First, the areas of skin laxity are identified. Backed by solid understanding of the anatomical face, Dr. Anil Sharma maps out vectors to pinpoint exactly where the lifting action should occur. Anchoring sutures and the first insertion point are inserted under the skin using a fine needle. A blunt cannula is then passed along the mapped vector, underneath the dermis, sometimes guided by real-time ultrasound. The tip of the cannula is pulled out from the adjacent site and removed; the thread that runs within the cannula is pulled into position to elevate the sagging skin. To avoid discomfort, a small amount of local anesthetic is administered only at the exit and entry points of the sutures. The treatment lifts, volumizes, and tightens the skin in any area the sutures are inserted.