Botox, thread lifts or hyaluronic acid: which cosmetic treatment should you choose?

Botox, thread lifts, and hyaluronic acid are three major cosmetic medicine techniques. Dr. Nathaniel Stroumza explains their differences, indications, and effectiveness to help each patient choose the treatment best suited to their face.
Dr. Stroumza's plastic surgery practice in Paris

Aesthetic medicine: solutions tailored to every need

Modern cosmetic medicine offers several treatments for rejuvenate the facePreventing skin aging and correcting certain imperfections without major surgery, including Botox, thread lifts, and hyaluronic acid.
However, each technique has its indications, advantages, and limitations.

Dr. Stroumza favors an approach custom, based on the analysis of the face, age, skin quality and patient expectations.


Botox: the gold standard for prevention and rejuvenation

According to Dr. Stroumza, the Botox obtains the maximum score.

He considers it a technique safe, effective and preventative, particularly suitable for:

  • smooth expression lines
  • refresh the face
  • slow down the appearance of deep wrinkles

Botox works by temporarily relaxing certain muscles responsible for wrinkles, while maintaining an expressive face when properly dosed.

👉 Rating given by Dr. Stroumza: 10/10


Thread lifts: effectiveness varies depending on the technique

The tensor threads The sutures placed in the office are absorbable, with a limited duration of action, generally between 6 and 12 months.
For this reason, Dr. Stroumza gives them a moderate rating when used alone in consultation.

However, he practices a Advanced thread lifting technique in the operating roomallowing for better fixation, more durable tension and a significantly superior result.

👉 Thread lifts in the office: 5/10
👉 Thread lifts in the operating room: 9/10


Hyaluronic acid: useful but to be used with discernment

The hyaluronic acid is a popular technique for making targeted corrections:

  • lip augmentation or redefinition
  • correction of certain asymmetries
  • improving the nasal profile without surgery

Dr. Stroumza points out, however, that hyaluronic acid remains a foreign body, even if it is absorbable.
He therefore favors its use with moderation, or as an alternative when more natural solutions, such as the lipofilling, are not indicated. For non-surgical nasal touch-ups, the medical rhinoplasty is also an option.

👉 Rating given: 7/10


Which technique is best suited to your face?

There is no one-size-fits-all solution.
The choice between Botox, thread lifts or hyaluronic acid depends:

  • of age
  • of the facial structure
  • skin laxity
  • the desired result
  • desired durability

This is why a personalized consultation is essential to establish a coherent, natural and safe treatment plan.


A natural and controlled aesthetic approach

Dr. Stroumza advocates for aesthetic medicine reasoned, facing towards:

  • natural results
  • a gradual improvement
  • respecting facial features

The goal is never to transform, but tobeautify and rejuvenate with precision.


Botox, thread lifts, and hyaluronic acid for natural facial rejuvenation


FAQ – Botox, thread lifts and hyaluronic acid

Is Botox only for wrinkles?
No, Botox is also used to prevent skin aging in younger patients.

Are tension threads durable?
Absorbable threads have a limited lifespan, but certain surgical techniques can optimize and prolong the results.

Is hyaluronic acid dangerous?
When used correctly by an experienced doctor, it is safe, but it must be injected with discernment.

Dr. Nathaniel Stroumza Escoffier, plastic surgeon
Article written by the editorial team and validated by Dr. Nathaniel Stroumza Escoffier, plastic surgeon — RPPS 10100674943
Published on December 20, 2025 · Updated on March 24, 2026 · Discover the journey of Dr. Stroumza
Sources & references HAS · SOFCEP · SFCPRE · PubMed · Order of Physicians
This article is for informational purposes only and does not replace a medical consultation.

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