{
  "what": "A thread lift is a minimally invasive treatment in which absorbable threads with small barbs, called cogs, are placed under the skin to reposition descended tissue mechanically. The Bliss Lift is Dr Sin Yong's own thread lift protocol on Orchard Road, Singapore: PDO and PCL cog threads placed in the subcutaneous plane, above the SMAS, for early to moderate descent of the jowl, midface and brow, under local anaesthetic with no incision. It does not tighten or remove skin, add volume, or change skin quality.",
  "key_facts": [
    "Materials: PDO, PCL and PLLA are absorbable suture polymers that resorb by hydrolysis; PDO hydrolyses earliest, PLLA more slowly and PCL slowest, so mechanical hold tapers in that order while a collagen track remains; material is chosen per vector",
    "Mono vs cog: a smooth mono thread leaves a line of collagen and carries no lifting vector; cog threads engage fat and fibrous septae and carry tissue toward an anchor; every lift in the Bliss Lift is a cog-thread lift",
    "Plane: subcutaneous fat, below the dermis and above the SMAS, superficial to the facial nerve branches and parotid duct; the SMAS itself is not moved, which is the line between a thread lift and a surgical facelift",
    "Areas: jowl and lower face, midface and cheek, lateral brow, and early blunting of the neck-jaw angle where tissue is mobile; platysmal banding, a full submental fat pad and established skin excess are directed elsewhere",
    "Suits: descent of a mobile fat pad with skin that still recoils and no large volume deficit; suits less well with very thin skin, established laxity, heavy subcutaneous fat or volume loss driving the fold; heavy skin excess is referred for surgical assessment",
    "Should not have: active infection along the vectors, unreviewed bleeding tendency or blood thinners, keloid history, previous non-absorbable implants in the plane, pregnancy or breastfeeding",
    "Risks: bruising, swelling, tenderness, temporary dimpling and pulling are common; a palpable or visible thread, extrusion, infection, asymmetry or migration are less common; facial nerve or parotid duct injury is rare; threads cannot be dissolved on demand and no duration is promised",
    "Performed by: Dr Sin Yong personally, who examines the face upright and in animation, draws anchor points and vectors on the seated face, and places the threads; for lifting without inserting anything his first choices are the VF Lift – Vertical Facelift and Time Freeze Laser LCLR®"
  ],
  "references": [
    "Gülbitti HA, Colebunders B, Pirayesh A, et al. Thread-Lift Sutures: Still in the Lift? A Systematic Review of the Literature. Plastic and Reconstructive Surgery 2018. https://pubmed.ncbi.nlm.nih.gov/29481392/",
    "Niu Z, Zhang K, Yao W, et al. A Meta-Analysis and Systematic Review of the Incidences of Complications Following Facial Thread-Lifting. Aesthetic Plastic Surgery 2021. https://pubmed.ncbi.nlm.nih.gov/33821308/",
    "Pham CT, Chu S, Foulad DP, Mesinkovska NA. Safety Profile of Thread Lifts on the Face and Neck: An Evidence-Based Systematic Review. Dermatologic Surgery 2021. https://pubmed.ncbi.nlm.nih.gov/34699439/",
    "Consensus Recommendations for Combined Aesthetic Interventions Using Botulinum Toxin, Fillers, and Energy-Based Devices. Dermatologic Surgery. https://pubmed.ncbi.nlm.nih.gov/27100962/",
    "Treatment of Facial Skin Laxity by a New Monopolar Radiofrequency Device. Journal of Cutaneous and Aesthetic Surgery. https://pmc.ncbi.nlm.nih.gov/articles/PMC3081495/"
  ],
  "owner_url": "https://drsinyong.com/thread-lift-the-bliss-lift/",
  "doctor": "Dr Sin Yong, aesthetic physician, Orchard Road, Singapore",
  "updated": "2026-10-31"
}