Table of contents

• The Thread Lift Procedure: An Overview
• Best Clinics in Korea for Acne Scars Rolling
• Having a Thread Lift in South Korea: What to Expect
• Cost of Thread Lifts in South Korea: A Medical Tourist’s Guide
• Thread Lifts for Rolling Acne Scars: Outcomes and Insights
• Conclusion
• References

Patients who struggle with acne scarring often hear the term "gently depressed rolling acne scars on cheeks." This description is both accurate and common for a challenging type of skin indentation. In this guide, we’ll break down what rolling acne scars are, take a closer look at the Thread Lift procedure, explore the logistics and costs of having this treatment in South Korea, and evaluate its effectiveness for rolling acne scars.

Rolling scars are a frequent type of scarring that appears after acne lesions heal. These scars show up as gentle indentations, a few millimeters wide, with sloping edges that give the skin an uneven or "rolling" texture. The scar’s size doesn’t necessarily match the size of the original acne spot—it’s often more about how your skin heals. Rolling scars often develop on thicker-skinned facial areas, especially the lower cheeks and jawline.

Common Pseudonyms and Classifications

Rolling acne scars are a subset of atrophic acne scar. Atrophic scars, in general, are depressions that develop when the skin heals with too little collagen. Collagen is the protein that gives the skin its shape, strength, and bounce. When there isn’t enough of it during healing, you end up with indented scars—this helps explain why rolling scars aren’t just a superficial issue but the result of a deeper structural change.

You’ll often hear rolling scars talked about alongside other atrophic scars, like boxcar scars and icepick scars. Knowing which type you have helps clarify your treatment options.

Differentiation from Other Acne Scar Types

Let’s clarify the differences:

• Rolling Scars: The shallowest atrophic scars, with wavy skin and sloping, ill-defined borders. They’re caused by fibrous bands pulling the skin down from below, creating that rippled appearance.
• Boxcar Scars: Round or oval indentations with sharply defined vertical edges, much like chickenpox scars. They’re wider than icepick scars.
• Icepick Scars: Deep, narrow, V-shaped scars that look like punctures. They’re generally resistant to peels or lasers.
• Hypertrophic Scars: Unlike atrophic scars, these are raised and occur when there’s too much collagen production. Keloid scars are the most severe, expanding beyond the original wound and sometimes recurring even after removal. Treatments for these scars focus on reducing excess collagen, while atrophic scars (like rolling scars) require collagen stimulation.

Factors Contributing to Their Formation

Rolling scars are largely tied to how your skin heals after acne. The key reason is the insufficient production of collagen during healing, creating surface dips. The deeper the acne-induced inflammation, the higher the risk of scarring. Rolling scars are also unique because of fibrous bands that tether the skin downwards.

Further, picking or squeezing acne increases scarring risks by driving blockages deeper or intensifying inflammation—even leading to worse inflammatory acne or cysts. It’s important for patients to recognize that rolling acne scars are permanent; they won’t fade on their own, which is why medical intervention is necessary.

The Thread Lift Procedure: An Overview

A thread lift is a non-surgical, minimally invasive cosmetic treatment where dissolvable, medical-grade sutures ("threads") are used to lift and tighten sagging skin. The goal is to offer a refreshed appearance and stimulate your skin’s collagen production. Nicknamed the "lunchtime facelift," it’s quick, low on downtime, and used for areas like cheeks, jawline, neck, and eyebrows.

How Thread Lifts Work

Thread lifts use two main mechanisms:

• Mechanical Lifting: Threads are inserted beneath the skin, physically lifting and repositioning sagging tissue. Many threads have tiny barbs to help grip and hold the skin in its new position.
• Collagen Stimulation (Neo-collagenesis): The threads trigger your body’s healing response, prompting fibroblasts to produce new collagen and elastin. This boosts skin firmness and elasticity over several months—even after the threads dissolve, the newly formed collagen remains for ongoing support.

This dual effect—lift plus collagen boost—is at the heart of why thread lifts make sense for treating atrophic acne scars like rolling scars. The collagen stimulation addresses the deficiency causing the scars, and the lift counters the downward pull of fibrous bands.

Types of Threads Used

Most threads are made from biocompatible, biodegradable materials, such as:

• Polydioxanone (PDO) threads: The most common, dissolving over 6-12 months, both lifting and stimulating collagen. PDO monofilament threads have been specifically researched for atrophic acne scars.
• Polylactic acid (PLA) threads: Also absorbable, with shared benefits.
• Polycaprolactone (PCA) threads: Biodegradable and good for skin tightening.

Choosing the right thread type and design (smooth or barbed) depends on your skin’s needs and where you’re being treated.

Ideal Candidates and Results

Thread lifts are best for people in their late 30s to early 50s showing early to moderate aging who want a non-surgical, subtle improvement. It’s also a safe option for those with health conditions that prohibit surgery. Results last about one to three years before the threads dissolve. Longevity depends on age, skin quality, and habits like smoking or sun exposure, so healthy habits are important for maintaining results.

Thread lifts offer subtle, natural-seeming enhancement rather than dramatic surgical changes and can help maintain results of earlier surgical procedures. They’re perfect for patients wanting noticeable but not extreme improvements, fitting into the modern trend toward minimally invasive treatments.

General Procedure Steps

• Preparation: The area is cleansed and numbed with local anesthesia. You’ll usually stop using harsh skincare and avoid alcohol for 24-48 hours before.
• Thread Placement: The provider uses a fine needle or cannula to insert the threads into targeted areas.
• Completion: Once satisfied with the lift, they trim any excess thread. The appointment usually wraps up within an hour.
• Anesthesia: Local anesthesia is standard. Some advanced clinics even offer special cooling anesthesia (like "Chill-Lifting") for added comfort.

Benefits and Minor Risks

Benefits:

• Minimally invasive—just small entry points, not large incisions.
• Immediate lifting effect, with gradual improvement as collagen builds.
• Quick recovery; most people return to their normal routine soon after.
• Suits a broad range of adults—including those who may not qualify for surgery.
• Threads can be removed if needed.

Minor Complications:

Temporary bruising, swelling, tenderness, or redness may last up to a week. Studies have reported minor incident rates: bruising (62%), redness (40%), small bleeds (25%), temporary numbness (6%), mild swelling (40%), and rare asymmetry (6%). Most can be managed by following aftercare instructions, like avoiding strenuous activity and direct facial pressure.

Best Clinics in Korea for Acne Scars Rolling

Listed below are the best clinics in Korea for acne scars rolling:

Clinic Name	Key Features	Special Techniques
PangPang Clinic	Located in Gangnam, Seoul; exclusive focus on thread lifting; research-driven innovation; collaborated with Seoul National University Bundang Hospital; houses the only Thread Lifting Research Institute; personalized consultations; offers 31 specialized threads	Proprietary Pink Lift thread (FDA, CE, KFDA certified); Chill-Lifting with contact-free cooling anesthesia; advanced techniques for rolling acne scars; emphasis on collagen regeneration
Haru Clinic	Located in Gangnam, Seoul; premier destination for Acne Scars Rolling; patient-centered care; uses behind-the-ear anchor point for thread lifts; avoids large nerves/vessels for comfort; headed by renowned Dr. Jeong; wide range of non-invasive procedures; focus on safety and trust	Signature thread lift with simultaneous pulling and pressing; advanced facial harmony and contour planning; top-tier filler and Botox techniques; comprehensive care for face and body lifts
B.V Clinic	Located at Sinnonhyeon Station, Seoul; premier expertise in Acne Scars Rolling; led by Dr. Suh with 10+ years of thread lifting; thousands of clinical cases; offers personalized care and advanced aftercare	Exclusive use of MINT Threads (FDA, KFDA approved); premium PDO barbed threads for strong anchoring and collagen stimulation; holistic thread/laser solutions for scar revision

PangPang Clinic

PangPang Clinic, located in Seoul’s prestigious Gangnam district, stands at the forefront of non-surgical facial rejuvenation, specializing exclusively in thread lifting procedures. The clinic sets itself apart through its commitment to research-driven innovation and clinical excellence, combining years of expertise with breakthrough technologies. Notably, PangPang Clinic developed the proprietary Pink Lift—a revolutionary medical thread created from extensive data collected over thousands of lifting procedures. Unlike conventional threads, the Pink Lift provides a stronger hold, offers longer-lasting and more natural results, and is certified by FDA, CE, and KFDA for the highest standards in safety and effectiveness. This prestigious thread innovation is available exclusively at PangPang Clinic, underscoring its dedication to delivering advanced, trustworthy care.

In addition to its signature Pink Lift, PangPang Clinic collaborates closely with experts at Seoul National University Bundang Hospital to refine thread lifting techniques grounded in robust clinical research. This scientific partnership ensures that every procedure not only lifts sagging skin but also stimulates collagen regeneration and improves skin quality over time. PangPang Clinic is also home to the world’s only dedicated Thread Lifting Research Institute and frequently shares its expertise on global stages through conferences and lectures. With cutting-edge offerings like Chill-Lifting—a pain-minimized, recovery-boosting thread lift using contact-free cooling anesthesia—alongside a personalized consultation process and the use of 31 specialized threads, PangPang Clinic delivers customized, high-satisfaction solutions for rolling acne scars and other aesthetic concerns.

You can check out their website here: PangPang Clinic Website

Haru Clinic

Haru Clinic stands out as the premier destination for Acne Scars Rolling treatment in Korea, combining medical innovation, expert skill, and patient-centered care in the heart of Gangnam, Seoul. The clinic’s signature thread lifting procedure leverages the stable, less mobile skin behind the ear as a fixed anchor point, achieving a powerful, natural lift with results that are both stable and long-lasting. Unlike traditional techniques, Haru Clinic’s approach pulls and presses the skin simultaneously, preventing unwanted facial enlargement and creating smooth, youthful contours even in areas of volume loss. Comfort is a priority—Dr. Jeong’s method intentionally avoids large nerves and blood vessels, minimizing discomfort, pain, and bleeding throughout the process. With decades of expertise, Dr. Jeong—a renowned research physician affiliated with Merz, the makers of Belotero Filler—meticulously plans each treatment for facial harmony and natural beauty, teaching others his advanced filler techniques. Haru Clinic’s emphasis on non-invasive procedures means patients can achieve transformative results—comparable to surgical outcomes—while enjoying minimal downtime and maximum safety. The broad spectrum of aesthetic services offered, from advanced fillers and Botox to specialized face and body lifts, reflects the clinic’s commitment to comprehensive, customized care. With clear communication, unwavering dedication to patient safety, and a philosophy built on trust, Haru Clinic delivers an exceptional aesthetic experience, making it the top choice for anyone seeking to address acne scars and rejuvenate their appearance in Korea.

You can check out their website here: Haru Clinic Website

B.V Clinic

B.V Clinic stands out as the premier destination for Acne Scars Rolling in Korea due to its unparalleled expertise and innovative approach to skin rejuvenation. Led by Dr. Suh, who boasts over a decade of focused experience in thread lifting with thousands of successful clinical cases, the clinic guarantees results that are both natural and visibly defined. B.V Clinic exclusively utilizes MINT Threads—FDA and KFDA-approved minimally invasive threads—ensuring the highest standards of safety and quality. Their premium PDO barbed threads offer strong anchoring power, not only producing immediate lifting effects but also stimulating collagen production for sustained skin firmness and scar revision. Conveniently located at Sinnonhyeon Station, B.V Clinic delivers comprehensive, personalized care with cutting-edge thread and laser treatments, as well as advanced aftercare and wellness programs. This commitment to precision, patient satisfaction, and long-term results makes B.V Clinic the best choice for those seeking effective, holistic solutions for acne scars rolling in Korea.

You can check out their website here: B.V Clinic Website

Having a Thread Lift in South Korea: What to Expect

South Korea is globally recognized for its leadership and innovation in cosmetic procedures, making it a much sought-after destination for medical tourists looking for both quality and affordability.

Pre-Procedure Preparation

Your visit starts with a detailed consultation to discuss your expectations, skin status, and the right number and types of threads. Leading clinics—like SH Clinic, Haru Clinic, B.V Clinic, and Pang Pang Clinic—offer personalized care, often customizing packages based on your needs. Medical history is reviewed to check for contraindications, and pre-procedure instructions cover avoiding alcohol and harsh skincare. Comfortable, loose clothing is recommended for easy recovery.

The Procedure Day

Arriving at your clinic (many are located in areas like Gangnam, which is known for aesthetics), you’ll have your face cleansed and marked, then numbed with local (or cooling) anesthesia. The surgeon inserts threads using fine tools, makes adjustments for optimal contour, and you’re done in roughly an hour.

Recovery and Aftercare

Most patients go home the same day. Expect some swelling, bruising, or soreness that normally dissipates within a week. You should avoid washing your face for 24 hours and refrain from vigorous activity or facial pressure for two weeks. Sun protection is strongly advised. Collagen stimulation from the threads keeps improving your skin for several months. Adhering carefully to aftercare is key for ideal results.

Notable Clinics and Local Innovations

• SH Clinic: Known for full-service, comprehensive care.
• Haru Clinic: Renowned for individualized, patient-focused treatments.
• B.V Clinic: Specializes in thread lifting, especially with Dr. Suh’s behind-the-ear approach for added stability.
• Pang Pang Clinic: Stands out for customized packages (like the "Taut" or "Idol" packages) and innovations:
  • Pink Lift: A proprietary thread with exceptional hold and proven safety.
  • Chill-Lifting: Advanced contact-free cooling anesthesia for less pain, swelling, and quicker recovery.
  • Collaborations with Seoul National University ensure research-backed approaches focusing on collagen regeneration.

Cost of Thread Lifts in South Korea: A Medical Tourist’s Guide

South Korea presents a unique mix of quality and value, often delivering cutting-edge techniques at competitive prices.

Typical Costs

Thread lifts in South Korea usually range from $1,000 to $4,000 USD, with an average of about $1,800 USD at leading clinics. Combined or more extensive procedures (like Lifestyle Lift) can reach about $4,550–$6,820 USD.

Factors Influencing Price

• Procedure complexity: More threads or areas treated mean higher costs.
• Clinic reputation and location: Prestigious clinics in central neighborhoods charge more.
• Surgeon’s expertise: Experienced surgeons come at a premium.
• Package inclusions: Some fees may or may not include anesthesia, pre-op tests, or aftercare.
• Add-ons: Combining thread lifts with fillers, Botox, or other procedures increases the overall cost.

Table: Thread Lift Cost Comparison—South Korea vs. Key Destinations

Procedure	Country	Price (USD)
Thread Lift	South Korea	$1,000 - $4,000
Thread Lift	South Korea (Average/Specific Clinic)	$1,800
Thread Lift	Indonesia	$964
Thread Lift	Philippines	$1,089
Thread Lift	Malaysia	$1,517
Thread Lift	Thailand	$1,627
Thread Lift	China	$1,789
Thread Lift	Singapore	$2,905
Thread Lift	Mexico	$450 - $2,200
Thread Lift	Turkey	$750
Thread Lift	Egypt	$1,500
Thread Lift	USA	$6,000
Lifestyle Lift	Germany	$10,000 - $15,000
Lifestyle Lift	United Kingdom	$9,000 - $14,000
Lifestyle Lift	France	$8,500 - $13,000
Lifestyle Lift	Italy	$8,000 - $13,500
Lifestyle Lift	Spain	$7,500 - $12,000

Note: Prices are approximate and may vary by clinic, surgeon, and specific procedure.

Why Choose South Korea?

• Affordability: Cost is well below many Western nations, for the same or higher standard of care.
• Quality: Treatments are highly specialized, using advanced techniques and proprietary innovations.
• Efficiency: Minimal downtime and streamlined processes make it easy for international patients.
• Support: Many clinics provide translation and concierge services, smoothing out any language or logistical barriers.

Additional Expenses to Consider

Factor in travel, accommodation, daily living expenses, pre/post-procedure care, and contingency funds. Consider logistical elements like language barriers (though most clinics offer English-speaking staff) and ongoing follow-up after returning home.

Thread Lifts for Rolling Acne Scars: Outcomes and Insights

Research is increasingly highlighting the potential of thread lifts—especially Polydioxanone (PDO) threads—for treating atrophic post-acne scars, including rolling scars. These threads not only provide a mechanical lift but also stimulate neo-collagenesis, tackling both the physical indentation and collagen deficiency.

For example, a clinical study evaluating PDO threads for atrophic post-acne scars found the treatment—with or without subcision—was safe, efficient, and had tolerable pain levels. Histological analysis confirmed increased epidermal thickness and the growth of new collagen and elastic fibers, which are crucial for scar improvement.

Clinical Results

A key study tracked improvement after three months:

Outcome	PDO Threads Alone (%)	Subcision (%)
Excellent	10	30
Good	70	60
Poor	20	10
Good–Excellent Total	80	90

Note: The difference was statistically insignificant, suggesting both methods work well, or even better together.

These stats empower patients to move beyond marketing hype and understand their realistic odds of achieving "good to excellent" results.

Safety Profile

The safety record for thread lifts on acne scars is positive: no serious side effects, low risk of complications, and only mild, short-lived bruising, redness, or swelling. Any minor asymmetry (about 6%) can typically be adjusted with ease.

Comparing Treatments

• Subcision: A gold-standard office surgical method, subcision breaks the fibrous bands beneath rolling scars. Outcomes are similar to PDO thread lifts, and both can be combined for added benefit.
• Other Treatments: Options include microneedling (collagen induction therapy), chemical peels, punch elevation, dermal fillers, Ultherapy, and RF Microneedling.

It’s essential for patients to know that thread lifts offer subtle, not dramatic, permanent changes. Combination treatments often yield the best results, making thread lifts an ideal part of a larger care plan.

Conclusion

Rolling acne scars—defined by their gently depressed, wavy look—require specialized treatment since they’re permanent and caused by collagen deficiency. The Thread Lift procedure, especially when performed in South Korea, is a minimally invasive option that offers both immediate lift and long-term collagen stimulation. Research confirms its safety and efficacy, especially when combined with other treatments like subcision. For the best outcome, thread lifts should be considered part of a comprehensive, personalized treatment plan.

References

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