For a facelift without surgery, barbed sutures are inserted into the face to create a lifting effect or a tightening and firming of the soft facial tissues. This non-surgical procedure is useful for those with flabby faces or aging of the mid-face, jowls, brow and neck. Selective regional lifting is possible. Threads come in various configurations: short, bi-directional threads (APTOS, Feather lift); or long bi-directional slings (barbed suture lift), or long uni-directional threads (contour threads). Different threads create different effects (such as firming or lifting). These threads can be used in conjunction with traditional open facelift surgery or endoscopic techniques.