INTRODUCTION In recent years, there has been an increasing demand for a younger, more attractive appearance as individuals have experienced aging.1 It would, therefore, be mandatory for aesthetic surgeons to obtain a complete understanding of individual differences in the anatomic and physiologic aspects and severity of the aging process.2 But aesthetic surgeons should also consider the possibility of factors affecting patients’ decision on certain types of facial rejuvenation procedures; these include the degree of patient expectation, time to recovery, and patients’ economic status.3,4 The superficial musculoaponeurotic system (SMAS) was first described by Mitz and Peyronie5 in 1976. Since then, there has been a great evolution in facial rejuvenation procedures, extending from skin-only rhytidectomy to a wide variety of soft tissue repositioning and SMAS lift adaptations.5,6 Over the past decade, minimally invasive facial rejuvenation techniques have become a mainstream modality; their advantages include shorter operation time, opportunity for office-based aesthetic procedure, and lower incidences of postoperative complications. This has been followed by current cosmetic practices providing patients with minimal time to recovery and maximal patient convenience.7 Thus, facial rejuvenation techniques using threads have been frequently performed to lift brow, midface, jowl, and neck, and their treatment outcomes have been well described in the literature.