Age can act a guide for treatment; we lose approximately 1% collagen/volume a year after our 30s, so considerations for treatment generally commence then.
Aging is largely characterised by bony and deep fat volume loss, with resultant drooping of overlying surface fat and skin. Skin loses its turgor and begins to become thin and wrinkly.
Threadlifting can help patients with the relocation of drooping surface fat and skin, but this has limitations - patients with excessively heavy amounts of superficial fat will see little difference due to the thread's inadequate action.
We mostly advise volume replacement with fillers or collagen stimulators (hyaluronic acid, ellanse, radiesse etc) first to provide a restoration of your facial structure from the years of bony volume loss first. This provides a more natural restoration.
Threads can be done subsequently to reposition the drooping fat and sculpt the face.
That being said, a proper examination is advised prior to the decision on treatment; patients with excessive skin or heavy tissue might indeed better benefit from surgical intervention. Even so, surgical intervention or further minimally invasive treatment will need repeating over the subsequent years as the face continues to age dynamically.
Cheers!
Shane
