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Dear Clinic · Comparisons · Toxin and Threads
A Signal Turned Down, Or Tissue Moved

Botox vs Thread Lift in Cheongdam, Gangnam, Seoul

Toxin quietens the signal reaching a muscle, so lines made by movement fold less and a bulky muscle slims. A thread physically moves slackened tissue and holds it there. Two different problems. Wrinkle areas from ₩30,000, threads from ₩100,000 each.

Both performed on these floors Rates published for each Open 365 days
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The Short Answer

Decide whether your complaint is a muscle or tissue that has travelled

If the thing bothering you appears when your face moves, or a muscle has grown wide enough to change your outline, that is a toxin question. If skin and fat have slid downward and the line you used to have now sits lower, no injection will put them back; that is a thread question. A face can have both at once.

Patients often arrive having read that one is the modern choice and the other the traditional one, and that framing sends people to the wrong route. The useful question is mechanical: is the tissue in the right place and moving too much, or in the wrong place and needing to be carried back? A pen, a mirror and an examination settle it in minutes.

Both are performed at Dear Clinic and both appear on the published rate list, so neither has a commercial advantage here. What follows is the working difference, the cases that go to each, and the risks you would be accepting in either direction.

Two Mechanisms

A signal turned down, against tissue carried upward and held

Threads are absorbable. Over months the material breaks down and is cleared, and the vector is progressively held by the tissue response along the path instead of by the thread itself. Toxin wears off too, on the product's own schedule. Neither route is a one-time purchase.

Which Complaint Goes Where

The list of things toxin reaches and the list threads were designed for

TOXIN ANSWERS

Movement lines and a muscle grown wide

Expression lines that deepen when the face works. A masseter thickened until the lower face reads square, treated on the square jaw line. A neck or jawline where fine surface crinkling is the complaint, treated shallowly on the skin botox line. Each sits in its own place on the rate list.

THREADS ANSWER

An outline that has dropped out of place

A jaw border blurred by tissue that has slid forward and down. A mid-face that used to sit higher. Fold depth at the mouth corners caused by what rests on it. These are position problems, and a thread lift moves position on the day it is performed.

NEITHER ANSWERS

Volume loss, surface damage and heavy laxity

A hollow that needs filling, sun damage sitting in the skin, or a lower face carrying weight well beyond what a vector can hold. Where the examination finds one of those, we do not recommend either route and the conversation moves to the tool that fits, up to a surgical opinion.

A jawline is where the two get confused most, because a square outline and a sagging outline both read as a lost jaw in a photograph. One is muscle width and the other descent; telling them apart is a hand on the clenched jaw and a look at where the border sits when you lie back. The wider set of routes for a dropping lower face is on the jowl sagging page.

Side By Side

Toxin and suspension threads on one table

 Botulinum toxin type AAbsorbable suspension threads
What it doesReduces the signal reaching a chosen muscle, so it contracts with less forceGrips descended tissue and holds it along a path fixed to firmer tissue above
Layer treatedThe muscle itself, or the plane just under the skin for surface workThe subcutaneous plane above the muscle, with the anchor set higher
Quoted byTreated area, or by unit load on the body linesPer thread, with the count agreed before the first pass
When it showsNothing on the day; movement changes over the days that followOn the table, with swelling settling over the following period
RecoveryEntry marks, occasional bruising, ordinary activity the same daySwelling, tenderness and a pulling sensation; chewing and sleeping adjusted for a period
Listed rateWrinkle area ₩30,000 (≈ $20) · square jaw ₩40,000 (≈ $30) · skin botox ₩100,000 (≈ $70)PDO/PCL thread ₩100,000 (≈ $70) each · Silhouette Soft ₩400,000 (≈ $285) each

Korean tier rates are shown in the toxin column; imported tiers for every toxin line are published on the price list. Thread totals depend on the count your vector needs, agreed with you before the first pass and never adjusted during the appointment. Rates are identical for residents and visitors, and any consultation or aftercare charge is confirmed at the appointment.

Case By Case

Three faces, and which of the two each one is sent to

A lower face that reads wide, firm and square. Clench, and a block of muscle stands out at the angle of the jaw. The outline is in the right place and simply too broad. This is a toxin case, worked on the square jaw line, and threads would add a vector to a face that has not descended.

A jaw border that has gone soft and moved forward. Lying back flat, the outline you remember reappears; standing up, it disappears again. Tissue has travelled, and nothing about how hard a muscle contracts is responsible for it. This is a thread case, and the number of threads follows the length of the vector the examination draws.

A face carrying both at once. A heavy masseter and a slipped jaw border are common together, and the order matters. The muscle question is usually settled first, because a lower face changes shape as a wide muscle narrows and a vector drawn across it beforehand is wasted. Your director gives you the order and the reason.

2
Layers involved, one per route
2
Thread materials on the rate list
3
Toxin lines quoted on this page
0
Thread counts fixed before examination
Running Both

When toxin and threads belong in the same plan

They address different layers, so a plan can contain both. Whether yours should, and in what order, is a decision made at the examination on your own face instead of a package agreed in advance.

Where both are indicated, the muscle is addressed first and given time to settle, and the vector is drawn afterwards on a lower face that has stopped changing shape. Upper-face expression work raises no such timing question and sits alongside a lower-face vector comfortably. Threads beside energy platforms are a separate pairing, covered on the thread lift against focused ultrasound page.

What we avoid is stacking two treatments in one appointment simply because both were on your list. Each is quoted separately, each is approved by you separately, and where your director thinks the second should wait, you hear that at the consultation and not at the till.

In the clinic

The devices and hands behind this treatment

Allreju Mijuko thread product box on a pink background
Barbed threads, opened only once the vector and the count are agreed.
Doctor administering an injectable treatment along the jawline at Dear Clinic Cheongdam
An injectable pass along the jaw border, performed by the director who examined the face.
BOTOX (onabotulinumtoxinA) 50-unit carton
BOTOX (onabotulinumtoxinA) 50-unit carton
Before & After

A Dear thread case, shown because position is the half you can photograph

The mechanical half of this comparison is visible on the day it is done. A toxin result is a change in movement over weeks and belongs to a review appointment, so it is described here in words instead.

Thread lift before and after at Dear Clinic — same patient, lower-face outline carried back along a vector
Thread lift · before / after — lower-face outline, same person under the same conditions

An unretouched before/after case of the same person under the same conditions, treated at Dear Clinic and shown with consent. It illustrates only the treatment it is labelled with. Individual results may vary; no specific outcome is implied or promised.

Two Risk Profiles

An injection and a passed thread fail in completely different ways

Bruising, swelling and a few days of tenderness belong to both. Past that the lists separate, and which list you are accepting is part of the choice.

Toxin fails by spreading or by dosing. Product reaching a neighbouring muscle produces effects nobody wanted: a heavy brow or lid in the upper face, an altered smile or a weaker bite when a lower-face muscle takes more than intended. Asymmetry between the sides is the commonest thing a review corrects, and chewing fatigue is normal for a period after a masseter dose. All of it is temporary, which is a comfort and a limit at once, since waiting is the only way out.

Threads fail mechanically. Skin can dimple or pucker where a barb caught too close to the surface, the two sides can settle unequally, and a strand can stay palpable or work its way toward the surface. Because entry points are made, infection along the track is an uncommon but real risk, and spreading redness, discharge or fever is a same-day telephone call. A pulling sensation on wide opening is expected early and settles.

When we do not recommend either. Toxin is declined in pregnancy and while breastfeeding, where a neuromuscular condition sits in your history, and where there is infection or inflamed skin in the field. Threads are declined on an active skin infection in the path, on a face where laxity is well past what a vector can carry, and where a bleeding disorder or blood-thinning medication makes the passes unwise. Tell your director about blood thinners and supplements, any previous reaction to a toxin, and any work already done in the area. Results vary between individuals and are assessed on your own examination.

Dear, Knowhow

How the choice between a muscle and a vector is settled at Dear

01 — THE FULL ARSENAL

Both answers already sit on our own rate list

Toxin lines and thread lines are both published here, alongside seven lifting platforms, so neither route needs defending.

02 — DIAGNOSIS FIRST

EVE Muse 3D + AI photographs the face still and working

Three-dimensional capture under five light sources records the face at rest, in movement and lying back, and the AI analysis compares them. What moves belongs to the muscle conversation; what changes between upright and reclined belongs to the vector conversation. That separation is made before either route is named.

03 — DIRECTOR-PERFORMED

The hand that marked the face runs the needle or the cannula

Both routes are director-performed. Injection points and thread vectors are drawn on your own face at the appointment, counts and totals are agreed before anything starts, and the record is kept so a later visit begins from what was actually done.

Medical Team

Five doctors, one standard

Director-performed treatment is a Dear promise — your procedure is planned and performed by the doctors below.

Dr. Jemin Kim — Medical Director and Founder, Dear Clinic
Dr. Jemin Kim
Yonsei University College of Medicine
Medical Director · Founder
Dr. Sanghyun Lee — Director, Dear Clinic
Dr. Sanghyun Lee
Seoul National University College of Medicine
Director
Board-certified · Family Medicine
Dr. Seonhaeng Lee — Director of Aesthetic Medicine, Dear Clinic
Dr. Seonhaeng Lee
Chosun University College of Medicine · Residency, Samsung Medical Center
Director, Aesthetic Medicine
Dr. Daeun Jung — Director, Dear Clinic
Dr. Daeun Jung
Ajou University College of Medicine
Director
Board-certified · Family Medicine
Dr. Woojae Jung — Director of Aesthetic Medicine, Dear Clinic
Dr. Woojae Jung
Seoul National University — B.S. in Medicine
Director, Aesthetic Medicine
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FAQ

Toxin against threads, question by question

Is botox or a thread lift better for a sagging jawline?
It depends on why the jawline has gone. If the border is blurred because tissue slid downward, threads move position and toxin will do nothing for it. If the outline is buried under a wide chewing muscle, the masseter line is the answer and a vector solves the wrong problem. Lying back flat and watching what reappears tells you which you have.
How much do the two cost at Dear Clinic?
Toxin is quoted by treated area: a wrinkle area from ₩30,000 (≈ $20), the square jaw line from ₩40,000 (≈ $30) and skin botox along the jawline or neck from ₩100,000 (≈ $70) on the Korean tier. Threads are quoted per thread, at ₩100,000 (≈ $70) for a PDO or PCL thread and ₩400,000 (≈ $285) for Silhouette Soft. Imported toxin tiers sit on the price list.
Which one works faster?
Threads change position on the table, though swelling means the settled picture arrives later. Toxin changes nothing on the day; movement reduces over the days that follow and the look of the lines follows the movement. If a date is driving your decision, say so at the consultation, because the two sit very differently in a calendar.
Can I have both in one plan?
Yes, and the order is usually the interesting part. Where a wide muscle and a dropped border are both present, the muscle is normally settled first and given time, because a lower face changes shape as that muscle narrows and a vector drawn across it beforehand can be wasted. Each is quoted and approved separately.
Which is riskier?
They carry different risks. Toxin can spread to a neighbouring muscle and leave a heavy brow, an altered smile or an uneven side, all of which resolve with time. Threads can dimple the skin, settle unevenly, stay palpable or, rarely, become infected along the entry track. Both lists are read out before you agree to anything.
Do the threads stay in my face for good?
No. They are absorbable. The material breaks down and is cleared over months, and what holds the vector afterwards is the tissue response along the path the thread took. Toxin also wears off, on the schedule of the product and the muscle it was placed in, so both routes are repeatable plans instead of one-time purchases.
If I dislike the result, can it be reversed?
Neither route has a dissolving agent behind it. A toxin effect you dislike wears off with time, slowly but certainly. A dimple is usually settled with massage and time, an unevenly placed strand can sometimes be adjusted, and a thread that has migrated toward the surface is dealt with directly. Your director explains which applies before you decide.
How much downtime does each one need?
An injection appointment leaves entry marks that settle within hours and occasional bruising, and ordinary activity resumes the same day. A thread appointment brings swelling, tenderness and a pulling sensation on wide opening, with chewing, sleeping position and face-down beds adjusted for a period. Instructions specific to your plan are given on the day.
Which is better value if my budget is limited?
The cheaper route is worthless if it is addressed to the wrong problem. A single wrinkle area is the smallest commitment on this page, and where your complaint genuinely is movement it is also the right one. Where the complaint is position, a thread count below what the vector needs buys a weak result, and the advice will be to wait and do it properly.
Does either of them hurt more?
A thread appointment is the larger procedure of the two and is felt as pressure and pulling along the path; injections are brief. Comfort measures for either are confirmed at the consultation and never assumed in advance, and your director talks you through each pass.
I am new to all of this. Which should I try first?
Start with whichever route the examination points to. Where both are indicated, the smaller commitment first teaches you how your face responds before a longer plan. Where neither is the answer, we do not recommend either and you are shown the capture behind that call.
I am visiting Seoul briefly. Can either be done the day I consult, and is the rate the same?
Both can follow the consultation in the same visit once the examination is done and you have approved the figure, and Dear Clinic is open 365 days a year including Sundays and public holidays. Visitors pay what residents pay. If you are flying soon, mention the date at the consultation, since a thread appointment asks more of the days after it than an injection does.
Consultation

Ask which half of this comparison your face actually needs

Send one photograph straight on and one in three-quarter profile, face relaxed — answered in English as soon as possible.

Scientific Evidence

Peer-reviewed work behind both columns of this comparison

Six references, three per route. On the toxin side: the original report of treating a facial muscle group with botulinum toxin type A, a consensus education initiative on its aesthetic use, and a laboratory account of how the licensed type A products differ. On the thread side: a two-year outcome study of absorbable barbed threads, a surgical account of facial lifting with suture suspension, and a safety study of threads combined with micro-focused ultrasound.

They establish mechanism and published experience for each route. They do not describe your face, set no dose and no thread count, and attach no timeline to either; that comes from the examination carried out on you.

  1. CARRUTHERS J et al. Treatment of Glabellar Frown Lines with C. Botulinum‐A Exotoxin. The Journal of Dermatologic Surgery and Oncology. 1992. doi:10.1111/j.1524-4725.1992.tb03295.x
  2. Carruthers J et al. The Convergence of Medicine and Neurotoxins: A Focus on Botulinum Toxin Type A and Its Application in Aesthetic Medicine—A Global, Evidence-Based Botulinum Toxin Consensus Education Initiative. Dermatologic Surgery. 2013. doi:10.1111/dsu.12148
  3. Frevert J. Pharmaceutical, Biological, and Clinical Properties of Botulinum Neurotoxin Type A Products. Drugs in R&D. 2015. doi:10.1007/s40268-014-0077-1
  4. Ali Y. Two years’ outcome of thread lifting with absorbable barbed PDO threads: Innovative score for objective and subjective assessment. Journal of Cosmetic and Laser Therapy. 2017. doi:10.1080/14764172.2017.1368562
  5. Tavares J et al. Facial thread lifting with suture suspension. Brazilian Journal of Otorhinolaryngology. 2017. doi:10.1016/j.bjorl.2017.03.015
  6. Casabona G. Safety of Combining Facial Lifting with Suspension Threads and Microfocused Ultrasound With Visualization. Journal of Drugs in Dermatology. 2020. doi:10.36849/jdd.2020.4771

References are provided for information — outcomes vary by individual and are assessed at your diagnosis.

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