
Silhouette lifting side effects: are you too afraid to get it done?
A plastic surgery specialist with 20 years of experience speaks honestly
Hello, I’m Director Im Sung-yoon of Just Plastic Surgery.
When consulting on silhouette lifting,
I get asked this question a lot.
“After seeing posts saying my face will get ruined, I got scared.”
“Wouldn’t it end up looking worse if side effects happen?”
“I can’t do it because of reviews saying it hurts.”
To be honest,
saying that silhouette lifting has ‘no’ side effects at all would be a lie.
But what matters is
👉 why they happen
👉 how to deal with them
👉 where to get it done to avoid them
If you understand this accurately,
this article alone should help you set aside your vague fear of silhouette lifting.
✔️ The 5 most common side effects after silhouette lifting
The issues patients worry about most after silhouette lifting
can mostly be summarized into the five below.
1️⃣ The face looks bigger (cheekbone prominence)
2️⃣ The skin looks sunken (dimple, indentation)
3️⃣ Inflammation · infection
4️⃣ The thread can be felt or protrude
5️⃣ Pain that is worse than expected
I’ll explain each one realistically.
1️⃣ The face looks bigger? (cheekbone prominence)

You got a lifting procedure,
but instead of your face looking smaller,
the side cheekbones may look more prominent.
This is mostly a thread selection issue.
There are threads that
gather tissue
pull tissue
and if a thread that gathers volume is used around the cheekbone area,
the cheekbones may actually look more pronounced.
👉 How to solve it
- Customized massage tailored to the thread direction
- If necessary, remove the thread through a tiny opening near the scalp
Above all,
what matters most is accurately designing the path that passes over the cheekbones from the start.
2️⃣ The skin looks indented? (dimple phenomenon)

Even when you’re doing nothing,
the skin may look deeply indented like a dimple.
The cause is simple.
👉 The thread was inserted too superficially
To be honest,
this often happens because of differences in the doctor’s experience.
For threads,
if they are too deep, they won’t work
if they are too shallow, they cause indentation
This ‘proper depth’
comes from experience across many cases.
👉 How to solve it
- Massage to release the cog (barb)
- Improve the indented area with filler
- Remove the thread in severe cases
3️⃣ What if inflammation occurs?
This is when swelling, pain, and redness appear.
Just Plastic Surgery sterile operating room
This is mostly related to
👉 the treatment environment (hygiene issues).
If it is performed properly
in a sterilized operating room,
it is, in fact, a side effect that can mostly be prevented.
👉 Important point
Even if inflammation occurs,
that does not mean the thread must always be cut out and removed.
In most cases,
antibiotic treatment
sterile care
is enough for improvement.
Only when there is actual pus collection is a very small opening made for drainage and cleaning.
There is no need to leave a scar on the face just because you are anxious.
4️⃣ When the thread can be felt or protrudes

Though rare,
due to an issue with the thread itself or with the finishing,
the thread may protrude outside the skin.
👉 In that case
If it protrudes: remove it through a small opening without leaving a scar
If it is only slightly felt: do not touch it unnecessarily; observe the progress
Removing it is not always the answer.
5️⃣ Pain that is worse than expected
Sharp, tingling pain can occur when a thick thread is inserted forcefully
or when a sensory nerve is stimulated.
Fortunately,
if absorbable threads are used, time usually resolves most of it.
However,
if the pain feels severe enough to resemble inflammation,
you must visit the hospital
for a diagnosis of whether it is simple pain or inflammation caused by infection.
✔️ So what’s the conclusion?
Most side effects of silhouette lifting are
❌ not a problem with silhouette lifting itself, but rather
⭕️ a problem with thread selection + design + the practitioner’s experience.
If you understand it properly,
get it done at the right place,
and receive treatment tailored to your face,
silhouette lifting can be
✔️ scar-free
✔️ quick to recover from
✔️ highly satisfying
a very good anti-aging procedure.