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There are two major players in the non-surgical facelift world: One lifts the face by “inflating” (filling) and the other one hangs it by “stringing”. When most of our patients come to the clinic, they say “Sir, I want a rope suspension because my face is sagging”, but when we examine them, we see that what they actually need is volume. Or vice versa... So, which one does your face need? Liquid facelift or rope sling?
Istanbul Nisantasi Medlook Polyclinic we see these two methods as solutions to different problems, not as competitors. One creates the effect of a “filled balloon”, while the other creates the effect of a “stretched fabric”. In this guide, we will explain Liquid Facelift with mechanical ropes Rope Hanger (French Hanger etc.) methods into the ring and compare their pros and cons.
Fundamental Difference: Volume or Suspension?
The simplest distinction to help you decide is this:
- Liquid Facelift (Filler): If the reason for the sagging on your face is “hollowing out” (the cheeks have melted, the temples have collapsed), it is necessary to lift the skin up by filling it again. Here, the filler is like the pole of the tent.
- Thread Lift: If your face does not lose volume, but the skin succumbs to gravity and “flows” down (bulldog cheeks, double chin), then it is necessary to mechanically grab the skin and pull it up. Here the rope is like a tent's guy rope.
Selection Guide According to Face Type
Not every face is suitable for every procedure. According to our Medlook clinical experience:
1. Weak and Sunken Faces -> FLUID FACE LIFT
If your face is thin, your skin is thin. If we do a thread lift, the threads may show under the skin or make the face even thinner and give a “skeletal” appearance. These faces need fillers (Crystal, PCL or Hyaluronic Acid). Filling both volumizes and softens the face.
2. Heavy and Full Faces -> ROPE HANGER
If you have enough fat tissue on your face but it is sagging down, filling is a mistake. Filling makes the already heavy face even heavier and pulls it down. In this case, strong strings (Fishbone Strings / French Strap) are needed to carry the face.
3. Combined Problems -> HYBRID APPROACH
Most patients have both volume loss and sagging. First establishing the main supports with fillers (cheekbones) and then stretching the remaining skin with thread gives the most perfect result.
Comparative Table: Filler vs. Rope
Putting the two methods side by side:
| Feature | Liquid Facelift (Filler) | Rope Hanger (French Hanger) |
|---|---|---|
| Main Objective | Volumizing + Lifting | Mechanical Lifting (Hanging) |
| Recovery Time | Immediately (0-2 days edema) | 3-7 Days (withdrawal sensation, dimple) |
| Persistence | 12-24 Months (according to filling) | 18-24 Months (according to rope type) |
| Pain Level | Minimal (done with cream) | Medium (Local anesthesia needle required) |
| Risks | Vascular occlusion (Rare) | Thread breakage, asymmetry, dimpling |
Which one looks more natural?
Naturalness is about the right dose and the right technique. But the general perception is as follows:
- Liquid Facelift: It makes the face look more “rested” and “fresh”. However, if done excessively, there may be a “pillow face” (swollen) appearance.
- Rope Hanger It makes the face look more “sharp” and “V-shaped”. However, if it is overdrawn, it can be an artificial image like “in a wind tunnel” (slanted eyes).
Cost Comparison
From a budgetary point of view:
- Liquid Facelift: It depends on the number of tubes used. When 4-5 tubes of filler are used, the cost can approach that of a rope hanger.
- Rope Hanger It depends on the number of threads (number of pairs) used. Usually the one-time cost is slightly higher than filling, but the effect is more radical.
Medlook Nisantasi Approach: Analysis First
We do not treat our patients by rote. When you come to our clinic, we do a “Vector Test”. If you like the image when we hold your face from the cheekbone and pull it up (simulation) Rope Hanger; if it looks better when we fill the cheek area Liquid Facelift we recommend.
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Frequently Asked Questions (FAQ)
Modern threads (PDO, PCL) are very flexible and strong, the risk of breakage is very low. However, if it breaks, that side of the face returns to its former state (sagging), asymmetry occurs. It can be corrected by re-threading.
If heavy filling is done in the wrong place (under the cheek), yes, it will sag. However, filling in the right place (on the cheekbone, ligaments) carries the face up. Technique is very important.
Yes. Usually in the same session, first the threads are placed, the face is lifted up and the remaining gaps are filled with fillers. This is the "Total Regeneration" protocol.
Liquid facelift (filler) is definitely more comfortable. There may be tension, stinging sensation and pain when chewing on your face for about 1 week after the thread suspension.
Appointment and Contact
There is no one way to lift your face, there is a way that “suits you”. If you can't decide whether to rejuvenate with volume or with a sling, Medlook Polyclinic’s headquarters in Nişantaşı, Istanbul. Let's find the right vector to lift your face in our free analysis.
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