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- Author e-FILLERS Team
- Jul 22nd, 2025
Threads + Fillers: Combining the Best of Both Worlds
In today’s aesthetic landscape, monotherapy treatments are no longer enough to meet the demands of informed patients. Practitioners are turning toward combination protocols that deliver superior results. One of the most effective pairings in non-surgical facial rejuvenation is the strategic use of absorbable threads and dermal fillers.
Why Combine Threads and Fillers?
Threads (such as PDO, PLLA, and PCL) provide mechanical lift and stimulate collagen, while dermal fillers restore lost volume and sculpt facial features. Used together, these two modalities: - Treat both skin laxity and volume loss - Achieve more natural and durable results - Reduce the need for overcorrection with fillers alone - Improve patient satisfaction with minimal downtime
Recommended Treatment Sequence
Phase 1 – Threads (Week 0): Begin with cog threads to reposition and anchor sagging tissues.
Phase 2 – Healing (2–4 weeks): Allow inflammation to subside and collagen synthesis to initiate.
Phase 3 – Fillers (Week 4+): Use HA fillers to restore volume and refine facial contours.
Strategic Treatment Zones
Cheeks: Lift with threads, volumize with fillers for midface contour.
Jawline: Define mandibular line with threads; smooth hollows with deep HA fillers.
Brow/Temples: Threads for brow lift; fillers to correct temporal hollowing.
Neck: Threads tighten lax skin, fillers improve crepey texture.
Best Practices & Tips
Use cannulas when injecting after threads to avoid trauma.
Avoid overcorrection—threads already reposition tissue.
Choose thread and filler types based on area and indication.
Always perform a detailed facial assessment before treatment.
Contraindications & Considerations
Active infection, autoimmune disease, or anticoagulant use
Skin types with a high risk of post-inflammatory hyperpigmentation
Ensure patients understand that results build over time
Conclusion: Elevating Results Through Synergy
Combining threads and fillers enables multi-dimensional facial rejuvenation. When executed with precision, this approach addresses both the visible signs of aging and the underlying structural shifts. For practitioners aiming to deliver top-tier results with minimally invasive methods, this combination is an essential tool in the aesthetic arsenal.
