The Repositioning Edit
Thread Lifting
Non Surgical Lifting and Repositioning
As we age, three things change together. We lose underlying support as ligaments weaken and tissue begins to descend. We lose volume as fat and collagen diminish. And we lose skin integrity, as skin becomes thinner, less elastic and less resilient. Thread lifting addresses the first of these, gently repositioning descended tissue to restore definition to the jawline, cheeks and brow without surgery. Dr Vix Manning has used threads for over 10 years and has been named by Tatler as one of the best thread lifting doctors in the UK. She is a Key Opinion Leader and trainer for Sinclair Pharma in both Silhouette Soft and Ellansé, teaching doctors these techniques internationally, and has treated a number of celebrity clients during her career.
How it works
Threads work in two stages. First, there is an immediate mechanical lift as the thread repositions descended tissue into a more youthful position. Then, over the following weeks and months, the thread stimulates your own collagen production for longer term support and improved skin quality. Silhouette Soft threads are fully dissolvable, with bidirectional cones that hold tissue in place as they gradually dissolve. PDO (polydioxanone) threads use a cogged design that gives stronger support for heavier tissue.
Who it is for
Thread lifting suits people with sagging of the face, jawline or neck who want a lifted, repositioned look without surgery. The key is patient selection. Dr Vix chooses Silhouette Soft for mild to moderate sagging, and PDO threads for heavier tissue that needs stronger support. Where laxity is too advanced for threads to give a result you will be happy with, she will tell you honestly and discuss the alternatives. Thread lifting is not suitable during pregnancy or breastfeeding.
What to expect
After a consultation with Dr Vix Manning, treatment takes around 1 hour under local anaesthetic. You may notice some swelling, tenderness or mild bruising for a few days afterwards. You will be seen for a follow up at 2 weeks, then again at 3 months to assess your results as the collagen stimulating effect continues to build.
Dr Vix Manning's approach
Foundations before decorations. As we age, we lose support, volume and skin integrity together, so treating only one of these rarely gives a natural, lasting result. That is why Dr Vix addresses all three. Support: threads reposition and lift descended tissue. Volume and structure: collagen stimulation with Sculptra, Ellansé or Juläine, chosen according to whether you need volume, firmness or both. Skin integrity: skin boosters restore hydration, quality and resilience. Each layer strengthens the next, so your lift sits on strong foundations and lasts.
Frequently asked questions
How long does the treatment take?
Treatment typically takes around 1 hour under local anaesthetic, so you are comfortable throughout.
Which threads does Dr Vix Manning use?
It comes down to patient selection. Dr Vix uses Silhouette Soft for mild to moderate sagging and PDO threads for heavier tissue. As a Silhouette Soft trainer, she teaches other doctors how to make this choice.
Is a thread lift the same as a facelift?
No. Threads reposition tissue without surgery and with minimal downtime. They do not remove skin, and they are not a substitute for surgery where laxity is advanced. Dr Vix will advise honestly on which is right for you.
Can thread lifting be combined with other treatments?
Yes, and this is usually where the best results come from. Ageing affects support, volume and skin quality at the same time, so Dr Vix treats all three. Threads reposition, collagen stimulators such as Sculptra, Ellansé and Juläine rebuild structure, and skin boosters improve skin quality. Threads also give excellent results combined with Ultherapy. Your plan and its timing are tailored at consultation.
What are the risks?
As with any treatment, there are risks including unmet expectations, infection, and damage to deeper structures. These are discussed in full at your consultation.