The article discusses the factors that enable thread lifting to last longer, focusing on the selection of appropriate threads and their characteristics. Thread lifting, traditionally used to address skin laxity associated with aging, has expanded to younger patients seeking facial contour refinement. The choice of threads depends on tissue laxity, with lighter threads for minimal laxity and stronger threads for significant sagging. Combining different threads is favored for optimal outcomes and minimizing side effects. Post-procedural tension adjustments through massage remain debated, potentially conflicting with minimally invasive principles. Key factors influencing outcomes include thread materials, thickness, cog shapes, insertion depth, lifting vectors, and absorbable thread expiration dates. The article also highlights the importance of patient selection, side effects, and the materials used in thread lifting, emphasizing the need for a personalized approach to achieve optimal and long-lasting results.The article discusses the factors that enable thread lifting to last longer, focusing on the selection of appropriate threads and their characteristics. Thread lifting, traditionally used to address skin laxity associated with aging, has expanded to younger patients seeking facial contour refinement. The choice of threads depends on tissue laxity, with lighter threads for minimal laxity and stronger threads for significant sagging. Combining different threads is favored for optimal outcomes and minimizing side effects. Post-procedural tension adjustments through massage remain debated, potentially conflicting with minimally invasive principles. Key factors influencing outcomes include thread materials, thickness, cog shapes, insertion depth, lifting vectors, and absorbable thread expiration dates. The article also highlights the importance of patient selection, side effects, and the materials used in thread lifting, emphasizing the need for a personalized approach to achieve optimal and long-lasting results.