Flora Clinic Ikebukuro’s thread lift is a medical lift treatment that lifts sagging facial contours and cheeks without surgery, aiming for natural contouring.
Our clinic employs a unique cross-technique tailored to the direction of sagging, prioritizing both immediate lifting effects and sustained firmness improvement through collagen production.
This treatment is chosen by those seeking noticeable results with minimal downtime, as well as Chinese patients wishing to receive treatment during short stays.
1. Who is a good candidate for thread lifts?
Thread lifts are a medical lifting treatment suitable for those who want to naturally lift sagging skin caused by aging without surgery.
At Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic, we determine suitability by considering the cause of sagging, its progression, and your lifestyle.
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Those Concerned About Sagging in the Jawline or Cheeks
The loss of definition in the jawline and the drooping of the cheeks and mouth area that occur with age are major factors making the entire face appear tired.
Thread lifts lift the sagging tissue from deep within the skin, creating a more defined contour and leading to a more youthful impression. -
Those Who Want Significant Lifting but Hesitate About Surgical Procedures
Thread lifts are also suitable for those hesitant about incisional procedures like facelifts, yet finding aesthetic treatments or mild procedures insufficient.
A major advantage is achieving lifting effects quickly without using a scalpel. -
Those seeking natural rejuvenation, avoiding unnatural changes
Thread lifts are also recommended for those who say, “I don’t want a stiff-looking face” or “I want to rejuvenate without others noticing.”
At our clinic, we prioritize natural, subtle changes by employing a cross-technique tailored to the direction of sagging. -
Those wanting to minimize downtime
Since thread lifts involve no incisions, downtime is relatively short, making them suitable for those wanting minimal impact on work or daily life.
Post-treatment swelling and discomfort are often temporary, making it a treatment easy to schedule even for busy individuals. -
Those visiting from China for short-term treatment
Thread lifts are completed relatively quickly, from consultation to procedure.
They are also chosen by those who wish to consult online beforehand while still in China and then receive treatment smoothly after arriving in Japan. -
Those considering rejuvenation combined with HIFU
Thread lifts and medical HIFU (High-Intensity Focused Ultrasound) are compatible treatments.Since they target different layers, combining them can yield synergistic effects.
Thread lifts physically lift the subcutaneous tissue, while HIFU delivers thermal energy to the SMAS layer and deep dermis to tighten the skin.
However, the order and timing of the procedures are extremely important.Generally,- it is safer to perform medical HIFU first, followed by the thread lift
- or, after the thread lift procedure, wait at least one month before performing HIFU
This avoids the risk of thread deformation or degradation caused by HIFU heat. At our clinic, the physician individually determines the optimal sequence and interval based on your goals and the state of your sagging.
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For those considering rejuvenation combined with hyaluronic acid injections
Combining thread lifts, which lift sagging tissue, with hyaluronic acid injections, which add volume, can achieve a more three-dimensional and balanced rejuvenation.
The treatment sequence and combination will be proposed by the physician based on your specific condition. -
For those considering “fundamental rejuvenation” combined with iPS Factor or PDF-FD therapy
After contouring the face from the outside with thread lifts, combining iPS Factor injections or PDF-FD therapy allows simultaneous anti-aging care at the cellular level.
This treatment plan is suitable for those prioritizing rejuvenation with a long-term perspective. -
For those prioritizing safety and physician judgment
Thread lifts are treatments where results are significantly influenced by thread type, number, and insertion direction.
This is suitable for those seeking a procedure prioritizing safety, based on a comprehensive assessment of facial bone structure, fat distribution, and skin condition.
2. What is Thread Lift?
1）What kind of treatment is Thread Lift?
Thread Lift is a medical lifting treatment that inserts special medical threads under the skin to lift sagging skin and fat from within, counteracting the effects of aging.
It is performed without a scalpel, making it less invasive than surgical facelifts and aiming for a natural result.
The threads used are primarily “dissolvable threads” that are absorbed by the body over time. After insertion, they provide a physical lifting effect and also stimulate collagen production through the thread’s stimulation.
As a result, you can expect not only a tightened facial contour but also improved skin firmness and elasticity.
2）Why can it “lift without cutting”?
The reason thread lifts can lift without cutting is that they directly access the deeper layers of the skin.
Aging-related sagging occurs not only on the skin’s surface but also due to subcutaneous fat and supporting tissues shifting downward under gravity.
Thread lifts support this sagging tissue with threads, lifting it back to its intended position.
Therefore, rather than strongly pulling the surface, it structurally supports from within, making it less likely to cause an unnatural, tightened appearance.
Furthermore, the insertion of threads stimulates the surrounding tissue, promoting collagen remodeling over several weeks to months post-procedure.
This dual action—providing “immediate lifting” alongside “gradual firmness improvement over time”—is a major appeal of thread lifts.
3）Differences from Other Sagging Treatments (Positioning of Thread Lifts)
Among sagging treatments, thread lifts stand out for their ability to “physically lift subcutaneous tissue.”
It is less invasive than a surgical facelift and can achieve contour changes and a three-dimensional lifting effect that are difficult to obtain with medical HIFU or hyaluronic acid injections.
Medical HIFU is a treatment that delivers thermal energy to the SMAS layer and deep dermis to promote tightening and firmness improvement. It differs from thread lifts in the layers it targets and its mechanism of action. Therefore, thread lifts and HIFU can be used together, and synergistic effects can be expected when the appropriate sequence and intervals are followed.
Hyaluronic acid injections, on the other hand, excel at volume correction but lack the ability to lift sagging tissue. Therefore, when sagging is the primary concern, it is crucial to design the treatment plan centered around thread lifts.
At Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic, we propose treatment plans centered around thread lifts, combined with HIFU and hyaluronic acid injections, tailored to the degree of sagging and the patient’s goals.
Thread Lift vs. Other Sagging Treatments Comparison Chart
| Treatment | Primary Target Layer | Expected Effects | Downtime | Recommended For |
|---|---|---|---|---|
| Thread Lift | Subcutaneous tissue | Physical lifting, contour shaping, improvement of the jawline | Several days to about 1 week | Those who want a noticeable lift without surgery |
| HIFU | SMAS layer / deep dermis | Tightening, improvement of skin firmness, prevention of sagging | Almost none to a few days | Those seeking natural tightening |
| Surgical Facelift | SMAS layer / subcutaneous tissue | Strong and long‑lasting lifting effect | Several weeks to several months | Those who want to fundamentally improve severe sagging |
| Hyaluronic Acid Injection | Subcutaneous / supraperiosteal layer | Volume correction and contour enhancement | Almost none | Those concerned about hollowing or depressions |
3.Features of Thread Lifts at Flora Clinic Ikebukuro Branch (Cosmetic Surgery & Dermatology)
1）Procedures Performed by Our Director with Extensive Thread Lift Experience
Dr. Sakuchan, Director of Flora Clinic Ikebukuro Branch (Cosmetic Surgery & Dermatology), originally built her career as a head and neck surgeon.
This background provides her with deep expertise in facial and neck anatomy, enabling her to design highly safe procedures grounded in a surgical perspective—a significant strength.
As a cosmetic surgeon, she also possesses extensive thread lift experience. She carefully assesses the direction of sagging and fat distribution, prioritizing treatments that balance both the final appearance and longevity of results.
2）The Director Continues to Receive Thread Lifts Herself
Dr. Sakuchan is not only a physician but also a patient who has personally undergone thread lift treatments.
She has undergone thread lifts over five times and continues to receive them annually.
This unique perspective allows her to design treatments with a patient’s understanding of sensations during the procedure, post-operative tightness, recovery progression, and the tangible anti-aging effects.
This blend of theoretical knowledge and firsthand experience provides reassurance.
3）Thorough and Approachable Consultation
At Flora Clinic Ikebukuro, the director personally conducts detailed consultations.
Rather than simply recommending procedures, we carefully explain not only the benefits of thread lifts but also their drawbacks, limitations, and risks.
Our frank and easy-to-talk-to atmosphere also makes it easy to discuss concerns, even for those who are “anxious about their first cosmetic procedure” or “undecided after visiting other clinics.”
For patients from China, we also offer online consultations before their visit to Japan.
4）Superior Longevity Through Our Unique Cross Technique
Our thread lift employs a unique insertion method where threads are crossed vertically and horizontally.
This technique allows us to not only lift the skin but also reposition sagging fat tissue to its proper place and provide stable support.
Supporting from two directions also helps reshape fat tissue prone to lumpiness into a more natural contour. The stronger thread anchorage further enhances the procedure’s longevity.
Designed to avoid excessive force, this method minimizes burden while aiming for a natural, long-lasting lift.
4. Expected Effects of Thread Lift
Thread lift is a medical lifting treatment that lifts sagging skin and fat from within, restoring overall facial balance and creating a more youthful appearance.
Here, we introduce the main effects you can expect from the thread lift performed at Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic.
1）Facial Contour Tightening
The facial contour, which tends to become less defined with age, is one of the areas most affected by sagging.
Thread lifts lift and support the subcutaneous tissue from within, creating a more defined, sharp facial contour.
A major advantage is achieving natural tightening without incisions.
2）Improvement of Cheek and Mouth Area Sagging
Sagging cheeks and a heavy mouth area often contribute to a tired or aged appearance.
By returning lowered fat tissue to its original position, thread lifting naturally lifts the cheeks and reduces heaviness around the mouth.
The improvement is achieved by “returning” rather than forcibly lifting, making it less prone to looking unnatural.
3）Reduced visibility of marionette lines
Marionette lines extending from the corners of the mouth to the jawline can make the entire face appear drooping.
By strengthening support from the midface to the lower face with thread lifts, sagging skin around the mouth is alleviated, making these lines less noticeable.
4）Improved Overall Facial Contour Balance
Thread lifts are not treatments that drastically alter only specific areas.
By providing three-dimensional support to multiple areas—the jawline, cheeks, and mouth area—they help achieve a balanced overall facial appearance.
Therefore, they are ideal for those seeking natural-looking changes that are less noticeable to others, such as a “more defined face” or a “more youthful look.”
5）Enhanced Skin Firmness and Elasticity
The stimulation from thread insertion promotes collagen production over several weeks to months post-treatment.
This results in increased skin firmness and elasticity, transforming the texture into a tighter feel.
This effect is also suitable for those experiencing not only sagging but also skin laxity and loss of firmness.
6）Natural Rejuvenation Effect
Thread lift is not a treatment that strongly lifts specific areas; its purpose is to harmonize the overall facial structure.
Therefore, it is less likely to appear “overdone,” offering a natural rejuvenation where you feel “somehow more youthful” or “more refreshed.”
5. Thread Lift Cases at Flora Clinic Ikebukuro (Cosmetic Surgery & Dermatology)
1）Before and Immediately After Treatment for a Woman in Her 30s (Before/After)
Immediately Before Treatment
This is a photo taken immediately before treatment, viewed from the front of the face.
Photo immediately after treatment
This is a front view photo of the face immediately after treatment.
One week after treatment
This is a front view photo of a woman’s face one week after thread lift treatment.
One week post-treatment impressions
I had already undergone an online consultation about the metaverse beforehand, so I fully understood the effects, risks, and potential pain intellectually. Even so, I was particularly anxious about the pain before the procedure.
However, thanks to Dr. Saku-chan’s technique and the anesthesia, I barely noticed any pain during the procedure. She talked to me throughout the treatment, which helped me relax even more.
I was also extremely satisfied with the changes immediately after the procedure! Right after, there was some asymmetry in the results, but after one week, it wasn’t noticeable anymore. The skin tightness also disappeared, giving me a natural contour and making me look about five years younger!
I’m so glad I entrusted Dr. Saku-chan with my thread lift procedure at Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic.
Skin Condition One Month After Treatment
This is a front-facing photo of the face one month after the thread lift procedure.
One-month post-procedure impressions
One month after my thread lift procedure, I had a follow-up examination at Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic. After having photos taken, I proceeded to Dr. Saku’s examination.
The checkup results showed absolutely no issues with the progress.
Since the thread lift procedure, I’ve received more compliments on the changes from acquaintances and friends, and I’m very satisfied with the results.
2）Other Thread Lift Case Study 1
This is a case of a patient who had previously undergone thread lift treatment at another clinic.
The threads had been pulled too vertically, causing the cheeks to sink in and the effect to reverse within a few months.
To refine the facial contour, she received a procedure at Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic, where threads were inserted horizontally.
Comparing the before and after photos, you can see the face has become closer to an egg-shaped contour.
However, in this woman’s case, her overall fat volume is low. To achieve a more pronounced egg-shaped contour, additional treatments like fat grafting or hyaluronic acid injections would be necessary.
Thread Lift Case 1: Before and After
3）Other Thread Lift Case 2
This woman is a typical case of facial contouring achieved through thread lift.
Before treatment, her cheekbones were prominent, with a slight hollow beneath them.
Additionally, sagging in the lower jawline and around the mouth caused fat to droop downward.
This case demonstrates how thread lift lifted that tissue back up, forming an egg-shaped contour.
Thread Lift Case 2: Before and After
6. Procedure Flow
Thread lifts are medical lifting treatments that can be performed relatively quickly, minimizing disruption to daily life.
Here, we outline the typical procedure flow at Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic.
1）Consultation & Examination
First, Dr. Sakuchan (Dr. Yusaku Akima), the director, conducts a consultation and examination.
He carefully assesses the sagging condition of the jawline, cheeks, and mouth area, and listens attentively to your concerns and desired outcomes.
After comprehensively evaluating your facial bone structure, fat distribution, skin thickness, and the direction of sagging, the doctor will clearly explain:
- Whether thread lift is suitable for you
- The required number of threads and thread type
- The expected range of changes
For patients visiting from China, it is also possible to confirm the treatment plan via online consultation before arriving in Japan.
2）Insertion Sites, Number of Threads, and Treatment Design
Based on the consultation findings, the doctor designs the placement sites, direction, and number of threads to be inserted.
Since the final result of a thread lift varies significantly depending on the insertion direction and how lifting force is applied, we do not use a standardized design.
Whether the focus is on lifting the jawline,or improving the balance of the cheeks and mouth area, we design the procedure to apply only the necessary force to the required areas according to the specific goal.
3）Procedure (Thread Lift)
On the day of the procedure, thread lifting is performed after administering local anesthesia.
Due to the anesthesia, significant pain is uncommon, and the procedure time is approximately 30 minutes.
The doctor inserts the threads according to the plan while monitoring your condition, lifting with gentle, controlled force.
You may experience some discomfort or pressure during the procedure, but this is usually temporary.
4）Post-Procedure Check & Aftercare Explanation
After the procedure, we’ll review the results with you in the mirror and explain the treatment details and expected progress.
Some patients notice tightening immediately after the procedure, but the final changes will gradually appear over several weeks to months.
The doctor will also carefully explain post-procedure care and precautions.
In most cases, you can return to your daily routine the same day, including showering and applying makeup.
7．Downtime, Precautions, and Ineligible Candidates
Thread lifts involve no incisions, resulting in relatively short downtime. However, to ensure safe treatment, there are important points to understand beforehand.
Here, we explain the post-treatment progression, precautions, and cases where thread lifts are not suitable.
1）About Downtime
After a thread lift procedure, you may experience the following symptoms:
- Mild swelling
- Bruising (rare)
- Tightness or discomfort
- Dull pain when pressed
These symptoms usually subside naturally within a few days to about a week.
Severe swelling or prolonged pain is rare, making this a treatment with relatively minimal impact on daily life.
Many patients can go out or engage in light activities immediately after the procedure, making it suitable for those seeking treatment during a short stay.
2）Post-Procedure Precautions
To prevent complications and stabilize treatment results, please observe the following precautions:
- On the day of treatment, avoid vigorous massage or pressure
- Refrain from actions like opening your mouth wide or making intense facial expressions for several days
- Avoid strenuous exercise, saunas, long baths, and excessive alcohol consumption on the day of treatment
- Avoid sleeping on your side or stomach for several days
- Practice sun protection
If you experience severe pain, swelling, abnormalities, or discomfort after treatment, consult your doctor promptly.
3）Individuals Unsuitable for Treatment or Requiring Caution
The following individuals may not be eligible for thread lift treatment or require careful consideration:
- Pregnant or breastfeeding individuals
- Individuals with inflammation, infection, or severe skin conditions at the treatment site
- Individuals with severe bleeding tendencies
- Individuals with strong allergies to thread materials
- Individuals whose overall health or medical history leads the physician to determine the procedure is unsafe
Additionally, individuals with pre-existing conditions or taking anticoagulants must inform the physician beforehand.
Thread lifts are a treatment that can achieve both safety and effectiveness when based on a correct diagnosis and appropriate treatment design.
If you have any concerns or questions, please feel free to discuss them during your consultation.
8．Thread Lift Pricing
Two doses of the PDF-FD preparation are produced from a single blood draw.
Thread Lift (Iris Line)
| Number of treatments/anesthesia | Fee |
|---|---|
| 4threads | ￥256,000 |
| 8threads | ￥660,000 |
| 12threads | ￥920,000 |
| Surface Anesthesia Fee | ￥3,300 |
| Internal Anesthesia | ￥5,500 |
| Nitrous Oxide Anesthesia | ￥8,800 |
*Initial and follow-up consultation fees are waived.All prices are listed in Japanese yen and include tax.
9. Frequently Asked Questions About Thread Lifts (Questions from Chinese Clients)
Q1．Is it okay if I don’t speak Japanese? Can I consult beforehand while still in China?
Yes, that’s perfectly fine.
At Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic, you can receive an online consultation beforehand while still in China.
We use translation tools and materials to clearly explain the procedure details, risks, and downtime. Confirming your treatment plan before arriving in Japan allows for a smooth procedure upon your arrival.
Q2．Can the thread lift be completed in one visit, from consultation to procedure?
Yes, in most cases, it can be completed in one visit.
Since consultation, examination, and procedure can all be done on the same day, this treatment is suitable for those visiting Japan for a short stay or combining their trip with sightseeing. If your stay is limited, we can adjust the schedule during your preliminary consultation.
Q3．Can I go out or sightsee immediately after the procedure?
Yes, this is possible in most cases.
Mild swelling or tightness may occur after the procedure, but this usually subsides within a few days.
Significant downtime is rare, and many patients go out or sightsee on the day of the procedure.
Q4．Is thread lifting painful? Is it more painful than procedures done in China?
Pain perception varies, but local anesthesia is used, so there is some discomfort during its administration. However, the treatment itself does not involve prolonged, intense pain during thread insertion.
In Japanese medical institutions, doctors perform the procedure while assessing anatomically safe layers, allowing for a design that avoids unnecessary strong stimulation.
Compared to procedures performed in China, a key feature is the emphasis on “not overdoing it” and achieving a “natural result.”
Q5．What are the characteristics of Japanese thread lifts?
Japanese thread lifts are medical procedures performed by physicians during consultation and treatment.
Strict regulations govern the quality control of threads used, safety standards, treatment environments, and aftercare systems.
Conversely, procedures performed outside medical institutions may have limitations on usable materials and techniques.
For those prioritizing safety and a natural finish, medical thread lifts in Japan are suitable.
Q6．Can thread lifts and medical HIFU be performed on the same day?
This depends on the individual’s condition.
While thread lifts and medical HIFU can be combined, the order and timing are critically important.
Generally, the following sequence is considered safe:
- Perform medical HIFU first, followed by the thread lift
- Alternatively, wait at least one month after the thread lift before performing HIFU
This avoids the risk of thread deformation caused by HIFU heat.
This avoids the risk of thread deformation due to HIFU heat.
At our clinic, the doctor will examine your condition and recommend the optimal sequence.
Q7．How soon can I feel the effects of thread lift? How long do they last?
Most people notice a tightening of the facial contour immediately after the procedure.
Over the following weeks to months, collagen production progresses, leading to increased firmness and a stable lifting effect.
The duration of the effect varies from person to person, but generally lasts about six months to a year and a half.
Regular maintenance makes it easier to sustain the effect.
Q8．For which age groups is it suitable?
Thread lifts are a suitable treatment for a wide range of ages, from the late 30s to those in their 50s and older.
Treatment design can be flexible according to the condition, ranging from improving mild sagging to a clear lifting of the facial contour.
Q9．Can it be combined with hyaluronic acid injections or other treatments?
Yes, it is possible.
By first lifting sagging skin with thread lift and then adding volume with hyaluronic acid injections, a more natural and three-dimensional rejuvenation can be expected.
Combinations with medical HIFU, iPS Factor, or PDF-FD therapy are also possible.
The order and content of treatments will be proposed by the doctor after consultation.
Q10．I’m receiving aesthetic medical treatment in Japan for the first time and feel anxious.
First-time patients can feel at ease.
At Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic, we provide thorough support from pre-visit online consultations to post-procedure explanations.
We support those who wish to “rejuvenate naturally and safely without surgery” so they can receive treatment in Japan without anxiety.
＜Thread Lift Procedure Details＞
| Treatment Time | Approximately 30 minutes |
| Anesthesia | Local anesthesia and intravenous |
| Scarring | No visible scars since no scalpel is used |
| Follow-up Visits | Not required |
| Medication | Pain relievers, hemostatic agents, antibiotics |
| Showering | Permitted on the same day |
| Bathing | Permitted on the same day |
| Makeup | Permitted on the same day, avoiding the insertion site |
10. Finally｜For Those Seeking Thread Lifts in Japan with Peace of Mind
Thread lifts are a medical lifting treatment that aims for natural rejuvenation by lifting sagging facial contours and cheeks without using a scalpel.
However, the results and satisfaction level can vary significantly depending on the type of thread used, the insertion method, the treatment design, and the physician’s judgment.
At Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic, Dr. Sakuchan (Dr. Yusaku Akima), an expert in plastic and cosmetic surgery with deep knowledge of anti-aging treatments, performs thread lift procedures. He prioritizes a natural, non-excessive result after comprehensively diagnosing the facial bone structure, fat distribution, skin condition, and direction of sagging.
Our clinic employs a unique cross-technique combining vertical and horizontal threads, prioritizing the restoration of sagging tissue to its proper position.
Rather than forcefully pulling upward, we aim for an elegant change that is less noticeable to others by harmonizing the overall facial balance.
We also offer online consultations for those in China, allowing you to confirm treatment plans and address concerns before traveling to Japan.
Even for those with short stays or receiving aesthetic medical treatment in Japan for the first time, we offer a manageable schedule for a stress-free experience.
For those seeking non-surgical, natural rejuvenation with a long-term perspective.
If you wish to undergo thread lift treatment with confidence in Japan, please consider consulting Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic.