Meshfill is a newer thread technology that brings a thread lift and filler together in one treatment. The threads come in different sizes and carry spirals that help hold the skin. The aim is to lift sagging areas of the face and define its contours without surgery.

What sets Meshfill threads apart is their structure. Each thread is a cylindrical, mesh-like structure made of 16 layers, with small pores. These pores allow circulation, which is intended to avoid putting pressure on lymph flow in the treated area.

The threads support the skin and also allow filler to be placed inside and around them, combining lift and volume. Meshfill is mainly an option for people with both mild to moderate sagging and volume loss. For a classic thread lift, see French thread lift.

Meshfill is chosen where both lifting and volume support are needed. The most common areas are:

• Nose: To lift the tip of the nose and define the bridge.
• Noses after rhinoplasty: To help support the space left by reduced cartilage, adding volume and lift.
• Midface: To help lift and support the cheek area.
• Jawline: To make the jawline look more defined.
• Double chin: May help tighten the area under the chin.

Several areas can be treated in one session, prioritized by the overall proportions of the face. Where sagging is more pronounced, other thread methods are considered, such as the barbed threads of a French thread lift or the spider web thread lift. Which method suits you is decided at your consultation.

Treatment starts with a detailed facial analysis. In Dr. Sevgi Ekiyor’s Facial Architecture (Yüz Mimarisi®) approach, the aim is not to correct one area in isolation but to balance the proportions of the face as a whole. Thread placement and filler amount are planned from this analysis, and you will be asked about previous fillers and threads, nose surgery, medications and allergies.

1. The skin is cleaned and the treatment lines are marked.
2. Local anesthetic is applied for comfort during the procedure.
3. The Meshfill threads are placed under the skin along the planned lines with a fine needle or cannula.
4. Filler is applied together with the threads where needed.
5. The face is checked from different angles for symmetry.

The procedure takes place at the clinic in Nişantaşı, Istanbul, and its length depends on the number of areas treated. Results start to show right away and settle over the first months as the tissue heals. Follow-up visits, usually at 1, 2, 3 and 6 months, track the result and allow small adjustments.

To reduce the risk of bruising, ask your doctor about stopping aspirin and supplements that may increase bleeding a few days beforehand. Having the treatment done by a doctor experienced in thread lifts matters for both safety and a natural-looking result.

Filler focuses on restoring lost volume. When there is also sagging, though, it is hard to get a natural lifting effect with filler alone, and filler may be needed at many points of the face and in larger amounts.

Meshfill combines the lifting support of a thread with filler, so less filler may be needed for the same result. Using less filler helps avoid the overfilled “pillow face” look. Meshfill also aims to reduce unnecessary treatments that could change the face beyond what the person wanted.

• Filler: Adds volume; its lifting effect is limited.
• Classic thread lift: Lifts the tissue but does not add volume.
• Meshfill: Combines lift and volume support in one treatment.

For people whose only concern is volume loss, dermal fillers alone may be enough.

Mild swelling, bruising, tightness and tenderness may appear, usually easing within a few days to a week, and most people return to daily life soon.

• First week: Do not massage your face or press on the treated area.
• First 2 weeks: Avoid opening your mouth very wide and exaggerated facial expressions.
• Exercise and heat: Wait at least two weeks before intense exercise, saunas and Turkish baths.
• Sleep: Try to sleep on your back for the first nights.
• Dental work: If possible, postpone dental treatment that keeps your mouth open for a long time for a few weeks.
• Makeup: Avoid makeup on the area until the entry points close, usually for the first day.

Rarely, infection, a palpable thread or asymmetry may occur. Tell your doctor about increasing pain, redness or warmth; follow-up visits help spot problems early.