Your Complete Guide to PDO Threads

Expect collagen stimulation for long-term skin rejuvenation – and immediate lifting effects with certain thread types.

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Video: See How PDO Threads Work

Our educational videos are directed by Aesthetics HQ founder and certified physician assistant Melissa Singleton – an experienced injector and top Galderma national trainer.

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KEY TAKEAWAYS

Natural Results

Subtle, youthful appearance without dramatically altering facial features.

Requires Patience

Complete treatment effects may take weeks to months to become apparent as new collagen forms.

Touch-Ups

Maintenance treatments may be required to sustain results of PDO thread procedures.

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PDO Threads: What You Should Know

This minimally invasive procedure has reduced downtime and risks compared to surgical procedures.

Medically reviewed by
Dr. Christina Mitchell, MD | Dermatologist

They are used in non-surgical facelifts, skin tightening, and contouring to lift sagging skin and stimulate collagen production.

A provider inserts the threads using a needle or cannula. The threads dissolve naturally, leaving a supportive collagen structure.

Types of PDO Threads

In PDO thread procedures, there are two primary types of threads: lifting threads (barbed) and smooth threads. While both types share the goal of skin rejuvenation, they serve distinct purposes and are used differently based on the patient’s needs.

Lifting threads:

PDO thread lifts commonly use barbed threads that physically anchor to and lift the skin. The barbs on these threads allow them to securely hook into sagging tissue, creating an immediate lifting effect that can reposition areas affected by gravity and collagen loss. This makes them a non-surgical alternative for treating issues like sagging cheeks, nasolabial folds, and jowls.

Lifting threads are ideal for patients looking for structural support and a more visible contouring effect, as they effectively pull the skin back to reduce the appearance of smile lines and provide definition in areas like the jawline and cheeks. The results from lifting threads are often instant, with continued improvement as collagen production increases in the weeks following treatment.

Smooth threads:

Smooth threads differ in both form and function. Without barbs, these threads do not provide a lifting action. Instead, they are used in a mesh or crosshatch pattern to stimulate collagen production gradually. This makes smooth threads more suitable for treating fine lines, wrinkles, and mild skin laxity, as they encourage the skin to tighten naturally over time without changing the structural contours of the face.

Smooth threads are particularly useful for areas with more subtle laxity, such as the under-chin area or for improving skin texture in delicate regions. The results from smooth threads emerge more gradually, ideal for patients seeking a subtle but steady enhancement.

Choosing the right thread:

Your provider will select the appropriate thread type after reviewing your goals, skin condition, and treatment area. Patients looking for a noticeable lift to treat more pronounced sagging might benefit more from lifting threads, which can provide immediate structural support. On the other hand, patients focused on fine lines, wrinkles, and mild skin tightening without the need for contouring may find that smooth threads are a better fit.

In some cases, a combination of both types may be used to achieve a balanced result, blending the structural lift from barbed threads with the skin-smoothing and tightening effects of smooth threads.

Advantages

  • Immediate results.
  • Minimal downtime.
  • Local anesthesia.
  • Gradual collagen stimulation lasting up to a year or more.

However, the results may not be as dramatic or long-lasting as surgical facelifts, and they may not be suitable for significant sagging or excess skin.

However, the results may not be as dramatic or long-lasting as surgical facelifts, and they may not be suitable for significant sagging or excess skin.

Pros

  • Non-surgical: Minimally invasive, reduced downtime and risks compared to surgical procedures.
  • Tightening and lifting: Immediate lifting effects and collagen stimulation for long-term skin rejuvenation.
  • Natural results: Subtle, youthful appearance without dramatically altering facial features.
  • Versatility: Targets various areas of the face and body for tailored treatments.
  • Long-lasting: Results can last several months to over a year due to collagen stimulation.

Cons

  • Temporary: Maintenance treatments may be required to sustain results.
  • Side effects: Temporary swelling, bruising, redness, and mild discomfort may occur. Rare cases may involve infection, thread migration, or visible extrusion.
  • Skill-dependent procedure: Experienced practitioners are required to minimize risks and ensure optimal results.
  • Not suitable for everyone: Certain medical conditions or excessive sagging/loose skin may affect candidacy.
  • Cost: PDO thread treatments can be relatively expensive compared to other non-surgical procedures.

Discuss the potential benefits, risks, and limitations with a qualified practitioner before making an informed decision based on individual circumstances and aesthetic goals.

What to Expect

  • Consultation: Discuss goals and develop a personalized treatment plan.
  • Preparation: Cleansing the treatment area and administering local anesthetic.
  • Thread insertion: PDO threads are inserted using a fine needle or cannula.
  • Thread placement and lifting: The practitioner adjusts threads anchored by barbs or cones to achieve the desired lifting effect.
  • Completion: Excess thread ends are trimmed, and insertion points are covered if necessary.
  • Treatment duration: Typically takes 30 minutes to an hour.
    Post-treatment care: Follow instructions to manage swelling, bruising, and mild discomfort.

Recovery

Healing after a PDO thread lift varies but generally involves:

  • Minimal downtime: Swelling, bruising, and tenderness usually subside within days to a week.
  • Resuming activities: Normal activities can typically resume within a few days, but avoid vigorous exercise and excessive strain on the treated area for a few weeks.
  • Long-term healing: Threads dissolve over time, and complete treatment effects may take weeks to months to become apparent as new collagen forms.

Potential complications include:

  • Infection: Rare but possible. Follow post-treatment care instructions and notify your practitioner if signs of infection occur.
  • Thread migration: Improperly anchored threads or excessive movement of the treated area can cause suboptimal results or discomfort.
  • Visible or palpable threads: Threads placed too close to the surface or insufficient collagen formation can lead to raised or irregular texture under the skin.

The downtime required for skin treatments can vary from several days to a week, depending on the intensity of the erbium laser treatment. During recuperation, it is typical for the skin to swell and develop a rough texture. Initially, the skin may feel tender, leading to itchiness and discomfort.

Ensuring the protection and retention of skin moisture during the healing phase is essential. This includes using ointments and heavy creams and gradually shifting towards lighter creams and serums as skin healing progresses.

Results

The longevity of PDO thread lift results varies depending on each individual’s response, lifestyle, and the number of threads used. Lifting effects typically last several months to more than a year.

Lifting threads dissolve in six to nine months, and collagen deposition begins, strengthening the skin. Maintenance treatments may help sustain results, as PDO threads do not stop aging.

Practitioners recommend regular follow-up appointments to assess results and determine the need for additional treatments.

Cost

You can pay from $500-$4,000 depending on body area, provider, and geographic region.

Safety Profile

A PDO thread lift may suit those with mild to moderate skin sagging who desire subtle lift and tightening without surgery. A qualified practitioner should assess candidacy, but general guidelines include:

  • Age: Commonly performed on individuals in their 30s to 60s, but suitability is based on skin laxity and aesthetic goals.
  • Skin laxity: Ideal candidates have noticeable sagging in areas like cheeks, jowls, jawline, brows, or neck.
  • Overall health: Good candidates are generally healthy without conditions interfering with healing.
  • Expectations: Understand PDO thread lifts provide subtle, natural-looking results.
  • Skin quality: Candidates with good skin elasticity and thickness have better outcomes.
  • Commitment: Willingness to follow post-treatment care instructions.

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