Evaluation of Thread Lifts with High-Frequency Ultrasound

The number of esthetic procedures performed worldwide has been steadily increasing, including the growing use of thread lifts. As procedural volume grows, so does the need for imaging-based evaluation of thread lifts. High-frequency ultrasound (HFUS) provides high-resolution imaging of facial structures, allowing accurate assessment of thread morphology. This pictorial essay presents an ultrasound-based approach to thread lift evaluation, including equipment requirements, pre-procedural mapping, skin anatomy and layers, characteristic imaging patterns, potential complications, and the value of ultrasound guidance during the procedure.