Ruby No.5 Mono Threads
The skin firming treatment that is not a lift. How 20-50 invisible threads create a collagen mesh that tightens from the inside out.
Mono Threads vs Cog Threads: Different Tools, Different Jobs
The thread lift world can be confusing because the term covers two very different treatments. Cog threads have barbs that grip tissue and physically reposition it upward — this is what most people think of when they hear "thread lift." Mono threads are entirely different. They are smooth, straight threads inserted in parallel or cross-hatch patterns to create a stimulation grid under the skin.
Mono Threads
- Smooth, no barbs
- Firms and tightens skin
- Stimulates collagen mesh
- 20-50 threads per session
- Minimal downtime
- Subtle, natural effect
Cog Threads
- Barbed hooks for grip
- Physically lifts tissue
- Repositions facial contour
- 4-12 threads per session
- More noticeable downtime
- Visible lifting effect
How Ruby No.5 Works
Ruby No.5 is a PDO mono thread system designed specifically for full-face stimulation. Each thread is inserted through a fine needle into the dermal layer, where it creates a controlled micro-injury that triggers your body's natural healing response. The thread itself acts as a scaffold — your body wraps it in new Type I and Type III collagen fibers over the following weeks and months.
The key innovation is the placement pattern. Rather than lifting in one direction, Ruby No.5 threads are placed in a grid-like mesh across the treatment area. This creates a three-dimensional collagen network that improves skin texture, pore size, and overall firmness from multiple angles simultaneously.
"I recommend Ruby No.5 to patients who come in asking for better skin quality rather than a dramatic lift. It is a refinement tool, not a restructuring tool. The results are subtle at first — patients tell me their friends say they look refreshed and well-rested, but cannot pinpoint exactly what changed."
— Dr. Waleerat Thaweebanchongsin, VERZO CLINIC Founder
Treatment Areas: Full-Face Stimulation
Cheeks & Midface
10-15 threads per side
Improves skin texture, reduces pore size, restores firmness to the cheek area
Forehead
8-12 threads
Smooths fine lines, improves skin tightness without affecting natural expression
Jawline & Lower Face
8-12 threads
Tightens skin along the jawline, reduces early jowl formation
Neck
10-15 threads
Excellent for crepey neck skin — mono threads work better than cog threads on thin neck skin
The Firming Effect: What to Expect
It is important to set expectations correctly: Ruby No.5 will not give you the visible repositioning that cog threads provide. What it will do is make your skin feel noticeably tighter, smoother, and more resilient. Think of it as restoring the bounce and density that gradually fades with age.
Mild tightness and subtle firmness from the physical threads
Collagen production begins — skin starts to feel denser
Peak results — visible improvement in skin texture and pore size
Threads fully dissolved, but collagen scaffold remains
Collagen continues to support firmness, gradual natural decline
Ideal Candidates
Great Candidates
- Ages 30-50 with early skin laxity
- Want skin quality improvement, not dramatic lifting
- Looking for a subtle, natural result
- Maintaining results between cog thread sessions
- Wanting to improve neck skin texture
Consider Alternatives
- Significant sagging requiring repositioning
- Want a visible, dramatic change
- Severe jowling or deep nasolabial folds
- Active skin infection in treatment area
Procedure Walkthrough
Consultation & Mapping
15 minDr. Waleerat assesses your skin, marks the insertion grid pattern, and discusses thread count.
Numbing
20 minTopical anesthetic cream is applied. Small local anesthetic injections at entry points if needed.
Thread Insertion
20-30 minEach thread is loaded in a fine needle and inserted along the mapped lines. You may feel mild prickling.
Post-Treatment Check
10 minEntry points are cleaned, antibiotic ointment applied. You receive aftercare instructions and a follow-up appointment.
Recovery
Recovery from Ruby No.5 mono threads is significantly easier than cog thread procedures. Most patients return to normal activities the same day or next day. There is no significant swelling or dramatic change in appearance immediately after treatment.
What to Expect
- Day 1: Mild redness at entry points, slight tightness. You can go about your day.
- Day 2-3: Entry point marks fade. Minor tenderness if pressing on treated area.
- Day 5-7: Fully healed. No visible signs of treatment.
- Restrictions: Avoid facial massage, hot sauna, and intense exercise for 5-7 days.
Pricing at VERZO CLINIC
Ruby No.5 Full-Face Protocol
~71,000 THB
Average pricing based on 30-50 threads
Includes consultation, procedure, and follow-up visit
Frequently Asked Questions
What are Ruby No.5 mono threads?
Ruby No.5 mono threads are smooth, unbarbed PDO threads designed for skin firming and collagen stimulation. They are inserted in a mesh-like pattern (20-50 threads) to create a scaffold that triggers widespread collagen production.
What is the difference between mono threads and cog threads?
Mono threads are smooth without barbs — they firm skin through collagen stimulation. Cog threads have barbs that physically lift sagging tissue. Mono threads improve skin quality; cog threads provide visible lifting.
How many threads are used per treatment?
A typical treatment uses 20 to 50 threads depending on the treatment area. Full-face stimulation usually requires 30-50 threads placed in a cross-hatch pattern.
Does the treatment hurt?
Ruby No.5 insertion is generally less painful than cog threads because the threads are thinner and have no barbs. Local anesthetic cream is used. Most patients describe mild prickling or pressure.
How long do results last?
The PDO threads dissolve over 6-8 months, but stimulated collagen supports firmness for 12-18 months. Peak results appear at 2-3 months. Annual maintenance is recommended.
How much does Ruby No.5 cost at VERZO CLINIC?
Ruby No.5 treatment averages approximately 71,000 THB depending on thread count. This includes consultation, procedure, and follow-up.
Can Ruby No.5 be combined with other treatments?
Yes, Ruby No.5 works excellently as a complement to cog thread lifts, Ulthera, Thermage, or Sculptra. Many patients combine mono threads for skin quality with cog threads for lifting in the same session.
Who is the ideal candidate?
Patients in their 30s-50s with early skin laxity, fine lines, or loss of firmness who do not yet need significant lifting. Also excellent as maintenance between cog thread sessions.
Interested in Skin Firming Without Surgery?
Dr. Waleerat will assess whether Ruby No.5 mono threads, cog threads, or a combination approach is right for your skin goals. Free consultation, no obligation.
VERZO CLINIC, Sukhumvit Road near BTS Ekkamai. Open daily 10:00-19:00.
Medical Disclaimer
Results vary depending on individual skin and body conditions.
Please consult a physician before treatment.
Results are not guaranteed.