3 STEPS to FIRMER TIGHTER Face Singapore 2018 Review | Ask Dr Daniel Chang



In my experience, Asians tend to start losing collagen, elastin and hyaluronic acid at the age of 25, resulting in deep creases, folds and wrinkles which are apparent as signs of ageing. Skin starts to sag, and what you see in the mirror is

  1. Upper face: Brows drooping, eyelids drooping
  2. Midface: Deeper laugh lines
  3. Lower face: Deeper puppet lines and droopy jawlines
  4. Neck: Neck lines and double chin

How can you improve your sagging face?

In Singapore:

Your options include surgical vs non surgical. This article will focus on the non surgical options.

Anthropological studies demonstrate that we Asians have smaller faces, shorter jawlines and necklines. Hence, with little bony support for the overlying skin and soft tissue, it is not uncommon to notice jowls and double chin, through no fault of our own.

Non surgically, you may consider my time tested T.I.E approach.

  1. Threadlift
  2. Injectibles – Dermal fillers to restore volume and micro botox
  3. Energy based devices – Personally, I prefer the use of HIFU (High intensity focused ultrasound compared to Radiofrequency devices. I will explain why)

What is thread lifting?

Threads are commonly made of a material known as PDO, a collagen building tool, which is safe FDA approved, and a simple and dissolvable sutute.

It has been used over 30 years in many areas of medicine and surgery. It is a  filament fiber that dissolves over 12mth into water and co2.

In Aesthetic Medicine, it is used for a nonsurgical lifestyle lifting and collagen building.

There are many different types of threads including PDO threads and suture threads, however my preferred method is with the Korean PDO threadlift technique.

3 key factors determine why I personally choose this thread –

  1. Safety
  2. Efficacy
  3. Predictability of results

The procedure is short, safe and sweet in the hands of experienced operators who are adept at surgical facelift, liquid lifts and cannula lifts.

Who would be suitable candidates?

The procedure is suitable for people who desire a natural way to slow down the effects of ageing.

Thread lifts are ideal for patients who have

  1. heavy jowls
  2. marionette lines
  3. deep laugh lines
  4. double chin


How long do the effects last?

In my experience,  for majority of cases,  2 – 3 sessions can last up to 2-3 years. Repeated treatments will achieve better results, and optimum results are achieved with combination of liquid facelift with  fillers and anti wrinkle treatment and energy based devices.



Who are unsuitable for threadlift?

  1. Those having skin infection and inflammation |  autoimmune disease
  2. During pregnancy
  3. On anticoagulant medication | patients who have blood related diseases
  4. Those who desire more extreme facelift


How much does the treatment cost in Singapore?

This includes the price of the product, but more importantly, the skill and expertise of the doctor or healthcare professional who is administering your treatment.

What are the side effects of threadlift?

Patients may experience temporary pain, swelling, bruising, bleeding. Patient can go back to daily activities and put on makeup or sunscreen.

Reference: American Society of Plastic Surgery



What about energy based devices?

In my experience, HIFU ( high intensity focused ultrasound) works better than Thermage This is because it delivers energy with more precision, depth and intensity which radio frequency cannot.

Hence in my humble opinion, majority of patients will respond to HIFU more so than Thermage. Different doctors differ in their opinion of this, so it is best to seek a formal medical consultation.



Disclaimer: This is a purely educational sharing and is not a replacement for formal medical advice. Please see your physician for further information. 



  1. Garvey, Patrick B., Edward J. Ricciardelli, and Thomas Gampper. “Outcomes in threadlift for facial rejuvenation.” Annals of plastic surgery 62, no. 5 (2009): 482-485.
  2. Savoia, Antonella, Ciro Accardo, Fulvio Vannini, Basso Di Pasquale, and Alfonso Baldi. “Outcomes in thread lift for facial rejuvenation: a study performed with happy lift™ revitalizing.” Dermatology and therapy 4, no. 1 (2014): 103-114.
  3. Park, Tae Hwan, Sang Won Seo, and Kwi Whan Whang. “Facial rejuvenation with fine-barbed threads: the simple Miz lift.” Aesthetic plastic surgery 38, no. 1 (2014): 69-74.


To learn more about

  1. Dark eye circles
  2. Threadlifts, pls click here Facelift, V-Lift.
  3. Dermal fillers, pls click here ABCs to Dermal Fillers. 


So I hope this has been helpful. Feelfree to leave your comments and enquiries below. Have a bold and beautiful day!!

  • Dr Daniel Chang





Categories Skincare and Aesthetic Medicine

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