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The Polydioxanone Thread Lifting Technique

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Probably the signs of aging are more than noticeable and this is something you do not like. Inevitably, the skin of all of us shows relaxation over time. Especially in the jawline, cheeks, neck and under the chin, it starts to get loose and sagging, betraying the beginning of aging in a more prominent way than wrinkles. If the comment you want to hear is “How young you look!”, it is time to consider PDO threads. PDO threads are the most discreet and effective non-invasive lifting treatment currently available in cosmetic medicine. It is a lunch break therapy and you do not need to go under the knife.

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What are PDO threads?

The PDO Lifting Threads are 100% bio-absorbable polypropylene threads that form a supporting mesh which repositions and supports the facial and body tissues in a completely safe manner. They do not replace the surgical facelift but they are a good alternative for those people with mild or even significant skin relaxation who do not wish to or cannot undergo surgery. There are no incisions or sutures since only the threads are inserted into your skin.

What is the process?

It is a simple and safe process and the use of local anesthetic cream is optional. However, if you wish to, you can apply it at your home about an hour ago before your appointment. The physician inserts the ultra-fine PDO threads horizontally or vertically – depending on the needs of the treated area – with a very small needle, creating a matrix that supports the relaxed skin in its place. That way your face looks firmer and its texture is significantly improved. Depending on the area of application, the process usually lasts 15 to 40 minutes.

The PDO threads are completely absorbable and the number that is needed for the treatment depends on the extent of the relaxation. Moreover, this treatment causes a desired minor trauma to the tissues that stimulates the natural production of new collagen and hyaluronic acid. That is why the results of this intervention improves and your face becomes more contoured and fresh over time.

Where can they be used?

Practically everywhere! In the face, the threads can be applied to eliminate the wrinkles on the forehead and frown wrinkles as well as to achieve eyebrow lift. The application in those areas are particularly useful for people who do not want to have botox injections. Moreover, you can use the threads around the eye to get rid of crow’s feet and in the thin wrinkles under the eye. Impressive are the effects also in the cheeks, the jaw line -where we can achieve the restoration of the face contour- and the neck that, after treatment, obtains a firmer look.In the body, the PDO threads can find application to the chest and buttocks for a lifting effect, and to the arms, thighs and belly for tightening.

What to expect after treatment?

Immediately after treatment, there could be a mild irritation at the treated sites. In addition, during the process, because the face is a region with particularly increased vascularisation, some bruising may occur, which will recede, however, in the next few days. In these cases, you can apply ice immediately after treatment and, in the following days, you can use topically cream with arnica.

The results are visible right after the treatment (you can see 20-30% of the final result) and they improve to a significant extent over the next 2-3 weeks. The maximum effect is reached at 6 months. The biodegradation of the threads takes place within 6 months when they are completely absorbed by your body. In the meantime, the body has created a grid of collagen and elastic fibers around the threads, known as foreign body reaction, offering a 12 to 16 months duration of the results.

Is there any downtime?

There is no downtime and you can return to your everyday activities right after treatment. However, it is recommended to avoid alcohol, aspirin and anticoagulants 3 days before and 3 days after treatment. You should also avoid intense chewing at least 24 hours later and, in the first 3 days, it is advisable to use 2 pillows in your sleep. Finally, it is recommended to avoid exercise for 7 days.

Are they safe?

The controversies that occurred the past years about thread lifting regarded the possible undesired reactions they could cause. However, nowadays, the new technology threads that are totally absorbable ensures that no granulomas or other skin reactions will occur, as it has been observed with prior non-absorbable products.


  • Reduced recovery time
  • It does not require general anesthesia
  • Non-invasive procedure
  • Safe procedure, especially for older people who, due to medical reasons, cannot undergo surgery.
  • Rare minimal side effects that resolve quickly
  • More affordable than surgical facelift


  • They do not offer the significant results of a surgical facelift. It is rather a more subtle, natural-looking intervention.
  • More suitable for people that are in their late thirties to early fifties. They are not so effective for people over the age of 55.
  • Temporary results

What is the cost?

The price of PDO threads ranges from $1,500 to $4,500. The final cost varies depending on the extent of the problem, the treated areas and your physician’s expertise. According to the American Society of Plastic Surgeons, in 2006, the average price for thread lifting was $2,443. However, the organization no longer provides information on thread lifting costs. You should also bear in mind that, because PDO thread lifting is an elective treatment, its cost usually is not covered by the insurance carriers.

PDO threads turn back time, offering all the spectacular effects of surgical lifting without general anesthesia, incisions, and recovery time. Yet we should not forget that prevention is the best cure. So, in order to slow down the aging process and postpone your appointment with your surgeon, there are a couple of things you can do. First of all, never forget to wear sunscreen and try to stick to a healthy lifestyle rich in antioxidant foods and exercise. You can also visit the pharmacist and buy some products rich in retinol and vitamin C that have proven anti-aging effects.

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