[Japan’s No.1 Expert Explains] Preventing Thread Lift Failures! What Is the Correct Procedure for Your Facial Contour? Introducing Causes of Failure, Susceptible Face Shapes, and Proper Thread Placement
2025.3.15
A Thorough Explanation of Thread Lift Failures and Their Causes!
Have you ever undergone a thread lift and felt that your "face looks bigger" or that your "jawline appears square"?
In reality, if the threads are not inserted in a way that suits your facial contour, the results may differ from your expectations.
In this article, Dr. Nagura—who has been awarded as Japan's No.1 cosmetic surgeon for two consecutive years and holds the national No.1 record in thread lift procedures for six consecutive years—will provide a detailed explanation of common thread lift failures and how to avoid them.
By reading this article, you will learn the correct thread lift techniques, approaches tailored to different facial contours, and key points to prevent failure. Be sure to read until the end!
First, we will introduce the case of Dr. Nagura, a famous liposuction doctor.
CASE 01
In their 20s

【Case explanation]】The face line was sluggish due to buccal fat. By removing fat, my skin becomes less sagging and has a beautiful contour no matter which direction it wraps around.
CASE 02
In their 30s

【Case explanation】 People whose lower cheekbones appear sunken. By injecting the harvested fat into the cheeks, a beautiful contour with no dents was created. The fat under my chin has also been reduced.
CASE 03
In their 40s

【Case explanation】 People who have fat on the side of their mouth that makes their outline look square. By removing fat from the sides of the mouth, the contours have changed to a feminine one. Also, by removing the fat under the chin, the face line from an angle became more beautiful.
CASE 04
In their 50s

【Case description】 A patient had fat in his cheeks and under his chin, making his face look round. By taking the appropriate amount of fat, you can maintain a rounded shape while creating a clean contour.
CASE 05
In their 60s

【Case explanation】 When you look at it from the front, it doesn't look like there's a lot of fat, but when you look at it from an angle, you can see that there is fat. The sagging area under the chin due to age has been transformed into a more youthful face by removing fat and lifting it with a thread lift.
Why is Dr. Nagura chosen by many patients both domestically and internationally?
REASON 01
01.Dr. Nagura's dedicated state-of-the-art operating room.

REASON 02
02.Over 10 lectures at domestic and international conferences. A leading cosmetic surgeon representing Japan.

REASON 03
03.He has been the number one in the country for 7 consecutive years in the number of liposuction procedures performed on the face.

- Thread Lift: No. 1 in the country for 6 consecutive years (2019–2024)
- Buccal Fat Removal: No. 1 in the country for 7 consecutive years (2018–2024)
- Jawline Fat Removal: No. 1 in the country for 3 consecutive years (2022–2024)
- Malar Fat Removal: No. 1 in the country for 3 consecutive years (2022–2024)
- Liposuction (Including Body): No. 1 in the country for 4 consecutive years (2021–2024)
With an overwhelming number of cases supporting it, his exceptional technical skill and knowledge create natural beauty.
REASON 04
04.Named the 'Best Aesthetic Surgeon in Japan' for two consecutive years.

REASON 05
05.The only fat removal and rejuvenation expert doctor at SBC.

REASON 06
06.15 years of experience in cosmetic surgery.

REASON 07
07.Presentation on Revision Surgery at Academic Conference

REASON 08
08.He has performed numerous complex and revision surgeries.

REASON 09
09.Performed many surgeries as a cosmetic surgeon

REASON 10
10.Performed surgery on my own mother.

With this mindset, I decided to carry out the procedure to fulfill my mother's desire to "look younger." Instead of making drastic changes, my goal was to help her look naturally 15 years younger.
REASON 11
11.Aesthetic Surgery Instructor

REASON 12
12.He has performed surgeries on numerous celebrities.

REASON 13
13.There are over 200 staff members and doctors waiting for surgery.

REASON 14
14.I handle a wide range of patients, from men to individuals in their 20s to 70s.

REASON 15
15.Appeared on television as a skilled surgeon.

REASON 16
16.Two-time champion of the "Plastic Surgery Cinderella" contest.

REASON 17
17.Developer of Liposuction Injections and Suction Lift.

REASON 18
18.Trust from patients.

REASON 19
19.Trust from staff and family

REASON 20
20.Dr. Nagura is capable of performing surgeries for the eyes, nose, facial contours, and nasolabial folds.

REASON 21
21.Board-certified plastic surgeon and certified regenerative medicine specialist.

REASON 22
22.Awarded the Best Clinic Award.

1. What Is a Thread Lift? Basic Mechanism and Procedure
POINT 01
Basic Mechanism of Thread Lift

These threads serve as a support structure, pulling up loose skin and refining the facial contour.
POINT 02
A Thread Lift Does Not Reduce Fat
Therefore, if you have a large amount of fat, lifting it may push it forward, making your face appear larger.
POINT 03
Who Is Suitable and Unsuitable for a Thread Lift?
・Those with mild to moderate skin sagging
・Those who want to refine their jawline
・Those who prefer a short downtime
[Unsuitable Candidates]
・Those with a large amount of fat (fat suction is required in combination)
・Those with severe skin sagging (a facelift surgery is more appropriate)
2. Common Thread Lift Failures and Their Causes
POINT 01
① Causes of a Larger Face Appearance
This is especially common in people with high cheekbones.
For those with excess fat, combining a thread lift with fat suction is necessary.
POINT 02
② Causes of a Squared Jawline
This is often seen in individuals with prominent jawbones or angular features.
Accurate diagnosis of bone structure, fat distribution, and muscle formation, along with a skilled surgeon’s technique, is crucial.
POINT 03
③ Causes of Unsuccessful Sagging Improvement
Additionally, if sagging is caused by excess fat, a thread lift alone may not be sufficient to achieve the desired improvement.
3. Key Points for a Successful Thread Lift
POINT 01
① Choosing the Right Thread Placement for Your Facial Contour

Dr. Nagura, who holds the national No.1 record in facial fat suction procedures for seven consecutive years, has extensive knowledge of fat dynamics and optimal lifting positions.
POINT 02
② Combining with Fat Suction When Necessary
POINT 03
③ Selecting an Experienced Surgeon
Dr. Nagura, who has handled numerous complex and corrective surgeries, provides the most suitable procedure for each patient’s unique facial structure.
4. Downtime and Post-Procedure Care for a Thread Lift
POINT 01
Estimated Downtime
・Pain and discomfort: Lasts for a few days to a week
・Full recovery: Approximately 3 months
POINT 02
Important Post-Procedure Care
・Refrain from excessive mouth opening
・Avoid sleeping on your side
5. Case Studies of Thread Lift Procedures
CASE 01
For Individuals with Prominent Cheekbones

6. Conclusion: Essential Factors to Avoid Failure
POINT 01
Consult a Surgeon with Proven Expertise

However, improper planning that does not account for facial contours may lead to an enlarged or squared face.
Because thread lifts are not highly complex procedures, they are often performed by less experienced doctors.
To minimize risks, it is essential to carefully select a skilled and knowledgeable surgeon.
With an impressive record of "7 consecutive years as the national No.1 in facial fat suction" and "6 consecutive years as the national No.1 in thread lift procedures," Dr. Nagura provides customized treatment plans tailored to each individual patient.
To enhance the success rate of your thread lift, consult Dr. Nagura, a leading expert in the field.
Liposuction FAQ
QUESTION 01
Is it better to have liposuction and thread lift at the same time?
The benefits of doing treatments at the same time are 〇〇!
The video explains it in detail, so please check it out.
QUESTION 02
Any internal bleeding or swelling?
・Swelling lasts for about 1 to 2 weeks
And it often heals. Downtime varies greatly from person to person, so it may be shorter or longer than the above.
In order for our customers to undergo surgery with as much peace of mind as possible, we have posted many realistic downtime periods on Youtube.
Please check it out!
QUESTION 03
Is there any pain?
Dr. Nagura performs liposuction with a high level of skill, so during the downtime you will experience mild pain similar to muscle pain.
We also provide painkillers, so if you are concerned about pain, we recommend that you take them.
QUESTION 04
How long does it take to finish?
Many people may be worried because the period will be different from the downtime period, but Dr. Nagura has produced solid results, so please wait with confidence.
QUESTION 05
How to care for contractures?
Massage is not recommended for those who absolutely do not want their skin to sag after surgery.
Instead, Dr. Nagura recommends ``neck stretches.''
QUESTION 06
What if you received liposuction at another hospital but were not satisfied?
In addition, there may be muscular or skeletal causes that cannot be cured with liposuction.
Dr. Nagura is a doctor who specializes in corrections, and is able to accurately determine the cause of dissatisfaction and make recommendations.
We have also posted the details of the modifications on YouTube, so please check it out.
If you are worried about correction, please consult Dr. Nagura, a famous facial liposuction doctor.
Dr. Nagura is now recruiting monitors for treatments!
By providing photos, you can receive liposuction at a discounted price. We will carefully listen to each individual's concerns and offer the most suitable treatment. Let’s achieve a more defined facial contour with liposuction by a renowned specialist!
*Please note that you will need to visit the clinic after the procedure for photo-taking.
*Depending on your request and suitability, you may not be eligible for this monitor treatment. Thank you for your understanding in advance.
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