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Gluteal tensor threads surgery

hilos tensores en glúteos

The buttock tightening thread treatment at Clínica Sanza in Barcelona consists of passing a series of special threads prepared to tighten the area and lift the buttocks. It is an intervention that gives a moderate result and is not applicable in all cases. We advise you to come for a consultation and in a first visit the surgeons will be able to see your case and advise you on what is best for you.


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People with smooth but fallen glutes and but do not desire more effective treatment.


It is a good option to elevate fallen glutes or that have some skin excess; this method is not durable if the patient has an active life. Threads are introduced with some special needles that come with tensor threads. Those needles are introduced via the intergluterine fold, in other words over the line that separates both buttocks cheeks. From 4 to 8 threads are placed through each side, depending on the size and elevation that we wish. Once the threads are placed, they are tensed. After 3 or 4 months its normal to re-tense them due to recurrence. This second intervention ensures the optimum results due to its effectiveness and durability rather than when threads are tensed for the first time. It is recommended to do this intervention in two parts: first place the threads and the second to tense the threads and elevate the gluteus.


  • Each session, from 1 to 2 hours.



  • Evaluation of the area to determine the adequacy of the treatment.
  • Follow specific patterns determined by the doctor.
  • Cardiac, respiratory and blood tests.


  • Local and sedation.


  • Ambulatory.


  • Antibiotics to prevent infections.
  • Other medication if required.
  • Mandatory examinations after several days, several weeks and several months, according to prescription.


  • Fast recovery.


  • Natural gluteus projection.
  • Improved and rejuvenated patient appearance.
  • Improvement of the patient’s psychological profile and self-esteem.


  • Simple intervention.


  • Low.
  • Intervention risks: thread elongation and precise other interventions to re-tense them.
  • General intervention risks: hemorrhage, infection, scarring alteration.

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

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Frequently asked questions about buttocks​

How can I improve the appearance of my buttocks?

The buttocks are a very important part of both men and women. Some patients, more frequent men, may present true hypotrophy or lack of development of this area and require a gluteoplasty to improve the shape and volume of this body area, either through shape adjustments, implants or lipoinjection. In women it is more common to remove cellulite and elevate the buttocks.

What is the candidate for gluteoplasty?

The gluteoplasty is indicated in patients who wish to improve the volume and projection of the buttocks. Some individuals find a certain disproportion in the shape of their buttocks, which can be corrected with different techniques. In the same way, this treatment is suitable for those people who for reasons of aging, present loss of turgidity, excess fat or tissue drooping.

What are the procedures in buttocks surgery?

In Clínica Sanza we individualize each patient to offer the best treatment taking into account aspects such as height, weight of the patient, bone structure, pelvis and thighs. We evaluate the areas where there is little projection, flaccidity or excess fat, and thus determine if it is required the placement of buttock implants, liposuction, lipoinjection, lipolaser, thread tensioners or gluteus lifting.

How’s the procedure?

In general, any procedure is performed in the operating room under local anesthesia and sedation, or if the case requires it, under general anesthesia or epidural. The patient on the operating table is placed face down, so that we can work comfortably in the area and maintain symmetry.

How long does the surgery take?

The procedure, depending on the technique to be used, is performed on average in an interval between 1 to 4 hours.

Is hospitalization necessary?

We recommend admission for 1 day, for the patient’s comfort, not really for medical requirements, but during the first 24 hours it is not recommended to lie on your back. Sometimes we recommend 2 or 3 days on buttock lifts.

What are gluteal implants and what type of prosthesis are there?

Gluteal implants are synthetic elements that improve or correct the shape of the buttocks when they are inserted. There are different types of gluteal implants, of different volumes and dimensions. Buttock implants are made of a silicone elastomer shell that is also filled with silicone, usually round or oval in shape, with a textured or smooth surface. Very similar to breast prostheses, but more consistent.

When to think about liposuction of the buttocks? Or lipolaser?

Lipolaser, vaserlipo and liposculpture are synonymous. The 3 techniques allow the fat cells (adipocytes) to be extracted from the areas we wish to contour in order to obtain the buttocks we desire. Normally you want to eliminate cellulite, flaccidity and leave a smoother buttocks, like a gym.

When should I think about a butt lift?

When excess skin caused by a significant flaccidity cannot be retracted by another procedure such as lipolaser, a butt lift allows the buttocks to be tightened and elevated to the ideal height.

When are threads useful in buttocks?

When we are in front of a buttock, whether a man or a woman, who is smooth and young, well formed but fallen we can elevate it by means of tension threads, without the need to go through a prosthesis surgery or gluteal lifting. It is a good option to elevate those sagging buttocks, but not flaccid or with excess skin.

How are threads made in the buttocks?

They are introduced through local anesthesia or sedation through special needles that already come with the tensioning threads. These needles are passed from the intergluteal fold, i.e., above the line separating the two buttocks to each side. We usually pass from 4 to 8 threads on each side, depending on the size or elevation we want to do. Once the threads have been passed, we do not tighten them, but leave them under the skin for about 3 or 4 months. After this time we recommend stretching them and re-tensioning them. We place local anesthesia in the upper intergluteal area where we have left the ends of all the threads and from there we re-tension them again.

What can I expect after surgery?

After surgery, the patient may feel somewhat uncomfortable with mild pain. This discomfort is controlled by the use of analgesics and anti-inflammatories. The bandage along with the drains will be left in place for the first 24 hours and swelling may persist for some time. It is necessary to lie on your stomach for the first 24 hours, and then gradually resume normal activities. We advise according to each technique, the postoperative can be from 24h to 1 or 2 weeks. Then lean on the sides at bedtime until the swelling gradually subsides.

Frequently asked questions about tensioning threads

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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