What ligament-strengthening filler is, and why pairing it with a thread lift has a synergistic effect, explained through a real patient case. The key is a three-part approach: lift what’s sagging with threads, fill what’s hollow, and reinforce ligaments that have stretched.

Hello from DAYONE Clinic. Many people come to us concerned about smile lines (nasolabial folds) and overall facial sagging, and some assume they have to choose between a thread lift and filler. Today we’ll walk through a real case to explain why combining ligament-strengthening filler with a thread lift gives better results.
What is ligament-strengthening filler?

As we age, the tissue around the facial ligaments weakens and loses volume, and the ligaments begin to sag. Ligament-strengthening filler isn’t a new type of filler. Instead, we choose the existing filler whose properties best suit the ligaments and inject it precisely around them. Placing filler there increases the density of the surrounding tissue, which tightens and firms the ligaments.

In other words, it straightens and reinforces stretched ligaments. As a result, sagging areas can improve in a way that looks much like a lift.
Some patients ask, “Shouldn’t I get it early, as prevention?” But ligament-strengthening filler is for people whose ligaments have already stretched. Younger patients whose ligaments haven’t started to sag don’t need it.
Why the two work better together
A thread lift alone can lift sagging skin. But if the ligaments themselves have already stretched, the results may not last long.

When the thread lift holds the sagging areas in place and ligament-strengthening filler reinforces the stretched ligaments, the two work synergistically for a much better result. Sagging lower cheeks and the jawline improve, and because the threads lift the tissue, the smile lines soften as well.
A real patient case

This patient came in concerned about smile lines and overall sagging. We combined a thread lift, filler in the marionette area, and ligament-strengthening filler.
Filling the hollow marionette area created a natural, continuous contour
The sagging jawline was pulled into a smooth line
The thread lift improved the smile lines
A face that had looked uneven and wide took on a smaller, smoother shape

These results were possible because we didn’t rely on filler alone or a thread lift alone—we combined treatments matched to each underlying cause. The patient was very happy with the outcome.
The takeaway
The key is a three-part combination: lift sagging areas with a thread lift, restore volume where it’s hollow, and reinforce stretched ligaments with ligament-strengthening filler. We recommend coming in to DAYONE Clinic for a thorough consultation with your doctor, and feel free to reach out anytime with questions.
This post is based on an interview from DAYONE Clinic’s YouTube channel, Face Design Lab.
This article is general information about the treatment and does not replace an individual diagnosis or treatment plan. Results and their duration vary from person to person.
Wondering what would suit you?
Whether a treatment suits you, and how to plan it, is best decided with a doctor.