California Health and Beauty


Top Ten Questions About Contour Thread Lift in Beverly Hills

Contour Thread Lift is a safe and effective procedure that offers subtle, natural-looking results. Using FDA-approved anchored sutures, the physician is able to produce a relaxed, refreshed appearance while preserving and enhancing the natural contours of your face. Contour Thread Lift does not replace a conventional facelift; rather it offers patients an innovative, minimally invasive approach to achieving facelift-like results.

The new Contour Threadlift, also known simply as Thread Lift, is available in our offices. The procedure involves placing a number of barbed threads under local anesthesia in the neck, jowls and brow. The Contour Threadlift can obtain about 50-70% of the results of traditional facelift surgery in properly selected patients.

As the aging process begins, the collagen and elastin fibers break down, resulting in a thinning of the facial tissue. The changes are seen as sagging, deep creases, folds and wrinkles that appear sometime in your thirties. In general, the best candidates for a Contour ThreadLift include both women and men in their thirties to their sixties who want a more dramatic and long lasting effect than dermal fillers and Botox or other treatments can provide, but do not want a full surgical face lift or brow lift procedure.

1. What is the first step?

The best place to start is to schedule a consultation with a physician who has been fully trained in the Contour ThreadLift. During your consultation, the physician will evaluate your goals and specific anatomical considerations including skin quality, degree of sagging, underlying bone structure, and where you desire a lifting effect. The more Contour Threads used at one time, the greater the lift you can achieve. To ensure a high level of safety and accuracy, all physicians must complete a comprehensive training course on the Contour ThreadLift surgical technique before using Contour Threads.

2. What areas can be treated with a Contour ThreadLift?

In properly selected patients, the Contour ThreadLift can be used to lift sagging eyebrows, adjust asymmetric brows, reposition sagging cheeks, lift drooping soft tissues of the mid and lower face, and smooth out premature skin aging.

3. What are Contour Threads?

Contour Threads are the first non-absorbable barbed sutures cleared for marketing by the FDA for lifting the sagging contours of the brow, midface and neck areas. Unlike conventional sutures, which are smooth, Contour Threads have tiny barbs or cogs and are made of clear polypropylene, so they are not visible under fair or thin skin. Polypropylene is a material that has been safely used in the body for many years in medical devices.

4. How do they work?

The physician makes a tiny incision or puncture in the temporal area and the Contour Threads are inserted under the skin. The tiny barbs on each thread open in an umbrella-like fashion to form a support structure that gently lifts sagging tissues of the brow, face, and neck. Once in position, your body generates new collagen bundles that encapsulate each thread to help maintain the elevation or lifting effect. The exact placement of the threads will vary from patient to patient.

5. How long does the procedure take?

The procedure is quick and usually performed under local anesthesia, and if desired, light intravenous sedation. The actual length of time will depend on the total number of threads used and the expertise of the physician. On average a typical procedure takes approximately 60 minutes. In most cases, four threads is the minimum needed to address moderate sagging of one facial area.

6. How long is the recovery?

Patients can usually return to normal activities or to work within a few days to one week. In most cases, there is minimal discomfort, bruising and swelling. Concealing makeup may be worn the next day.

7. How many treatments will I need?

Usually only one procedure is needed to achieve the desired lifting effect.

8. How long will the results last?

Physicians’ experiences have shown that duration varies from three to five years or more, depending on the age of the patient at the time of the procedure, the degree of sagging, and the number of threads used. Over time, the threads can be gently tightened for added support or additional threads may be added as needed.

9. Are there any side effects?

When performed by a certified, experienced physician, the Contour ThreadLift is very safe and complications are very rare. Minor complications may include swelling, bruising, thread rupture, skin irregularities, asymmetries, puckering, and infection.

10. What will I feel like after the procedure is finished?

In some cases, patients may feel some tightness or pulling or may be able to feel the threads. Since this technique is entirely reversible, unwanted effects are usually easily corrected under local anesthesia.

Raphael Nach, MD

Dr. Raphael Nach is a fellow of the American College of Surgeons and is Board Certified in Otolaryngology/Head and Neck Surgery. Dr. Nach completed both his residency in Otolaryngology, Head & Neck Surgery and his general surgery residency at Tufts-Boston University in Boston, MA. His senior internship integrated Primary Care, Emergency Medicine, Orthopedic Surgery and Otolaryngology. Dr. Nach then went on to complete an internship in General Surgery and Internal Medicine and his MD at the University of the Witwatersrand Medical School, in Johannesburg, South Africa. Dr. Nach has completed advanced training in rhinoplasty (cosmetic nasal surgery), blepharoplasty (eyelid surgery), sinus and ear infections, voice problems, tonsillitis, allergy testing and treatments, septoplasty, endoscopic sinus surgery, neck and head surgery, minimally invasive liposculpture, and laser hair restoration.Memberships


  • American Medical Association
  • American Academy of Cosmetic Surgery
  • American Rhinologic Society
  • Los Angeles Society of Otolaryngology and Head and Neck SurgeryRaphael Nach, MD
    435 North Roxbury Drive, Ste 207
    Beverly Hills, CA