Thread Lift or Fillers? Which treatment option is best for YOU?

August 01, 2019

With so many non-surgical cosmetic treatment options now available, many are uncertain about the most suitable treatment option for their face and skin.

Generally, the questions by patients looking for non-surgical rejuvenation enhancement techniques are:

1. What results should be expected?
2. Will  the results look “natural” ?
3. How long is the downtime?
3. How long do the results can last?

The most popular non-surgical treatment options in recent years have been Dermal Fillers and Thread Lifts. Their benefits in terms of rejuvenating the face and lifting the skin have different suitability, depending on each patient's requirements.

Here is a quick rundown of what each treatment option does:

1. How do Dermal Fillers work?

Dermal Fillers are so-called because they are made to “fill” in places that have lost volume with age, hereby showing signs of hollowness, lines and wrinkles. So the main purpose of Dermal Fillers is to “volumise” the face.

Most dermal fillers used nowadays are natural hyaluronic acid fillers, owing to their high safety profile and reversibility with a simple enzyme hyaluronidase. Owing to the advancements in dermal filler technology, fillers of different key strengths have emerged, each suited to deliver distinctive outcomes.

Dermal Fillers have a filling and sculpting capacity and can create enviable cheeks while restoring facial volume.

2. How do Thread Lifts work? 

The idea of a “thread lift” is to “lift” or tighten the sagging skin. The technology in non-surgical Thread Lifts have truly evolved over the last few years. Previous threads used years ago were not well made, not absorbable and caused many complications.

Latest innovations such as Silhouette Soft Thread Lift use 100% bio-absorbable threads that stimulate the formation of a supporting collagen matrix that will anchor the lift as the threads
dissolve over 1-2 years.

Silhouette Soft Thread Lift is famed for its superior design and premium material that give superb lifting capacity and utilises anchoring cones cleverly sited along the length of the threads.  If your aim is to have the lift, then Silhouette Soft thread lift would be the one for you.

While both of the above treatments may have their fair share of loyal followers, we have scientifically broken them down to their pros and cons. Bearing in mind that your expected result
may be different from another person, the same goes for capacity for downtime, discomfort etc.





Benefits / Main Purpose

To “Fill” and add “volume”. Great for structural support especially on cheeks and chin.

To “reposition”, tighten, and lift the skin, especially effective for cheeks, jowls, and neck.




Usually hyaluronic acid gel






Involves Injections


Involves Injections




Key Differences

The treated areas are “volumised”, minimal skin “lifting”, minimal collagen stimulation

Treated areas are tightened and lifted (repositioned), with improvement of skin quality due to the collagen stimulating effect



Possible Side Effects

Filler lumps

Overfilling can lead to puffy or “unnatural” looking face, but this can be due to the amount injected and the injection technique.

Potential cause of circulation issue to the skin, or blindness (extremely rare less than 0.01% of cases)


Infection is very rare ( no cases at our clinic).

 Dimpling of skin (usually non-permanent)

 Initial swelling from local anaesthetic.


Pin prick marks

Bruising and swelling is possible, but uncommon.



Pin prick marks 

Bruising and swelling is possible, but uncommon.

 Most patients can apply makeup after 2-3 days and will not be noticeable to others.



Who is this most suitable for?

Flattening of cheeks, or loss of volume.

People with short or receding chins or cheeks.

 Softer fillers can be used to volumise lips and soft tissue.



People who have sagging skin, nasolabial folds, marionette folds jowls, and loose neck skin.

 Heaviness in the lower part of the face.

Duration of Actual procedure time


15 – 30 min

30 – 45 min

Longevity of Result

Depends of type and volume of fillers used. 

8-18 months

Depends of type and number of threads used.

18-24 months


While this may serve as a guide, nothing will replace a proper face to face consultation with our resident thread lift expert, Dr Gordon Ku.

Dr Gordon is regarded as Australia’s leading expert in thread lifts with may years of experience with both thread lift and dermal fillers. He regularly  travels overseas and lectures and trains other surgeons and doctors on how to perform these procedures.  

Dr Gordon Ku would be more than happy to give you a full assessment using his expertise and knowledge and then recommend what is the most suitable option for you. 





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