Many types of thread lifts were being done in the past, where a small incision is made in front of the ear or in the hairline and a thread is passed blindly through the deeper muscle and pulled up. These types of lifts fell out of favor due to complications and an unnatural puckering. If the deeper tissue is anchored and pulled without separating the overlying tissue or without removing the excess redundant skin when the deeper tissue is lifted, then an unnatural puckering occurs and the lift does not last. Additionally, by only making a small incision on the inside of the ear and not creating an adequate line-of-sight view for the surgeon, it has become increasingly difficult to properly anchor threads. As such, deep facial tissue damage can occur during thread lifts which then requires its removal.