This review article aims to elucidate the fundamental principles and practical illustrations of facial and neck thread lifting procedures. It explores key concepts such as fixing points, hanging points, and anchoring points, along with the explanation of vectors. The authors provide anatomically oriented explanations of the lifting process for different facial regions using thread techniques like V, U, and I methods with floating threads (Secrete line, Hyundai Meditech, Inc.). The article also delves into the concepts of tensile strength, anchoring strength, and holding strength, emphasizing their practical applications in thread lifting. The introduction highlights the importance of addressing lateral facial sagging, particularly in individuals of Asian descent with prominent cheekbones. Recent advancements in thread quality and design have improved the efficiency and outcomes of thread lifting procedures. The authors discuss the anatomical aspects of thread lifting, noting that ultrasound has facilitated more convenient verification of procedural outcomes compared to cadaver studies. The primary objective of thread lifting is to address skin and connective tissue sagging associated with aging. The review emphasizes the varying strength of retaining ligaments in different facial regions, which can lead to differential effects on skin and tissue sagging. The authors explore the general mechanisms of action of threads, focusing on how they impact tissues during the procedure. The article defines key terms related to thread lifting, such as anchoring strength, holding strength, and fixing points. It explains how these terms are used to describe the interaction between threads and surrounding tissues. The review also discusses specific procedural techniques, including the use of short or medium-length I-type bidirectional cogged threads, long-length cannula-guided U-type cogged threads, and long-length double-needle V-type cogged threads. Each technique is described in detail, emphasizing the importance of tissue consistency, anchoring strength, and holding strength. The discussion section highlights the advancements in thread lifting procedures and their effectiveness in addressing facial sagging. The authors conclude by emphasizing the critical role of tissue consistency, anchoring strength, and holding strength in successful thread lifting procedures.This review article aims to elucidate the fundamental principles and practical illustrations of facial and neck thread lifting procedures. It explores key concepts such as fixing points, hanging points, and anchoring points, along with the explanation of vectors. The authors provide anatomically oriented explanations of the lifting process for different facial regions using thread techniques like V, U, and I methods with floating threads (Secrete line, Hyundai Meditech, Inc.). The article also delves into the concepts of tensile strength, anchoring strength, and holding strength, emphasizing their practical applications in thread lifting. The introduction highlights the importance of addressing lateral facial sagging, particularly in individuals of Asian descent with prominent cheekbones. Recent advancements in thread quality and design have improved the efficiency and outcomes of thread lifting procedures. The authors discuss the anatomical aspects of thread lifting, noting that ultrasound has facilitated more convenient verification of procedural outcomes compared to cadaver studies. The primary objective of thread lifting is to address skin and connective tissue sagging associated with aging. The review emphasizes the varying strength of retaining ligaments in different facial regions, which can lead to differential effects on skin and tissue sagging. The authors explore the general mechanisms of action of threads, focusing on how they impact tissues during the procedure. The article defines key terms related to thread lifting, such as anchoring strength, holding strength, and fixing points. It explains how these terms are used to describe the interaction between threads and surrounding tissues. The review also discusses specific procedural techniques, including the use of short or medium-length I-type bidirectional cogged threads, long-length cannula-guided U-type cogged threads, and long-length double-needle V-type cogged threads. Each technique is described in detail, emphasizing the importance of tissue consistency, anchoring strength, and holding strength. The discussion section highlights the advancements in thread lifting procedures and their effectiveness in addressing facial sagging. The authors conclude by emphasizing the critical role of tissue consistency, anchoring strength, and holding strength in successful thread lifting procedures.