the need for repeated treatments down the line.

 

Conversely, if you are not yet at the stage where surgery is necessary, there is no need to rush into a facelift.

 

The important thing isn't deciding first whether to go with thread lift or a facelift, but rather understanding the extent of treatment needed based on the current condition of your face.

 

Even if you’re hesitant about surgery but still want to effectively address sagging skin, start by finding out which treatment is right for you.

 

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▷ Counseling Appointment Page

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