Table of contents

• Thread Lifts: A Detailed Medical Overview
• Best Clinics in Korea for Smokers Lines Lips
• Navigating a Thread Lift in South Korea: A Patient's Journey
• Costs Associated with Thread Lifts in South Korea and Comparison for Medical Tourists
• Patient Outcomes: Thread Lifts for "Smoker's Lines Lips" and Overall Rejuvenation
• Conclusion
• References

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"Smoker's lines," also known as "lipstick lines" or "perioral wrinkles," are a specific type of facial wrinkle that forms around the mouth, especially on the upper lip. These lines can make the mouth area look older or more tired. At first, they appear as fine, vertical lines above and below the upper lip, but over time and with repeated facial movements, they can deepen and become more noticeable, especially when you smile or pucker your lips. Sometimes, they show up as parallel lines or a web of smaller wrinkles around the mouth.

Clinically, doctors often use the terms "perioral rhytides" or "perioral wrinkles" to describe this condition—"peri" meaning "around" and "oral" referring to the mouth. It's important to distinguish these from other facial lines, like smile lines (nasolabial folds) or marionette lines, which appear in different areas of the face.

Underlying Causes and Contributing Factors

Smoker's lines develop due to a mix of internal and external factors:

• Natural aging is a major cause. As we age, our skin loses collagen and elastin, which are essential for keeping it firm and plump. This loss, along with reduced skin oils, leads to thinner skin, less volume, and a less defined lip border, all of which contribute to wrinkles. Lip lines often start appearing around age 40, but lifestyle choices can speed up their development.
• Repetitive facial movements like talking, eating, smiling, pouting, and especially the repeated puckering of the lips (as in smoking or drinking through straws) crease the skin over time. The Orbicularis oris muscle, which circles the mouth, contracts repeatedly, deepening these lines and making them permanent.
• Smoking is a well-known culprit. Besides the puckering motion, smoking introduces harmful chemicals and reduces blood flow to the skin, speeding up aging and causing wrinkles to appear sooner. Nicotine also deprives the skin of antioxidants, oxygen, and nutrients.
• Sun exposure—specifically UV radiation—damages collagen and elastin, leading to less elastic skin and more wrinkles. The more sun exposure, the more pronounced the lines.
• Genetics can make some people more prone to developing wrinkles, especially if they naturally have thinner skin.
• Dehydration and excessive alcohol make wrinkles more visible. Dry skin is less supple, and alcohol both dehydrates and inflames the skin, speeding up aging.
• Other factors like lack of sleep and certain lipsticks that dry out or irritate the lips can also worsen smoker's lines.

Preventative Measures

While you can't avoid all causes, you can take steps to reduce smoker's lines:

• Limit straw use: Drinking from straws or bottles causes lip pursing, so use glasses or cups with wider openings.
• Quit smoking: Stopping smoking can greatly slow the development of lip wrinkles.
• Use sun protection: Apply sunscreen daily, ideally SPF 30 or higher, to protect against UV damage.
• Keep lips hydrated: Use moisturizing creams and balms to maintain lip moisture and reduce wrinkle formation.

Thread Lifts: A Detailed Medical Overview

A thread lift is a non-surgical cosmetic procedure that lifts and tightens sagging skin, giving a more youthful look. Sometimes called a "lunchtime facelift," it's quick and requires little recovery time, so most people can get back to their routines right away.

The procedure involves placing dissolvable, medical-grade threads under the skin. These threads both physically lift the skin and stimulate collagen production, which is vital for skin firmness and elasticity.

Mechanism of Action: A Dual Approach to Rejuvenation

Thread lifts work through two main mechanisms:

1. Mechanical Lifting: Threads with tiny barbs, cones, or cogs are inserted under the skin using a fine needle or cannula. These features grip the tissue, allowing the practitioner to lift and reposition sagging skin for an immediate effect. The threads are anchored to deeper skin layers for subtle but noticeable support.
2. Biological Stimulation (Neocollagenesis): The threads trigger the body's healing response, activating fibroblast cells to produce new collagen and elastin around the threads. As this new collagen forms over weeks to months, it strengthens the skin's foundation, improving firmness, elasticity, and texture—even after the threads dissolve. This is especially helpful for counteracting age-related collagen loss.

Types of Threads Used

Threads are made from biocompatible, absorbable materials that dissolve safely in the body. The material affects how long results last and the specific effects achieved. Common types include:

• PDO (Polydioxanone) Threads: The most common type, made from a synthetic material approved by the FDA. They dissolve in 6–12 months and stimulate collagen during that time. Available in smooth (for texture), barbed (for lifting), and cogged (for anchoring and lifting) designs, PDO threads are versatile for lifting, wrinkle reduction, and contouring.
• PLACL (Poly-L-lactic acid) Threads: Made from poly-L-lactic acid, these threads often have larger barbs for more lifting power and dissolve over 12–18 months. They mainly stimulate collagen for improved elasticity and skin tightening.
• APTOS Threads: A newer type combining PDO and polycaprolactone (PCL), available in shapes like cones, spirals, and cogs. They provide immediate lift and long-lasting results, typically 2–3 years, with PCL threads known for their durability.

Table 1: Comparison of Thread Lift Materials

Characteristic	PDO Threads (Polydioxanone)	PLACL Threads (Poly-L-lactic acid)	APTOS Threads (PDO + Polycaprolactone)
Material	Biocompatible synthetic polymer	Biocompatible synthetic polymer	Combination of PDO and PCL
Duration of Results	6-12 months	12-18 months	2-3 years
Versatility	Less versatile	More versatile	Most versatile
Relative Cost	Less expensive	More expensive	Most expensive
Primary Mechanism	Immediate lift + collagen stimulation	Primarily collagen stimulation; also lift	Immediate lift + collagen stimulation
Common Designs	Smooth, barbed, spiral	Larger barbs	Cones, spirals, cogs

This table helps patients compare thread materials, showing differences in duration, versatility, and cost. It also clarifies that "thread lift" is a category of treatments, not a single procedure, and that results depend on the chosen material.

Ideal Candidates and Treated Areas

Thread lifts are best for people with early to moderate signs of aging, usually in their late 30s to early 50s, who want subtle, natural improvements without surgery. The procedure is also suitable for those with certain health conditions that make surgery risky.

In South Korea, thread lifts are sometimes performed on younger patients (20–35 years old) for preventative or contouring purposes, reflecting cultural preferences for early intervention. For older patients, thread lifts address mild sagging and skin laxity. It's important for patients to discuss their goals and expectations with their clinic, especially when considering medical tourism.

Common treatment areas include the cheeks, jawline, nasolabial folds, marionette lines, neck, eyebrows, and nose. While not always the primary indication, thread lifts can improve smoker's lines through skin tightening and collagen stimulation.

Benefits and Limitations

Benefits:

• Minimally invasive: No surgical incisions, no scarring, and less downtime than surgery.
• Immediate and progressive results: Instant lift from thread placement, with further improvements as collagen builds.
• Collagen stimulation: Boosts natural collagen and elastin for firmer, better-textured skin.
• Quick procedure: Usually takes 30–60 minutes.
• Natural-looking results: Enhances appearance subtly, avoiding an "overdone" look.
• Low risk: Suitable for a wide range of adults, including those with certain health issues.
• Reversible: Threads can be removed if needed.
• Can be combined: Works well with other treatments like Botox, fillers, or lasers.

Limitations:

• Temporary results: Effects last 6 months to 3 years, depending on thread type. Maintenance treatments are needed for ongoing results.
• Subtlety: Best for mild to moderate laxity; not as dramatic as surgical facelifts.
• Side effects: Temporary swelling, bruising, discomfort, or tightness may occur but usually resolve in 1–2 weeks.

Best Clinics in Korea for Smokers Lines Lips

Listed below are the best clinics in Korea for smokers lines lips:

Clinic Name	Key Features	Special Techniques
PangPang Clinic	Korea’s premier destination for smokers lines on lips, over a decade of expertise, personalized treatments including fillers, Botox, and PIM Injection, high-quality materials, comprehensive aftercare, Gangnam location	Non-surgical thread lifting, collagen stimulation, advanced fillers, Botox, PIM Injection
Haru Clinic	Located in Gangnam, innovative thread lifting using behind-ear anchor, expert Dr. Jeong, comprehensive non-invasive treatments, minimal downtime, personalized care	Thread lifting with behind-ear anchor, fillers, Botox, facial and body contouring
B.V Clinic	Premier destination for smokers lines lips, expert care by Dr. Suh, located at Sinnonhyeon Station, advanced aesthetic treatments, holistic aftercare and wellness programs	3D thread lifting, full face lifting, Shurink Lifting (HIFU), Potenza Lifting

PangPang Clinic

PangPang Clinic stands out as Korea’s premier destination for treating smokers lines on the lips, thanks to its unwavering dedication to thread lifting and facial rejuvenation. Located in the heart of Gangnam, Seoul’s epicenter of beauty innovation, PangPang Clinic has spent over a decade honing its expertise in non-surgical thread lifting—a technique that not only delivers immediate lifting and smoothing of fine lines but also stimulates natural collagen production for lasting results. The clinic’s specialized approach is complemented by a full suite of personalized treatments, including advanced fillers, Botox, and the unique PIM Injection, all tailored to address the delicate wrinkles around the mouth that characterize smokers lines. With a commitment to safety, the use of only the highest quality materials, and a team of experienced doctors, PangPang Clinic ensures each patient receives meticulous, individualized care. Their comprehensive aftercare, cutting-edge technology, and convenient Gangnam location make PangPang Clinic the top choice for both local and international patients seeking effective, natural-looking solutions for smokers lines lips in Korea.

You can check out their website here: PangPang Clinic Website

Haru Clinic

Haru Clinic, located in the heart of Gangnam, Seoul, stands out as a premier destination for those seeking advanced solutions for smokers lines and lip rejuvenation. The clinic is renowned for its innovative thread lifting technique, which utilizes the area behind the ear as a fixed anchor point. This unique approach ensures a more stable and long-lasting lift, while minimizing discomfort by avoiding major nerves and blood vessels. Under the expert guidance of Dr. Jeong, an official research physician at Merz and a leader in the field of aesthetic medicine, Haru Clinic delivers precise, natural-looking results tailored to each individual’s facial structure and needs.

With a comprehensive range of non-invasive treatments—including fillers, Botox, thread lifts, and specialized procedures for facial and body contouring—Haru Clinic offers transformative results comparable to invasive surgery, but with minimal downtime. Dr. Jeong’s meticulous attention to harmony and balance, combined with the clinic’s commitment to transparent communication and patient safety, ensures that every client receives personalized care from consultation through recovery. Whether addressing volume loss, fine lines, or overall facial rejuvenation, Haru Clinic provides a memorable and satisfying experience for those seeking to restore youthful beauty and confidence.

You can check out their website here: Haru Clinic Website

B.V Clinic

B.V Clinic stands out as the premier destination for treating smokers lines lips in Korea, thanks to its commitment to personalized, expert care under the guidance of Dr. Suh, a renowned specialist in thread lifting and facial rejuvenation. Conveniently located at Sinnonhyeon Station, B.V Clinic offers a comprehensive suite of advanced aesthetic treatments, including 3D thread lifting, full face lifting, and cutting-edge laser therapies like Shurink Lifting (HIFU) and Potenza Lifting. These procedures are meticulously tailored to each individual, ensuring natural-looking results that enhance the lips and surrounding areas without surgery or visible scarring. The clinic’s holistic approach extends beyond the procedure itself, with thorough aftercare and wellness programs designed to support skin regeneration, minimize swelling, and boost overall vitality. By combining state-of-the-art techniques with a dedication to individualized treatment plans, B.V Clinic delivers satisfying, long-lasting improvements for those seeking to address smokers lines and restore youthful lip contours.

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

Navigating a Thread Lift in South Korea: A Patient's Journey

Why South Korea for a Thread Lift?

South Korea is a global leader in cosmetic surgery, known for advanced technology, skilled specialists, and competitive prices. Many clinics specialize in thread lifts, using high-quality materials and innovative techniques like ultrasonic checks and personalized consultations. Some clinics use unique anchoring methods for longer-lasting results and prioritize patient safety.

Korean clinics often combine thread lifts with other treatments—like fillers, Botox, or advanced lasers—and offer thorough aftercare, including skin regeneration and nutritional support. This holistic approach leads to high patient satisfaction.

Pre-Procedure Preparation and Consultations

The process typically starts with:

• Consultations: At least two detailed meetings with the surgeon to discuss health, skin type, concerns, and goals. Bringing photos of desired results is helpful.
• Medical history and tests: A full review of health and medications. Recent test results should be brought, or tests will be done in Korea.
• Medication restrictions: Avoid Aspirin, Ibuprofen, and similar drugs for two weeks before surgery. Tylenol is not allowed within three days of the procedure.
• No smoking or alcohol: Stop smoking (including e-cigarettes) and drinking alcohol for at least two weeks before and after the procedure to promote healing.
• Practical prep: Shower on the morning of surgery, arrange for someone to drive you home, and set up a comfortable recovery area with essentials nearby.

The Procedure Itself: What to Expect During the "Lunchtime Lift"

Here's what happens on the day of the procedure:

• Final markings: The surgeon marks the face for thread placement and answers any last questions.
• Pre-op checks: Staff confirm your well-being and fasting status.
• Operating room: You're helped onto the table, and your arms and legs are gently secured for safety.
• Anesthesia: A catheter is placed for medications and local anesthesia. Some clinics offer light sedation for comfort.
• Thread insertion: Small punctures are made, and threads are inserted with a needle or cannula. The surgeon lifts the skin to the desired position, using as many threads as needed.
• Finishing up: Excess thread is trimmed, and small adhesive tapes are applied to the puncture sites. These fall off naturally in a few days.
• Duration: The procedure usually takes 20–30 minutes, sometimes up to an hour for more complex cases.

Post-Procedure Care and Recovery Timeline

Recovery is much faster than with traditional facelifts:

• Immediately after: Nurses or a translator help you to a recovery room. You may feel chilly at first, but this passes quickly. Discomfort is usually mild and related to the compression bandage.
• Discharge: If you feel well, you can go home 1–2 hours after waking, with instructions and medications.
• First few days:
  • Sleep with your head elevated to reduce swelling.
  • Take pain relievers as prescribed.
  • Mild headaches and tightness are normal.
  • Eat soft foods only.
  • Walk as much as possible, but avoid facial expressions and laughter.
  • Don't wash your hair for a few days.
  • Continue to avoid smoking and alcohol.
• Return to normal life: Most people can go back to work and daily activities the next day.
• Follow-up: Optional check-ups are available, especially for those staying in Korea.
• Longer-term recovery:
  • Days 1–13: Opening your mouth wide may be uncomfortable, and you might feel mild crackling where threads were placed.
  • Days 14–28: Full recovery is expected, with natural facial movement restored.
• Final results: About 90% of the result is visible immediately, with swelling subsiding in 1–2 weeks. Results last 1–5 years, depending on thread type and individual factors. Repeat treatments are needed to maintain effects.

Costs Associated with Thread Lifts in South Korea and Comparison for Medical Tourists

South Korea is a top destination for medical tourists seeking cosmetic procedures, thanks to high-quality care, advanced technology, and affordable prices compared to Western countries.

Average Costs in South Korea

Thread lift prices vary by thread type, treatment area, and clinic:

• Basic Thread Lift (PDO threads): $500–$1,500 USD
• Premium Thread Lift (PCL/PLLA threads): $1,500–$3,500 USD
• Full-Face Thread Lift: $2,500–$5,000 USD
• [Hiko Nose Thread Lift](/blog/hiko-nose-thread-lift-korea): 1,500,000–3,000,000 KRW ($1,030–$2,065 USD)

Actual costs depend on the clinic's reputation, surgeon's experience, and case complexity.

Cost Comparison for Medical Tourists

• South Korea vs. USA: Thread lifts in Korea ($3,000–$5,000 USD) are generally less expensive than in the USA, where similar procedures can be much higher, especially for surgical facelifts.
• South Korea vs. Europe/UK: Procedures in Korea are also more affordable than in countries like Germany, the UK, France, Italy, or Spain, where prices for similar lifts are often much higher.
• Other destinations: Countries like Thailand, Turkey, and Mexico may offer lower prices, but the level of technology and expertise can vary. South Korea is known for balancing advanced care with competitive pricing.

Medical tourists should also budget for surgeon's fees, anesthesia, pre-op tests, possible overnight stays, post-op care, travel, and accommodation. Clinic location and surgeon reputation can also affect pricing.

Patient Outcomes: Thread Lifts for "Smoker's Lines Lips" and Overall Rejuvenation

Patients who have had thread lifts for "smoker's lines lips" and other facial aging signs often report noticeable improvements in appearance and confidence. While thread lifts aren't always marketed specifically for perioral rhytides, their lifting and collagen-stimulating effects make them effective for fine lines and skin laxity around the mouth.

For example, one patient named Tara saw her vertical lip lines ("smoker's lines" or "barcodes") disappear and her lips look more youthful within three days after treatment, which included thread lifts as part of a broader plan.

PDO threads are especially effective for evening out smoker's lines. Practitioners may use barbed threads or a mix of barbed and smooth threads to lift the skin and boost collagen in the area. Immediate lifting is visible right after the procedure, with further improvements as collagen builds over time.

Key benefits reported by patients include:

• Skin tightening and subtle lifting: PDO threads lift and reposition sagging skin, restoring youthful contours.
• Improved skin texture and quality: Collagen stimulation makes skin firmer, smoother, and more radiant.
• Reduction in fine lines and wrinkles: Threads help plump and smooth imperfections, including smoker's lines.
• Natural-looking results: Enhancements are subtle, so friends and family may notice you look better without knowing you've had a procedure.
• Psychological well-being: Many patients feel younger and more confident. Studies show satisfaction rates of 68%, with patients feeling an average of 4.8 years younger and less psychological distress after the procedure.
• Minimal downtime: Most people return to regular activities quickly, with little to no scarring.

While thread lifts offer impressive results with minimal downtime, they provide a subtle lift rather than the dramatic changes of surgery. Results are temporary (several months to over a year), and maintenance treatments may be needed. Combining thread lifts with fillers or neurotoxins can further enhance results.

Conclusion

"Smoker's lines lips," or perioral rhytides, result from aging, repetitive movements, and environmental factors like smoking and sun exposure. While prevention is important, thread lifts offer a minimally invasive solution for those seeking aesthetic improvement. These procedures provide both immediate lifting and long-term collagen stimulation, with results tailored by thread type. South Korea stands out as a top destination for thread lifts, offering advanced care, skilled specialists, and competitive pricing. Patients consistently report natural-looking improvements and increased confidence, though results are temporary and may require maintenance.

References

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