During the in-office procedure, a specially-trained physician will begin by marking the areas of desired lift on the patient. He/she will then gently insert a needle to a depth of 5mm and guide it through the subcutaneous tissue of the mid-face and extract at each bi-directional exit point. The sutures have bi-directional absorbable cones that hold them in place. The treatment is generally well tolerated by patients and takes approximately 45 minutes.