The use of thread lifting as an alternative to traditional surgical face and neck lifting is positioned as a minimally invasive method that can immediately after the procedure not only tighten the skin but also improve its quality by providing long-term stimulation of fibroblasts and the production of collagen in the injection area. This type of correction of age-related skin changes is becoming an increasingly common procedure in cosmetic service. In most cases thread lifting is part of a comprehensive facial rejuvenation program in combination with other procedures such as contouring, botulinum toxins and hardware therapy. Despite the fact that thread lifting is considered a relatively safe procedure it can lead to a number of complications both in the form of monotherapy and become a trigger for the development of negative phenomena at other treatment methods. The article describes the development of an acute inflammatory reaction after filament lifting during volumetric correction of the cheekbones with hyaluronic acid based filler provides a detailed description of the ultrasound picture and the scheme of the therapy performed. The article is of interest to practicing cosmetologists, dermatologists and plastic surgeons.