The barbed threads are inserted and placed deep into the dermis via the means of a sterile cannula, under local anesthesia, following a pattern that has been decided by the specialist, in accordance with the desired results .

Once done, they are then pulled up, the barbs and twists ensure the anchoring of the threads into the sublayers of the skin and the lifting effect is finalized with the suturing of these threads. They will remain where they have been installed until they dissolve naturally, at which point, a body response will be triggered into producing more collagen helping with the further firming of the dermis.

As the threading patterns are of utmost importance, It is paramount for such procedures to be performed by highly trained medical professionals. The procedure can come as a combined treatment with other performances such as PRP, dermal fillers, and skinboosters.