
Eye Contour Aesthetics: Thread Lift Method
Question: Actually, we said, "How can we beautify our skin?" We will likely talk about these topics. But especially recently, there are topics that even my own friends have asked me repeatedly when they see me on the street. They probably also have concerns that come with age. One of the main ones is wrinkles around the eyes or, let's say, a slight drooping. How can we get rid of sagging? I've been hearing a lot about this lately, especially because people know there are many varied solutions available now, so they always ask what the best one is. But there are constant questions in their minds. Perhaps there are also wrong things we believe to be right, so I want to ask you right away: Is it correct to call it "thread lifting"? Actually, it bothers me when we say "thread." Sorry. Should we say "thread lifting for the eye area"? How is it done? Is it done? How is it done?
Reply: It's done like this: There's something called "almond
eye aesthetics" that has emerged in recent years and has become very
trendy. Yes. Actually, these are mechanical threads—the threads we know. These
are 360-degree barbed or fishbone-like threads. They are applied with a very
simple method. For example, when we want to adjust the eyebrow-eye distance
according to a person's facial anatomy, we can lift the sagging eyelid upward
by placing one or two threads from the middle part or the tail part. Of course,
the number of threads varies from patient to patient. This allows the patient
to look more lively and awake, and it naturally gives us the chance to turn
back the clock by 5-10 years.
Question: For example, is this something that shows better effects
when used with other applications, or... Okay, for example, in the traditional
method, we always used to lift the eyebrows with Botox. But after a certain
age, Botox loses much of its eyebrow-lifting power. It can lift a maximum of
1-5 mm; for the rest, we handle it with threads. Especially after the ages of
30-35, since our bodies naturally lose collagen, the eyebrow-eye distance
decreases. The patient starts to look as if they are very tired or ill. For
that, for example, threads, mesotherapy, Botox, and sometimes devices can be
used in combination.
Question: Which devices? For example, I'm curious. Focused
ultrasound?
Reply: Okay.
Question: Since I have you here, let me ask: This is talked about a
lot. For example, what exactly does focused ultrasound do?
Reply: Focused ultrasound delivers focused sound waves. Since it
triggers the SMAS layer under the skin, it essentially gives collagen a
physiological "slap." Sagging collagen begins to stand upright.
Question: What do we feel then? In focused ultrasound, is there
pain or heat?
Reply: When you say pain, let's not misunderstand. Is it like a
procedure with needles or something like mesotherapy?
Question: Is it a device-based procedure? Does it heat up like an
iron or cool down?
Reply: No, it doesn't heat up. It feels like a tickling sensation.
Question: Okay. For example, after having that procedure, can we
continue our daily life? When applied around the eyes or face, is it noticeable
in any way?
Reply: No, you can leave the procedure and go straight to a
meeting.
Question: Okay. Here, my friends have written a note: "Star
lift."
Reply: Yes, Star lift. 6D Star lift.
Question: 6D Star lift.
Reply: The reason we call it 6D Star lift is that these are
multi-dimensional. When we say "thread," imagine a normal thread.
Actually, the fishbone analogy is more appropriate—it resembles a fishbone. And
when we cut it with scissors, it has a star shape. When viewed from the front,
it looks like a star, so it's called 6D Star lift.
Question: Why is it important for us that it is 6-dimensional?
Reply: In the past, 2D or 3D threads were used, but because their
barbs were few, their holding power was weak. They would return to their
original state after a few months, or patients would say, "I had threads
done, but I didn't see any benefit." Now, with this new technology,
because it is multi-dimensional—think of it like a fishbone—it rotates 360
degrees and mechanically provides a better lift, lasting longer.
Question: Now, our viewers—since I've been doing this program for a
long time (I did it on TV before, and now on my own channel), I'm somewhat
familiar. We are talking about a topic we know, but for those who may not know,
let's say right away: When we talk about things like "fishbone,"
people might get scared or startled, but we are talking about super fine
threads. And the barbs, as far as I know, I think they hold onto the tissue and
mechanically pull it upward.
Question: Let the question be this (they'll be upset if I don't ask
because I haven't asked it yet). Because this area of ours is a bit thinner
skin and tissue, or wrong... Actually, it's looser. Yes. When you place or
insert the thread, is it noticeable under the skin?
Reply: You asked a very good question; I have to ask. There are two
types of threads: one is dissolving threads, known as "absorbable
supportive threads." Their lifespan is 12 to 18 months, varying from
person to person. After these dissolve under the skin, they continue to produce
collagen as they dissolve. This way, we kill several birds with one stone: we
lift mechanically, and because they create fibrosis, they continue to hold
physiologically. Since these are as thin as a hair follicle, they are not
visible under the skin. After the procedure, the patient doesn't face questions
like, "Did you have threads done on your face?" from others.
Reply: There are also non-dissolving threads. Those are made of
silicone, similar to the type used in breast silicone. Those are visible from
the outside. In the past, before dissolving threads, there was a trend—maybe
you remember—everyone was having threads done on their face, neck, eyebrows. It
was very much like a fishbone, both on the neck, face, and eyebrows. An
external object was visible as shadows or waves. That was a side effect of
non-dissolving threads.
Question: Is it because technology has improved so much that we
don't use them anymore, or is it a choice, durability, or lifespan? What is the
reason for preference?
Reply: Frankly, if the patient's degree of sagging is very high and
the skin thickness is high, non-dissolving threads can also be used. But if the
patient wants to return to daily life immediately and says, "I definitely
don't want the threads to be visible; I don't want to take that risk,"
then of course, absorbable supportive threads are more advantageous because
it's not noticeable from the outside what was done.
Question: For example, in our faces, involuntarily—of course, I can
say comfortably that everyone has it—there is asymmetry. For example, when you
perform the application, since you are a specialist doctor, you do the most
correct application. But what about later repetitions, or, I don't know, the
effect on both sides being different? For example, the right side of my face
hurts more when something is done. For example, does its effect change? Do you
have patients who say, "For a week, both were very good, but then one
doesn't look as lifted anymore"?
Reply: Yes, you asked a very good question again. Asymmetry already
exists on the faces of all people worldwide. Why? Because we sleep more on one
side, chew more with one side, and smile more with one side. Even if the
world's best doctor makes your face 100% symmetric, after two weeks, that
facial asymmetry is disrupted. Of course, when we place these threads, we do it
with very precise, millimeter-level examinations. But after a few weeks, that
perfectly balanced symmetry we aimed for can be disrupted. If this is too much,
to balance it—for example, if we placed 2 on one side and 2 on the other but it
became a bit uneven—we can add an extra one to equalize. But patients should
know: there is no 100% symmetric face. In aesthetics, it has even been found
that 100% symmetric faces are not beautiful. In the golden ratio, there should
be a slight asymmetry.
Question: Again, among the questions, I don't want to miss asking
my questions, so I must ask you: Are there patients who only want their
eyebrows lifted? Or only the eyes? When you say only the eyes, for example,
aren't the eyebrows affected? Because I don't know the pulling points very
well, it seems like the eyebrows might be involved along the way.
Reply: Because after a certain age, you know, a craze started
worldwide: to lift as much as possible upward.
Question: Yes, your eyes are like that too—quite slanted.
Reply: Oh, come on, you have that beauty genetically.
Question: In the past, in old fashions, women wanted a lift mainly
from the middle—that is, a lift from here, the middle part of the eyebrow. But
after the 2000s, more slanted eyes from the sides became fashionable.
Reply: Yes, what you are doing with your hand now is entirely the
patient's request.
Question: But by determining whether it is suitable for facial
anatomy.
Reply: Yes, we can lift both the eyebrow and the eye. But I
myself—you know, there's a saying, "The eyebrow and the eye
together"—I always evaluate them together. I don't do the eyebrow or the
eye alone; I consider them together.
Question: Now, we've only talked about eyebrows and eyes so far,
but since I have you here, I'm telling you they'll be upset if I don't ask.
Again, recently, especially among my friends—I don't want to put anyone on the
spot, sorry—some of my friends, and those who see me on the street and ask,
also mention something else. There is something else they talk about. Is it
called the upper face? How do you divide it? Do we put the eyes in the middle
face or upper face?
Reply: Upper face, okay.
Question: For example, we hear and know about these formulas. There
are formulas that will tighten the upper face, but what about for the lower
face? Since I have you here, can I ask about those too? Why is it difficult?
What kind of formulas do we have now?
Reply: The lower face is one of the most challenging parts for us
in facial lifting because it is the part that succumbs the most to gravity, and
aging starts earliest from the lower face. The facial oval is lost. For these,
of course, we can lift the face upward by placing 3 or 4 pairs of threads.
Question: For example, let me ask you something: You also said that
chewing continues, and I think sleeping position is one of the things that
affects it the most. As you said, it inevitably succumbs to gravity—one of the
earliest areas to succumb. But, for example, the procedure here—for the eyes,
you said almost 12-18 months, right? Did you say something like that? I don't
want to say anything wrong. Let's say a year on average. What is the duration
for this area then?
Reply: That goes between 1.5 to 2 years because we use more threads
here. For example, in the eyebrow-eye area, there isn't that much space. But
here, for example, we sometimes place up to 3, 4, or even 5 pairs, depending on
the case. Since more threads are used, the duration goes between 1.5 to 2
years. In some patients, it can even extend up to 2 years.
Question: Can it also be used for the neck? Sorry for interrupting.
But they probably complain about the neck too. Is there a formula for the neck?
Where will you lift the neck?
Reply: Of course, the neck is actually a more difficult area than
the face because it is constantly moving, and its skin is thinner. We lift from
here—from here, entering and going toward the back in this shape.
Question: Is it the hairline?
Reply: Or we can say at the level of the ear—it can go down to
below the earlobe.
Question: I'm very curious about focused ultrasound—or rather,
whether intervention with devices is more natural. How should I say? Is it
necessary to prefer it?
Reply: Let me say this: I prefer it more. At least, I can say that.
Question: How often should focused ultrasound be used in these
areas to achieve the desired result?
Reply: Once a year is sufficient, of course.
Question: For example, if I came for the eye area, would you
recommend having it done on my entire face? Is it such a thing?
Reply: I usually take a general approach to the patient's entire
face because people don't look only at your eye area with binoculars; they look
overall. I even definitely include the neck so that there is harmony. The
definition of beauty and aesthetics...
Question: Thank you very much. Then, let my last question be this:
On average, these procedures... I'm asking again, but sorry. After applying
these procedures—the lifts—should there be support like Botox or fillers?
Reply: Alone, threads are a savior and create a radical difference.
But in the aging journey, we consider all methods together. For example, if
supported with mesolift, collagen shots, youth shots, or some Botox and
fillers, both the duration of use increases, and the patient more easily
achieves the aesthetic harmony we mentioned.
Question: I said last question, but sorry, since I have you here,
I'll ask because they ask a lot, and minds are very confused on this topic. My
skin now "says to Botox," using phrases like "produces
antibodies." Yes, it's something we've heard a lot in recent years. How
and why, and is it correct?
Reply: Actually, antibody production to Botox was a rare thing in
the past. But with incorrectly and frequently performed Botox—for example, we
always warn patients: entrust this to experts, dermatology specialists, entrust
your skin to dermatologists. For Botox, for example, if it doesn't hold, it
should never be done before 3 months. But because very frequent Botox and Botox
doses much higher than necessary were done, we started to see a previously rare
side effect much more often.
Question: Is it reversible or not?
Reply: Honestly, new studies are being done on this, and some
materials equivalent to Botox are being developed for patients who don't want
Botox at all. Honestly, technology is pregnant with new things; surprises may
come in the coming years.
Question: Okay, let's say be patient then. At the very least, thank
you very much for both your beauty and all the answers you've given.
Reply: Thank you very much.
Question: If there's anything you forgot to ask, please write, as
you know. Either we or our professor will be happy to answer. Thank you very
much for watching. Goodbye.


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