One session lasts twelve to eighteen months. It lifts the moment it goes in and the final shape settles over four to six weeks, which is how long the surrounding tissue takes to adapt once it has gathered and fixed between the cones. New collagen remains after the thread dissolves.

It is done under local anaesthetic. Downtime of five to ten days is needed, with swelling and bruising over that period. The cones gather and fix tissue with considerable force, so the surroundings are disturbed accordingly. Avoid opening your mouth wide for one to two weeks so the gathered tissue is not displaced.

The small cones on the thread gather and fix tissue, so the holding area is wide and the support strong. There is a pulled feeling at first, and it becomes natural as the thread dissolves. The thread is on the thick side, though, so it is not used on thin-skinned areas such as the neck or décolletage.