PDO Threads

  • Best Results1-2 sessions
  • Treatment Recovery5-8 days
  • Procedure Time15-90 minutes
  • Skin SpecialistNurse
  • Duration of Results6-12 months
  • AnaestheticNumbing & blocks
  • Back to Work1-4 days
  • Cost$-$$

PDO Thread Lift

PDO thread lifting is a non-surgical way to tighten the jowls, jawline & neck areas. Threads can improve elasticity, skin tone & reverse mild to moderate sagging without surgical incisions or addition of volume. PDO monofilament thread lifting is best combined with other skin tightening procedures such as HIFU or Ultherapy- Ultraformer & radiofrequency devices.

FactsFacts on PDO threads

  • PDO stands for polydioxanone
  • This is an absorbable suture monofilament thread
  • PDO threads are broken down over 6-7 months
  • Threads stimulates collagen production & contraction
  • This can tighten & lift areas such as the marionettes, jawline & neck
  • Threads are best combined with heating devices such as RF & HIFU
  • Candidate selection is important for good results

What are thread lifts?

PDO Threads

Thread lifting is a useful procedure to improve skin tone & to achieve tightening in the mid to lower one-third of the face, including the neck & jawline. Threads achieve this via a process called neocollagenesis or fibrosis, meaning stimulation of dermal collagen. This results in skin contraction & lifting. 

What is the difference between monofilament & barbed/suspension threads?

Monofilament, as the name suggests, is made from a super-thin (0.1 mm) smooth PDO thread. In contrast, barbed or suspended threads have little hooks, cones, or serrations that grip tissue after insertion.

In contrast to suspension threads, monofilaments do not have knots or tie-down areas. This makes recovery infinitely faster with monos. This page refers to monofilament threads. 

What areas & concerns can be addressed with monofilament PDO threads?

Mono PDOs are best for the mid to lower face. They can improve mild laxity, wrinkles & marginally improve volume loss. Areas treated include –

  • The jowls- mild sagging & laxity
  • The jawline
  • The neck- mild laxity & wrinkles
  • The upper lip- mild wrinkling, sun damage (elastosis)

See the section on injectables for a more detailed explanation.

What does the procedure involve?

Preplanning to see if you are a suitable candidate for this procedure is paramount. I have many ways to lift & tighten. They include surgery, lasers, HIFU, RF energy, dermal fillers, deep peels, suspension & monofilament threads.

Your skin will be anaesthetised & cleaned prior to the procedure. In some cases, we use a nerve block to numb the area prior to threading. Each thread is meticulously inserted in the correct depth & direction. A typical session consists of 30 to 200 individual threads, depending on the clinical indication.

Davin’s Viewpoint on monofilament threads

Threads have had a real upsurge in popularity since the conception of barbed or suspension devices. The monofilament offers a low cost, low side effect, super easy procedure that has a good patient satisfaction rate.

PDO threads have been around in Australia for the past 5 years. They were first perfected by the Koreans in 2011.  Koreans have really hit the mark with developing user friendly, effective, absorbable PDO threads for both stimulating collagen and strengthening facial structure.

Threads are non-invasive, minimal downtime procedures with a proven safety record as they are made from suture material known as polydioxanone.  This is an absorbable, biologically inert substance that dissolves over 6-8 months. During this time, polydioxanone stimulates collagen, improving the structural support of your skin. Threads placed in the adipose tissue or fat layers can also stimulate collagen in the fibro septal network, further compounding the lift.

In my practice, candidate selection is paramount for predictable results. Living in Brisbane, Queensland, I see an extraordinary amount of UV damage, leading to a condition known as elastosis or collagen breakdown. Thread lifting in this patient group does bugger all. If you have broken collagen & elastin, threads will not improve wrinkling, nor will they lift. These patients are best treated either surgically or with procedures such as chemical peels or laser resurfacing. Threads are best employed as part of a synergistic program to compound collagen stimulation. I often use dermal, fibro septal & SMAS heating devices such as HIFU & RF 2-4 weeks after thread insertion. Combination treatments give good results in suitable candidates.

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