Full Face and Neck Lift with COG Threads: Principles of Female Contouring

COG thread lifting is a powerful procedure for restoring youthfulness and skin firmness in the midface, jawline, and neck regions. This protocol specifically targets the correction of skin laxity and jowling in female patients, aiming to achieve a youthful V-shape contour and a well-defined jawline.

Advanced Technical Guidelines for Placement:

Three-Dimensional Planning: Thread placement extends beyond simple lift; it involves 3D contouring and volume restoration. The Thread Trajectory must

counter-gravitational pull, anchoring the soft tissue toward fixed pre-

auricular/temporal points.

Use of Large-Gauge Cannula (Large-Gauge Cannula): Large-gauge cannulas (18G or 19G) are favored for lifting heavier, lax tissue in the lower face and neck, as they facilitate the passage of robust COG threads and minimize trauma.

Midface/Jawline Placement:

COG threads are positioned in the deep subcutaneous fat layer. The Oblique

Vector pull in women promotes a desirable "heart-shaped face" contour.

Neck Contouring: Threads are strategically placed to tighten skin laxity and improve neck bands. Safe placement involves maintaining the thread in the deep sub-dermal layer, while carefully avoiding critical structures such as the Marginal Mandibular Nerve branches.

Anchoring, Trimming, and Final Molding: Effective lift is achieved by pulling the thread to engage the barbs and securely anchoring the tissue. The thread end must be surgically trimmed and tucked deep beneath the skin with a Molding Technique to prevent tenting and visibility.