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Tensing thread​

Video subtitled in English


Facial aging is a complex process that consists in changes of all the skin tissue that constitutes the face morphology. For this reason, there are certain skin optimization treatments that do not work for rejuvenating the skin.

Hilos Tensores - dibujo

Clínica Sanza in Barcelona is a reference centre for the placement of tensioning threads.

Once the patient presents a loss in volume and a deep skin tissue displacement, produced by laxity, the medical indications would be to resolve the problem with subcutaneous fatty skin tissue repositioning via tensing threads or surgery and volume replenishment with hyaluronic acid injectables.

The tensing thread placement is a procedure with a minimum of invasionno scaring and no need for posttreatment recovery. It is indicated for patients with low or medium skin laxity. This treatment has a double therapeutic effect:

  1. Mechanical traction, which repositions the subcutaneous skin tissue, elevating and tensing the skin area under treatment during approximately one year.
  2. Collagenous stimulation, which produces a regenerative effect of the skin, improving the skin quality during approximately 3 years.

The tensing threads are compounded of absorbable material and present conical structures, differentiating them of the spiculate threads by fixating to all the area around the thread and not only to one determined spot, providing better and long-lasting results.

Hilos tensores - cara


Men and women with low/moderate facial skin tissue laxity which would like to improve:
  • Eyebrow elevation
  • Nasaoginean groove
  • Hanging cheeks (Jowls)
  • Neck laxity


Previous to a thorough examination of the area to treat and sepsis protocol, local anaesthesia is placed on the several points which will be treated with the tensing threads. Later, the threads will be passed through the subcutaneous tissue which once placed, they will be tensed, enabling the repositioning of the tissue. Finally, the excess threads will be cut and hidden under the skin. It is a simple and fast procedure, with minimal invasion, which in turn, produces no pain or great inconvenience for the patient. Also, there is no need for posttreatment recovery time.


  • Between 30-45 minutes.



  • Evaluation of the treatable area to determine treatment.
  • No need for blood tests or other tests.
  • Photographic control of the treated area.


  • Infiltration of local anaesthesia on the treated area.
  • Hospitalization.
  • No hospitalization needed.


Hilos Tensores - cojín de cuello
  • No intense physical activity or swimming in pools 24 posterior to treatment.
  • Maintain the treated area clean
  • Avoid great facial gesticulations, massages or pressure of the treated area during 48-72h. During this time, it is recommended to sleep with a supportive cervical cushion.
  • No bandaging needed.
  • No medication needed.


  • Immediate incorporation to work. There can be swelling or small bruising in the treated area which will disappear in a maximum of 5-7 days.


  • Repositioning of the skin tissue that has fallen due to the gravity effect and aging. Noticeable skin flaccidity reduction and expression lines, collagen stimulation which improves the quality of the skin and increases tensing effect.


  • Simple intervention.


  • Low.


Whatever your case may be, do not hesitate in contacting us.

Clínica Sanza in Barcelona, Spain, quality service

Frequently asked questions about tensioning threads surgery

What are tensioning threads?

The tightening thread technique is a facial rejuvenation procedure that is used to lift the eyebrows eliminating wrinkles in the crow’s feet, lift the cheekbones diminishing the nasogenian furrows (of the mouth), and recover the neck line that is lost with the passage of time. More and more men and women are enjoying the benefits of this type of surgery, which due to its natural results and little disability have become the ideal option.

Why use tensioning threads?

The thread suspension technique responds to the need for minimally invasive facial rejuvenation procedures using small incisions. Through this procedure we at Clinica Sanza reposition tissues that by the action of gravity, weight loss, the natural passage of time, disease or the use of certain medications have been weakened and need to be reconditioned to the structure of the face.

Who is a candidate for thread tensioners?

Facial suspension is recommended for patients with mild flaccidity. This procedure is basically indicated to elevate the forehead area, the eyebrows, improve the nasogenian grooves and slightly enhance the cheeks and neck. It is also indicated in people with illnesses that cannot undergo surgery due to their own condition and who see this as a minimally invasive option. In the same way, this is a very useful procedure for those who have suffered, for example, ptosis or drooping of the eyelid as a result of facial paralysis.

Does the threaded facial suspension technique replace facial rejuvenation surgery?

No. The technique of facial suspension with threads provides support to the superficial tissue, while the modifications in facial rejuvenation surgery or rhytidoplasty are executed in the deep structure of the face. The ritidoplasty has more lasting effects because it is a repair that involves the release of tissues, modification of fat, resection and rearrangement of excess skin.

What are the main benefits of thread tensioners?

Procedure that suspends slightly sagging tissues, leaves no scars, is done under local anesthesia and its costs are lower.

How are the threads placed?

They are biocompatible threads of high strength polypropylene, which have a surface that helps them to anchor in the tissues and thus be able to lift and tense them. Many are resorbable, i.e. the body eliminates them but the result is preserved thanks to the retraction caused in the tissue itself.

What type of anesthesia is used?

One of the benefits of facial suspension is that it uses local anesthesia. When other techniques are performed additionally, another type of sedation may be considered.

How’s the post-op? Does it hurt a lot?

This technique is minimally incapacitating and minimally painful. A small bandage will be worn for 24 hours, and when removed there may be slight swelling and sometimes the presence of small bruises, the incorporation into normal activities on average is the 4th day. Some differences may be observed as the tissues adapt to the new position, which is completely normal and will resolve within a few days.

How is this procedure performed?

In order to place the tensioning threads in Clinica Sanza we demarcate the area to be treated, we place the local anesthesia and immediately introduce a small cannula in certain points related to the areas to be lifted, where it fixes the supporting threads. The threads are placed under the skin, and thanks to their toothed traction surface in the form of microscopic anchors, there is an immediate lifting effect.

How long does the procedure take and what anesthesia is used?

The procedure itself can last from 30 minutes to an hour, is performed outpatient and after that the patient can return home.


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