

Thread Facelift is one of the most popular modern methods for facial rejuvenation without surgery. However, it’s not always completely free of issues. One of the most common problems some people face is lumps after a thread facelift, which appear as hard or bumpy areas under the skin.
These lumps can cause discomfort or concern, but the good news is that there are effective solutions, whether through natural methods, exercises, or minor medical interventions.
In this Dalily Medical article, we’ll cover everything you need to know about lumps after a thread facelift:
Causes
Types
Symptoms
When treatment is necessary
Important tips to prevent them and reduce the chance of recurrence
Lumps are hard or bumpy areas under the skin that may appear after a thread facelift. The most common causes include:
Natural swelling after the threads are inserted
Fluid accumulation around the threads
Body’s response to the materials used
✅ Most lumps are temporary and disappear over time.
Usually appear within 1–5 days after the procedure
Sometimes develop gradually if fibrous tissue forms around the threads
Most lumps are mild or painless
Some cases may experience slight tightness or discomfort, which usually resolves within a few days
Most lumps disappear on their own without intervention
Persistent or large lumps may require medical attention or thread adjustment
Avoid touching or massaging the area for the first two weeks
Use cold compresses to reduce swelling and redness
Follow up with your specialist doctor to ensure there’s no infection or other complications
✅ Most lumps are temporary
Usually disappear within days or weeks
Caused by natural swelling, tissue formation around threads, or the skin’s response to lifting
Generally do not return if post-procedure instructions are followed
⚠️ Cases Where Lumps May Recur:
Cause | How Lumps Recur | Notes |
---|---|---|
Thread movement | Early massage or excessive facial activity | Can be minimized by following doctor’s instructions |
Uneven lift or medical error | Uneven thread placement | May reappear if not corrected |
New fibrous tissue | Individual body response to threads | Rare; may require follow-up or adjustment session |
External factors | Rapid weight gain/loss, heat, or pressure on the face | Affects results and increases the chance of new lumps |
Yes, light facial and neck exercises after two weeks can help distribute threads and reduce minor lumps
Note: Exercises cannot treat large lumps or those caused by improper thread placement
Signs of infection: severe redness, warmth, discharge, or persistent pain
Lumps do not improve or increase in size instead of getting better
1️⃣ Immediately After the Procedure
Some lumps or bumps under the skin may appear right away
Cause: natural swelling and skin response to thread insertion
Texture: slightly uneven or bumpy, which is normal
Duration: usually disappears within 2–5 days
2️⃣ During the First Two Weeks
Additional lumps or uneven texture may appear as the body reacts to threads
Cause: fibrous tissue formation or temporary increased swelling
Duration: gradually improves over 2–3 weeks
3️⃣ After Two Weeks to One Month
Rare cases may develop lumps due to:
Thread movement or uneven distribution
Early massage or incorrect thread placement
Management: follow up with a doctor to correct if necessary
Natural bumps or cavities caused by threads
Feeling small lumps under the skin is common, especially in the first days after the procedure
This is completely normal and usually resolves within a few weeks
Swelling after thread insertion or lifting can cause a lumpy texture.
✅ Using cold compresses or anti-inflammatory creams can gradually reduce the condition.
If threads are placed inaccurately or unevenly, noticeable lumps or asymmetry may appear.
Sometimes the body forms fibrous tissue around the threads, resulting in small lumps.
✅ These usually disappear gradually or can be adjusted during a follow-up session.
Early massage or excessive facial movement may cause threads to shift, leading to lumps or uneven lifting.
Uneven texture under the skin
Mild swelling or redness in injected areas
Slight stiffness or tightness
Small lines or bumps, especially when smiling or moving the face
Mild pain when touched, usually resolving within days
Rarely, visual asymmetry
1️⃣ Temporary Lumps from Swelling
Cause: Natural body reaction to threads
Duration: Disappear within days to two weeks
Management: Cold compresses, avoid touching the area
2️⃣ Lumps from Fibrous Tissue Formation
Cause: Fibrous tissue develops around threads
Duration: Several weeks, sometimes needs a follow-up session
Management: Doctor follow-up, light massage after two weeks if advised
3️⃣ Lumps Due to Thread Movement
Cause: Facial movement or early massage
Duration: Improve over time or with minor adjustment
Management: Avoid touching or massaging face for first two weeks
4️⃣ Lumps from Uneven Thread Distribution
Cause: Inaccurate or inconsistent thread placement
Duration: May require correction or follow-up session
Management: Visit doctor to readjust threads
Stage 1️⃣: Immediate Lumps After Procedure
Cause: Natural swelling
Texture: Slightly uneven or puffed
Duration: Few days to one week
Management: Cold compresses, avoid touching
Stage 2️⃣: Lumps During First Two Weeks
Cause: Tissue formation around threads
Symptoms: Small lumps or noticeable lines
Duration: 2–3 weeks
Management: Doctor follow-up, avoid pressure or massage
Stage 3️⃣: Lumps from Thread Movement
Cause: Early massage or facial movement
Symptoms: Uneven lifting or noticeable lumps
Duration: Improve over time or with doctor adjustment
Management: Follow doctor’s instructions, avoid excessive activity
Stage 4️⃣: Lumps from Uneven Thread Placement
Cause: Inaccurate or inconsistent thread placement
Symptoms: Uneven lift or obvious lumps
Duration: Requires adjustment or follow-up session
Management: Doctor visit to readjust threads
1️⃣ Uneven Lumps
Cause: Uneven thread distribution or thread movement
Risk: Face looks asymmetrical or unevenly lifted
Solution: Doctor visit to readjust threads if necessary
2️⃣ Prolonged Swelling or Redness
Cause: Body reaction to threads or mild inflammation
Risk: Discomfort from long-lasting swelling or redness
Solution: Cold compresses, soothing creams, and doctor follow-up
3️⃣ Scar or Fibrosis Formation (Rare)
Cause: Fibrous tissue around threads
Risk: Uneven texture or visible lines
Solution: Usually improves over time or requires minor adjustment
4️⃣ Pain or Allergic Reaction
Cause: Body reaction or thread material sensitivity
Risk: Tenderness, itching, or skin irritation
Solution: Doctor follow-up and use of topical painkillers or anti-allergy creams if advised
5️⃣ Infection or Inflammation (Very Rare)
Cause: Insufficient sterilization of skin or tools
Risk: Localized infection, severe redness, discharge
Solution: Choose a trusted clinic and specialist; seek medical attention immediately if symptoms appear
1️⃣ Direct Clinical Examination
Doctor inspects and palpates face and neck
Determines location, size, severity, and texture of lumps
Asks about onset, pain, or redness
2️⃣ Review of Medical History and Previous Session
Type of threads used (dissolvable or permanent)
Technique used and potential errors in thread placement
3️⃣ Evaluation of Associated Symptoms
Swelling or redness
Pain or tenderness
Difficulty moving face or uneven lift
Signs of infection or discharge
4️⃣ Imaging (Sometimes)
Ultrasound may be used to locate threads and lumps accurately
Helps determine if lumps are due to threads, tissue accumulation, or inflammation
5️⃣ Treatment Plan
Normal and temporary lumps → monitor and wait for natural resolution
Uneven lifting or persistent lumps → follow-up adjustment session
Signs of infection → appropriate treatment (topical or oral antibiotics)
1️⃣ Lumps from Temporary Swelling or Redness
Cause: Skin reaction to threads and injections
Medication: Usually no drugs needed, but if uncomfortable:
Mild painkiller like paracetamol
Mild anti-inflammatory like ibuprofen if prescribed
Duration: Usually resolves in a few days
2️⃣ Lumps from Local Inflammation
Cause: Infection or skin reaction due to poor sterilization
Medication:
Topical antibiotic cream/gel
Oral antibiotics if severe
Note: See doctor immediately if redness or discharge persists
3️⃣ Lumps from Fibrous Tissue Formation
Cause: Body forms tissue around threads
Medication: Usually none
Management: Gradually improves, or may need minor adjustment or light massage after two weeks
4️⃣ Allergic Lumps (Very Rare)
Cause: Sensitivity to thread material
Medication:
Antihistamines for allergy and itching
Soothing or topical corticosteroid cream as advised
Note: See doctor immediately if severe swelling or rash occurs
1️⃣ Lumps from Uneven Thread Placement
Cause: Incorrect placement or thread movement
Treatment:
Minor surgery to remove or reposition threads
Laser to smooth superficial lumps and restore skin texture
Note: Medical evaluation is essential before intervention
2️⃣ Hard Lumps from Fibrous Tissue Formation
Cause: Tissue around threads creates a hard texture
Treatment:
Minor surgical adjustment if lumps do not improve
Fractional CO2 or Nd:YAG laser to break down tissue and stimulate collagen
3️⃣ Lumps with Scarring or Fibrosis
Cause: Rare scarring or abnormal skin response
Treatment:
Precision surgery to remove scar or adjust threads
Erbium or CO2 laser to smooth skin and improve texture
4️⃣ Lumps from Thread Movement or Uneven Lift
Cause: Early massage or excessive movement
Treatment:
Manual adjustment or minor surgery if persistent
Laser therapy to improve skin appearance after thread repositioning
1️⃣ Follow Post-Procedure Instructions
Avoid touching or massaging face/neck for first two weeks
Follow guidance on sleep, activity, and skincare
2️⃣ Avoid Pressure on Face
Do not press treated areas during sleep or phone use
Best sleeping position: on back with slight head elevation
3️⃣ Control Physical Activity
Avoid heavy exercise or lifting for 24–48 hours
4️⃣ Protect Face from Heat and Environment
Avoid sauna, steam, or direct sun for first two days
5️⃣ Hydrate Skin and Drink Water
Moisturizers maintain skin elasticity and reduce lumps
Adequate water intake supports collagen and skin freshness
6️⃣ Regular Follow-Up with Doctor
Check-up after two weeks or as advised
Persistent lumps can be adjusted early
7️⃣ Choose an Experienced Doctor and Trusted Clinic
Proper technique significantly reduces risk of lumps or recurrence
Consult your doctor before starting exercises, especially during the first weeks
1️⃣ Light Facial Movements
Stimulate blood flow and reduce minor swelling or fluid accumulation
Methods:
Slowly open and close mouth 5 times
Wide smile then return to neutral 5 times
Press lips lightly down then relax, repeat 5 times
2️⃣ Very Gentle Massage After Two Weeks
Move minor fluid or fibrous tissue around jaw/neck
Use fingertips in light circular motions without pressure
3️⃣ Neck Stretching Exercises
Improve skin elasticity and reduce lumps under jaw
Sit straight, tilt head toward ceiling, stretch neck, hold 5 sec, repeat 5–10 times
4️⃣ Deep Breathing and Relaxation
Improve circulation and reduce swelling
Inhale deeply, hold 2–3 sec, exhale slowly, repeat 5–10 times
Notes:
Avoid exercises in the first 48 hours
Avoid strong pressure or stretching
Exercises help with minor lumps and thread distribution but cannot fix large lumps or placement errors
1️⃣ Monitor lumps in first few days
Normal, temporary due to swelling or thread reaction
Usually improve within a few days
2️⃣ Avoid touching or massaging treated areas
Early massage can move threads and worsen lumps
3️⃣ Use cold compresses when needed
Reduce swelling or redness
Apply 5–10 minutes several times daily, wrap ice in soft cloth
4️⃣ Mind sleep and posture
Sleep on back first 1–2 nights with slight head elevation
Avoid sleeping on face or treated side
5️⃣ Avoid heat and excessive activity
No sauna, steam, or sun exposure first 1–2 days
Avoid strenuous exercise or heavy lifting first 24–48 hours
6️⃣ Moisturize and drink water
Use soothing cream or doctor-recommended moisturizer
Adequate water keeps skin flexible and reduces lumps
7️⃣ Regular doctor follow-up
Check-up after two weeks to evaluate lumps and thread alignment
Persistent or painful lumps can be adjusted early
8️⃣ Choose an experienced doctor and clinic
Proper technique reduces chance of lumps and ensures correct management