INTRODUCTION As we age, our facial support structure weakens, and we lose facial fat. The affected areas generally include the cheeks, the eyebrows and other areas around the eyes, the jowls and the neck. The result is a longer, olderlooking face. As the skin ages, the connective tissue in the skin becomes thinner. The elastic fibres in the skin undergo a type of “breakdown”. The face thus loses some of its elasticity. The lack of elasticity brings with it the departure of certain face-shaping supports. The face begins to “sag” and “wrinkle”. Younger people may experience cheek and brow ptosis (sagging, here caused by weakened muscles) as well.[1] For these people especially, a thread lift may be a good alternative to the more invasive procedures necessary to correct problems in older people’s faces. Thread lifts emerged recently because many people would like a facelift, but can’t afford it or don’t want the long recovery time of the standard facelift. It is, perhaps, better considered as a lesser, or preliminary procedure. Thread lifts cost less and require less downtime for many people. Some surgeons promote the thread lift as a “lunchtime lift” or “weekend facelift.” Usually it can be performed in about one hour. Place of barbed threads amongst the spectrum of procedures for non-surgical facial rejuvenation A wide variety of procedures are being offered these days as non-surgical modalities for facial rejuvenation. These are: a. Botulinum toxin, which has a temporary effect lasting only three months. b. Fillers, which are limited to providing only limited volume and also last for about one to two years. c. Radio frequency which is limited to treating only very superficial wrinkles. d. Mesotherapy, which deposits so-called useful chemicals just under the skin, supposedly enhancing their utility in rejuvenating the skin colour and tone. e. Cosmetic camouflaging which is only a temporary measure to look good. The thread lift provides an actual ‘lift’, and is a semiinvasive procedure. It has a long-lasting effect and in a milder form matches the effect of brow lift or a lower face and neck lift.