HIFU vs Thread Lifting: Which Lasts Longer?

When choosing a non-surgical facial tightening option in Korea, how long results last is a major deciding factor. Two of the most popular approaches—HIFU (High-Intensity Focused Ultrasound) and thread lifting—both stimulate collagen and improve sagging skin, but their results timelines can differ significantly. Here’s a clear comparison to help you understand how long you can expect your results to last.

What Is HIFU?

HIFU is a non-invasive ultrasound treatment that delivers focused energy deep into the skin, targeting structural layers (including the SMAS) to stimulate collagen production. Results develop gradually over several months as new collagen forms and tightens the skin.

Typical longevity:

• Results commonly last around 6–12 months after a session.
• Duration can vary by skin type, age, and maintenance treatments. Targeted maintenance or repeat sessions every 6–12 months are often recommended to sustain visible tightening.

How HIFU works:

• Stimulates collagen deep within tissues.
• Best suited for mild to moderate sagging or as a maintenance treatment for early signs of aging.

What Is Thread Lifting?

Thread lifting is a minimally invasive procedure where dissolvable sutures (e.g., PDO, PLLA, PCL) are placed under the skin to physically lift sagging tissues. In addition to immediate lift, the threads stimulate collagen as they absorb, enhancing the effect over time. 

Typical longevity:

• PDO threads: ~6–12 months for lift effect, with collagen benefits lasting up to ~12–18 months.
• PLLA/PCL threads: ~12–24+ months, depending on thread type and patient factors.
• Some premium thread materials may extend results to around 2 years with proper care.

How thread lifting works:

• Provides immediate visible lifting, especially for jawline and cheeks.
• Collagen production around threads continues to improve contour over months.

Longevity Comparison

HIFU:

• Lasts around 6–12 months, with effects gradually building and plateauing before fading unless touch-ups are done.
• Works well for skin tightening and early sagging but doesn’t mechanically reposition tissue.

Thread Lifting:

• Typically lasts 12–24+ months, depending on thread composition and placement technique.
• Combines immediate lift plus collagen support, which tends to outlast non-invasive energy alone.

Summary:
➡️ Thread lifting usually lasts longer than HIFU. Threads offer a mechanical lift first and a collagen-stimulating effect second, making their visible results more durable in many cases.

What Influences How Long Results Last?

Several personal and procedural factors affect longevity for both HIFU and threads:

For HIFU

• Degree of skin laxity
• Age and collagen-producing capacity
• Device quality and practitioner skill
• Maintenance schedule

For Thread Lifts

• Thread material (PDO vs PLLA vs PCL)
• Number and placement of threads
• Individual healing and collagen response
• Lifestyle and weight changes

In Korean clinics, customized plans often include maintenance HIFU sessions or combination approaches (HIFU + threads) to maximize both depth tightening and long-term lift.  Gangnam Dermatology Clinic

Who Should Choose Which?

Choose HIFU if you want:

• A needle-free, non-invasive option
• Gradual tightening with minimal downtime
• Maintenance or early prevention of sagging

Choose Thread Lifting if you want:

• Immediate visible lift
• Longer-lasting results without surgery
• Enhanced contouring for moderate sagging

Final Thoughts

Both HIFU and thread lifting are excellent non-surgical options for facial rejuvenation in Korea — but thread lifting generally lasts longer due to its mechanical lifting plus collagen stimulation. HIFU remains a great choice for those seeking natural tightening with no incisions and regular touch-ups.