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PDO threads — your trusted solution for smoother skin!

Most aesthetic blogs tell you about dermal fillers, Botox, and other injectable solutions, but what if your patients need something more intense, more long-lasting? Consider PDO thread lifting!

Not only can this procedure enhance skin quality with minimal downtime, but it can also boost collagen stimulation to ensure the effect remains even after the threads dissolve. In this article, we discuss the before-and-after results of PDO thread lifting, its benefits for skin rejuvenation, and the expected outcomes. The article would be useful for both specialists and their patients, so share it with those who may be interested. Let’s dive into the discussion!

PDO Threads: Basics Explained

PDO threads are dissolvable sutures inserted under the skin to lift tissue and are commonly used in aesthetic medicine to tighten and rejuvenate the skin. They are available in three main types:

  • Mono threads: Smooth sutures that stimulate collagen production and improve skin texture.
  • Cog threads: Barbed sutures designed to lift and support sagging facial tissue.
  • Screw threads: Intertwined sutures that help restore volume in areas affected by facial aging.

PDO threads are made from polydioxanone, a biocompatible material that gradually dissolves in the body over approximately six months. Because the threads are extremely fine and encourage natural collagen production by triggering the body’s natural healing response, they can provide effective lifting, firming, and skin-rejuvenating benefits.

Non-Surgical Goals Met with PDO-Thread Lifting

PDO threads offer a wide range of procedures for various aesthetic conditions, including moderate sagging skin, reduced skin elasticity and firmness, etc. Thread placement is vital to the treatment’s success, so let’s discuss some common areas that are typically enhanced with this product.

#1. Neck Thread Lift

As the skin ages, the neck may develop wrinkles, looseness, and visible platysmal bands, which can contribute to the appearance of a double chin. A PDO thread lift helps tighten and rejuvenate the area for a smoother, more defined neck and jawline.

#2. Threads for Above the Knees

As the skin above the knees ages, it may become loose and develop fine lines. A knee thread lift can improve firmness, texture, and overall skin tone for a smoother, more youthful appearance.

Mild pain or discomfort may occur during the procedure, but local anesthesia helps keep it manageable. Some temporary bruising on the legs is also possible.

#3. Ponytail Lift for Facial Rejuvenation

Fox eye and ponytail thread lifts offer a less invasive alternative to fillers or traditional facelift procedures. A fox eye lift subtly raises the outer corners of the eyes, creating a more elongated, cat-eye shape while helping smooth fine lines around the eye area.

A ponytail lift creates a lifted, sculpted appearance similar to the effect of wearing a high, tight ponytail. It can improve facial definition, soften wrinkles around the forehead and eyes, and deliver natural-looking, longer-lasting results without surgical incisions.

Some pain or discomfort may occur during either procedure, but local anesthesia helps make the treatment more comfortable. Moderate to significant bruising is possible and should gradually fade during recovery.

#4. Butt Lift with PDO Threads

A PDO mini butt lift is a minimally invasive alternative to procedures such as a Brazilian butt lift. During treatment, dissolvable threads are placed beneath the skin to lift and support loose or sagging tissue while improving the shape and contour of the buttocks.

The threads also stimulate collagen production, which can gradually improve skin firmness and texture. The lifting and structural support may last for up to 12 months.

Some pain or discomfort may occur during the procedure, but local anesthesia helps make the treatment more comfortable. Moderate to significant bruising is possible afterward and should gradually fade during recovery.

Longevity and Results of Polydioxanone Threads

Patients often see immediate lifting effects after PDO thread lifts. The full potential should appear after 4-6 weeks, with results lasting up to 18 months. Most patients report improved skin texture and brightness after four months — the effect of a triggered natural healing process.

Collagen production continues for 12-16 months after lifting, even after the threads themselves dissolve at around six months.

Recovery After the Procedure

Recovery after a thread lift is typically quick, with mild swelling, bruising, tenderness, or tightness during the first few days.

  • First 24–48 hours: Rest, keep your head elevated, and apply a cold compress for 10–15 minutes at a time. Avoid touching the treated area, makeup, strenuous activity, aspirin, and NSAIDs. After 24 hours, you may gently cleanse your face.
  • First week: Swelling and bruising should gradually decrease. Light activity and gentle skincare are usually fine, but avoid intense exercise, facial pressure, excessive chewing, and wide facial movements.
  • Weeks 2–4: Most side effects should resolve, and normal activities can gradually resume. Mild tightness may persist temporarily, while results continue to improve as collagen develops over the next three to four months.

Always follow your provider’s aftercare instructions and contact them promptly if you experience unusual pain, redness, or other concerning symptoms.

What Are the Benefits of PDO Thread Treatment?

PDO thread lifts offer several benefits for patients seeking a minimally invasive approach to skin tightening and rejuvenation:

  • Minimally invasive: Unlike a traditional facelift, the procedure does not require large incisions or extensive surgery, resulting in less downtime.
  • Generally well tolerated: PDO threads are made from a biocompatible, absorbable material. Local anesthesia is typically used to minimize discomfort during treatment.
  • Natural collagen stimulation: Once placed beneath the skin, the threads encourage collagen production, which can gradually improve firmness, elasticity, and texture.
  • Immediate and progressive results: Patients may notice an initial lifting effect soon after treatment, with continued improvement as new collagen develops.
  • Customizable treatment: PDO threads are available in different shapes, lengths, and thicknesses, allowing the procedure to be tailored to specific areas and aesthetic goals.
  • Long-lasting improvement: The threads gradually dissolve over several months, while collagen support may help maintain results beyond that period.
  • Lower cost and downtime: Compared with surgical facelift procedures, a PDO thread lift is generally more affordable and requires a shorter recovery period.

Cosmetic procedures such as PDO threads have a high potential for patients with aged skin and prominent wrinkles: smile lines, frown lines, glabellar wrinkles, and others. They enhance facial contours, provide more supple skin, and generally give a refreshed appearance. Suitable for both the upper and lower face, and can be supported with maintenance treatments and healthy lifestyle regulations.

Yes, PDO threads can provide natural-looking results, but candidates should have realistic expectations. It’s not surgery, so they can’t address extremely loose skin or severe signs of aging. We advise seeking medical consultation before deciding on a treatment to tailor the plan that fulfills all patients’ needs.

Ideal candidates have mild to moderate skin laxity. Older patients may be less satisfied with the outcome, as collagen and elastin production slows with age and target areas tend to be saggier, so the desired effect becomes harder to achieve. Heavier laxity may require surgical treatment options.

Mild swelling and bruising post-procedure are typical for patients, as the treatment is partially invasive. A medical professional must be informed of any severe side effects, allergic reactions, or painful sensations in the treated area. Patients are generally advised to avoid strenuous activity after treatment; applying ice packs is also recommended to reduce swelling and redness.

Many patients may feel slight discomfort during the insertion, but the procedure is not painful. An anesthetic is applied prior to the treatment to numb the area and minimize discomfort; sometimes a general anesthesia is also an option. In addition, the process is quick — between 30 minutes to an hour — so patients wouldn’t need to handle discomfort for long.

Yes, thread lift treatments are often used alongside other procedures, including dermal filler injections, microneedling, and botulinum toxin therapy. PDO threads reposition tissue and address deeper laxity and excess skin, while fillers restore volume. Specialists recommend not using them simultaneously and ensuring there are intervals between sessions for the target area to heal, but layering the treatments is an excellent technique to improve skin texture and tone and achieve a younger-looking appearance.

3 Sources are used
  1. Wan, J., et al. (2024). A Pilot One and Two-Year Prospective, Blinded Clinical Evaluation of Efficacy and Safety of Combined Treatment With Crosslinked Hyaluronic Acid Dermal Filler and Barbed Polydioxanone Suspension Threads for Mid-Face Contour Enhancement. Journal of Cosmetic Dermatology, 24(2), e16700. https://pmc.ncbi.nlm.nih.gov/articles/PMC11845956/
  2. Park, J. H., et al. (2024). Advanced Facial Rejuvenation: Synergistic Effects of Lower Blepharoplasty and Ultrasound Guided Mid-Face Lift Using Polydioxanone (PDO) Threads. Aesthetic Plastic Surgery, 48(9), 1706-1714. https://pmc.ncbi.nlm.nih.gov/articles/PMC11093801/
  3. Wang, C.-K. (2020). Complications of Thread Lift About Skin Dimpling and Thread Extrusion. Dermatologic Therapy, 33(4), e13446. https://pmc.ncbi.nlm.nih.gov/articles/PMC7507174/