Bothered by sagging and drooping skin around the jowls & jawline, but don’t want surgery? Clinically proven, minimally invasive approach lifts and tightens the skin erasing years off your face!

Instant results with a minimally invasive, nonsurgical procedure

Stunning, long lasting outcomes (2-4 years)

Prevents further sagging and improves skin quality

Minimal downtime with return to normal activity immediately after the procedure

Fast Facts:

  • About: PDO thread lift is an office-based minimally invasive procedure with the results of surgical face lift, without the risks associated with the surgery.
  • Safety: Clinical studies have shown PDO threads to be a safe and effective alternative to invasive surgical facelift with a high success rate and low frequency of complications. Their safety profile includes being fully absorbable, as well as non-allergenic and biodegradable.
  • Convenience: A PDO thread lift takes approximately 90 minutes to complete to result in instant facial rejuvenation. There is minimal post-procedural recovery with immediate return to day-to-day life.
  • Cost: A PDO thread lift procedure can cost $2000 – $4000 per treatment.

Efficacy: When performed by a skilled board certified cosmetic physician, PDO threads are a reliable and highly effective method to lift and reposition sagging skin, with few side-effects and minimal downtime, which has been confirmed by multiple clinical studies.

PDO ThreadLift
PDO thread lifting in New York

What is a PDO thread made of?

PDO stands for polydioxanone, a flexible and durable absorbable biopolymer. PDO threads are biocompatible, biodegradable sutures of various shapes and forms that are hydrolyzed by the body and trigger collagen production in treated areas.

What is the process of skin aging?

Facial aging is a continuous process involving the loss of collagen, skin elasticity and facial volume. This can result in loose skin, particularly due to the reduction in collagen, which plays a major role in the tensile strength and elasticity of the dermis and facial suspension ligaments.

How does PDO threads lift work?

A PDO thread lift is a procedure using dissolvable barbed surgical sutures to lift flaccid skin and works as follows:

  • PDO threads are first precisely inserted under the skin along the SMAS layer;
  • Each thread is kept under mild tension and the overlying skin is gently pulled upwards unti all the barbs engage the underlying tissues, so that they settle and hold the newly lifted skin in place;
  • There’s typical skin puckering at the level of cannula insertion, secondary to lifting and repositioning of ptotic skin, which over time gets naturally reabsorbed by the body, resulting in smoothing of the area.

There are 2 types of observed effects after PDO thread placement:

Immediate effects – The threads are inserted along the superficial muscular aponeurosis (SMAS) and the skin is manually elevated as the barbs engage, keeping the skin in a fixed position. This results in the tightening and lifting of the treated area.

Long term effects – 

  • Sharp barbs initially create inflammatory response secondary to mechanical micro-injury in the inserted areas, inducing production of large amounts of type I and type III collagen;
  • As the threads dissolve, the mini-tracts that were created during thread placement become fibrotic acting as scaffolding that continues to keep the skin in place.
  • Collagenosis leads to overall improvement in skin quality, turgor and elasticity

A PDO thread lift procedure addresses:

  • Facial Skin Laxity by repositioning and lifting ptotic cutaneous and subcutaneous tissues;
  • Neck and Jawline Definition by elevating tissues into a suspended position for improved contouring.

Why collagen production is important for a successful PDO thread lift

Collagen is an important protein that maintains structural integrity and youthful appearance of the cutaneous layer contributing to its overall quality by maintaining its strength, thickness, and providing hydration. Collagen can be viewed as a building block to keep your skin firm and healthy.

As we age, we lose and produce less collagen. This leads to flaccid skin, which cannot be adequately addressed with injectable dermal fillers or Botox. PDO threads leave massive amounts of fibrous collagen matrix resulting in skin tightening and raising the areas in which they are placed.

What are the types of PDO threads?

There are three types of PDO threads, including smooth threads, barbed threads, and twisted threads.

  • Barbed threads, also called Cog threads are made of the same material as smooth threads, and attach to facial skin tissue when inserted. Barbed thread lifts are used for:
    • Jowls
    • Jawline
    • Neck
    • Eyebrows, forehead, and small lift in the nose
  • Smooth threads, also called mono threads, are made without barbs and are typically inserted under the dermal layers in a mesh type pattern to accomplish skin tightening and volumizing effects. The inflammation caused by the intertwined threads stimulates new collagen production, resulting in firmer, plumper, more rejuvenated skin. Treatment areas for smooth threads include:
    • Forehead
    • Around the eyes and lips to treat fine lines and facial wrinkles
    • Tear troughs and cheeks for mild volume
    • May also be combined with other types of threads to enhance results.
  • Twisted threads, also called screw threads, are used to add volume to hollow areas in the face. Common treatment areas for twisted threads include:
    • Nasolabial folds
    • Under eyes
    • Cheeks.

Who is a candidate for a PDO thread lift?

PDO thread lifts are ideal for patients who have developed an early stage of skin laxity in their face and neck that don’t require or qualify them for a surgical face lift. You are a good candidate for a PDO thread lift if you are:

  • An overall healthy adult;
  • Have developed minimal to mild loose skin in the face and neck;
  • Want prevention and full correction of early ptosis.

What are PDO thread lift contraindications?

PDO thread lift contraindications include:

  • Personal insensitivity to polydioxanone;
  • Propensity to scar / keloid formation;
  • Bleeding disorders;
  • Pregnancy;
  • Other health conditions such as being immunocompromised;
  • Excessive sagging skin that requires surgical correction.

You should always consult with an experienced medical professional to confirm that you are a good candidate for the treatment before scheduling an appointment.

How do I prepare for a PDO thread lift procedure?

The main steps to take in preparation for a PDO thread lift include:

  • Stop taking blood thinners such as Aspirin, Advil, or Motrin, for one week prior to your procedure. Because the treatment involves needle and cannula insertions, blood thinners may cause excess bleeding and bruising.
  • Take arnica supplements beforehand to help avoid bruising after the procedure
  • If you are in the first 5 days of your menstrual cycle, you will be more prone to excessive bleeding.

What is the procedure like?

  • During your PDO thread treatment, you will be seated in a reclined position. The treatment area is sanitized using alcohol and injected with local anesthetic to minimize discomfort.
  • A small incision is made with a needle, in which a cannula (blunt hollow needle) equipped with the thread is inserted.
  • The thread is anchored into place and pulled upward and the cannula pulled out. The thread is then secured and cut.

These steps are repeated several times in the same (and separate) insertion points, until the desired result is accomplished.

Once the treatment is complete (after 1 – 2 hours), you are given ice packs, Ibuprofen, and post-care instructions to follow until you come back for your follow-up visit, one week post-treatment.

When will I see results after the PDO thread lift procedure?

PDO threads instantly lift drooping skin and results are observed immediately following your treatment. Redness, swelling, dimpling, and bruising will obscure final results until fully healed.

In some cases, a second treatment is carried out six months after the initial procedure, to reinforce longevity of the results.

Does PDO thread lift procedure hurt?

A sufficient amount of local anesthetic is applied during the procedure and the process is almost painless. You may experience a tugging sensation during your treatment, and pain and soreness after the anesthetic has worn off. This may last up to a week, and can come in short bursts and is alleviated with NSAIDs.

What is the aftercare for a PDO thread lift?

The aftercare for the PDO thread lift depends on your individual procedural complications:

  • Icing for the first 24 hours;
  • Betadine 2 – 3 times a day for 2 days to decrease the risk of infection;
  • Ibuprofen for 2-5 days to decrease inflammation;
  • Antibiotics for 5 days to minimize the risk of infection;
  • No rubbing or touching the treated area until fully healed (2 – 4 weeks);
  • Avoid dramatic facial expressions for 4 – 6 weeks (to minimize risk of threads tearing);
  • No lying on the side of your face to prevent thread dislocation;
  • No intense exercise for 1 – 2 weeks post treatment;
  • Avoid rubbing the treated area.

What is the downtime after PDO thread lift?

Social downtime – Some patients choose to schedule their treatment on a Friday or on a week off from work, due to bruising, swelling, dimpling, and puckering.

Medical downtime

  • No intense exercise or strenuous activity for 1 – 2 weeks post-treatment
  • No dramatic facial expressions for 4 – 6 weeks post-treatment
  • No laying on the side of your face

What are PDO threads risks and side effects?

There is a much lower overall procedural risk with a PDO thread lift compared to a traditional facelift surgery. There are some possible risks and side effects to take into consideration before moving forward with the treatment.

Mild to severe:

  • Visible sutures below the cutaneous layer (if inserted too shallow, or patient has thin skin);
  • Tearing of threads (if there is no visual deformity, this won’t harm you);
  • Infection (must be resolved immediately);
  • Damage to surrounding neurovascular structures and nerves.

Expected:

  • Dimpling (orange peel-like texture, which subsides within the first several weeks (4 – 6 weeks post-treatment);
  • Collection of small skin folds, also known as puckering (subsides within 2 – 3 weeks);
  • Threads puncturing through the dermis (can be clipped by physician to resume healing process);
  • Disengagement of threads;
  • Swelling and Inflammation (first few days);
  • Bruising lasting up to 1 week .

PDO threads vs. surgery: why are PDO thread lifts popular?

Most people want the results of plastic surgery without the surgical complications. PDO threads allow for both. Surgical face lifts are used when significant laxity and droopiness have already occurred manifesting in excess skin which needs to be excised.

Why PDO threads?

Many people start with minimally invasive PDO threads before laxity begins to manifest and progress. This allows patients to forgo future surgical face lifts as well as address existing signs of aging. PDO threads are ideal for the prevention or full correction of early sagging.

  • Non surgical
    • Though the results of a surgical facelift last longer than those of a PDO thread lift, patients often opt for the PDO thread lift procedure because it is a nonsurgical facelift.
  • No scarring
    • Surgical procedures involve extensive risks and side effects, downtime, and hours under the knife. They also frequently leave patients with residual scarring, which can prevent the possibility of further surgeries in the future. A PDO thread lift NYC can be performed as many times as needed.
  • Minimal recovery time
    •  A surgical face lift requires 2 – 3 weeks of recovery time, with time off of work and normal activities. A PDO thread lift requires minimal downtime, allowing you to return to work the day after the procedure.

What are PDO thread treatment areas?

PDO threads are used on several areas of the face and body to either enhance collagen production or produce a mechanical lifting effect in the treated area.

The three types of PDO threads previously described are individually ideal for different areas:

  • Barbed threads
    • Neck: to reposition and tighten loose skin around the neck and decrease the appearance of turkey neck
    • Jowls and marionette lines: to lift and reposition lower facial skin
    • Jawline: neck and jaw PDO thread lifts are often combined for an overall more defined jawline
    • Naso jugal folds and cheeks: under the eyes and around the cheek area
    • Eyebrows: tails of the eyebrows can be lifted for a rejuvenated look
    • Nose: the nose can be lifted using PDO threads
    • Fox eyes: are created by lifting the tails of the eyebrows and the skin around the temples
  • Smooth and twisted threads
    • Can be used anywhere in the face to produce minimal volume and increased turgor and elasticity

Can PDO threads be used on the nose?

PDO threads can be used on the nose for a nonsurgical PDO thread rhinoplasty. Studies demonstrate that the best PDO nose lift results have been accomplished in combination with liquid rhinoplasty to further sculpt the bridge of the nose.

Is a PDO thread lift safe?

PDO thread lifts are cleared by the FDA for their safety and efficacy. Because they are biocompatible and biodegradable, they allow for safe reabsorption of the body and there are only rare reports of allergic reactions, sensitivities, or serious side effects with the treatment.

How long do results last after a PDO thread lift?

The longevity of PDO thread lift results depends on:

  • Anatomical area being treated
  • Severity of skin laxity
  • Types of threads used
  • Number of threads used

Smooth threads typically last up to one year, while barbed sutures used for a non surgical face lift, eyebrow lift, or neck lift, can last 12 to 24 months. Typically during the first 12 months of treatment, there are two rounds of PDO thread procedures, followed by yearly follow up appointments to maintain the results.

Is a PDO thread lift permanent?

PDO results are not permanent and typically last up to two years. The threads themselves dissolve within 3-4 months after the procedure, leaving traces of new collagen behind and maintaining the tightened look. Most people get follow-up treatments annually or bi-annually to preserve their results.

What do before and after PDO thread lift results look like?

PDO thread lifts are administered on patients with lax skin, namely, around the mid and lower face, jawline, and neck. After a PDO thread lift, the skin is lifted and secured without any sagging. Many patients are left with dramatic results that appear to have taken years off of their faces.

How much does a PDO thread lift cost?

The PDO thread lift cost in NYC depends on:

  • Doctor’s expertise, experience, and proficiency
  • Treatment area (size and severity)
  • Type of threads used (barbed, smooth, or twisted)
  • Length of the thread
  • Number of threads (some areas and cases require more threads than others)

The most common treatment area for a PDO thread lift using barbed threads is the mid and lower face, which can range $1000 to $3000 per treatment.

For other areas the price may vary. A PDO nose thread lift NYC for example, may be as low as $700.

Mono threads (or smooth threads) are lower in price, as their results are less significant and less involved than those of a barbed thread lift.

Does a PDO thread lift work?

PDO thread lifts are an effective minimally invasive alternative to a surgical face lift with clinically significant results. In a properly selected candidate they produce lifted and younger looking skin with long lasting, natural looking results without downtime and risks that come with surgery. Along with the mechanical lifting effects, the threads also produce collagen in their tracks once dissolved, leaving the skin with residual benefits.

What other procedures can be combined with PDO thread lift?

A PDO thread lift can be combined with a variety of minimally invasive treatments to ensure an optimal outcome. One of the primary concerns that a PDO thread lift does not address is volume loss, which can be treated with dermal fillers.

A PDO thread lift can be combined with:

Injectables:

  • Botox and other neurotoxins to eliminate fine lines and wrinkles in the face, as well as reduce discomfort in the forehead that may occur during a PDO eyebrow lift
  • Dermal fillers, such as Juvederm, Restylane, Radiesse, RHA and others can be used to replace volume in hollow areas of the face, such as the under eyes and cheeks, which cannot be addressed using PDO threads.
    • A variety of dermal fillers can be used as under eye fillers in the tear troughs to replace lost volume and create a fresher, fuller, more rejuvenated appearance.
  • Cheek fillers are commonly combined with PDO threads to add volume in the midface and cheeks, for an additional lift and more youthful looking outcome.

Medical grade skin tightening treatments: 

  • Fraxel laser
    • Targets superficial layers of the skin
    • Treats sunspots and sun damage
    • Treats pigmentation
    • Improves texture of the skin
    • Reduces fine lines and wrinkles
  • Secret RF – stimulates collagen production through added heat using radiofrequency technology
  • Ultherapy – utilizes high intensity ultrasound energy to cause micro-scarring of the SMAS and gradual skin lifting and tightening.

What are the Pros and Cons of a PDO thread lift?

  • Pros
    • Short treatment time
    • Instant results
    • Non-surgical
    • Stimulates collagen production
  • Cons
    • Does not address severe sagging
    • Results are not permanent
    • Annual follow-ups may be needed to maintain results

Things to consider before your PDO thread lift treatment

Before scheduling PDO thread appointment, these things need to be considered:

  • Postpone PDO thread lift if you are pregnant, nursing or immunocompromised;
  • Having allergies to foreign bodies, sensitivities to plastic biomaterials, or propensity to scar or keloid formation precludes patients as candidates for a PDO thread lift.
  • PDO threads are best to treat early signs of laxity;
  • PDO threads are temporary;
  • PDO threads replace surgical facelifts in qualified patients;
  • Results are not permanent and may last up to 24 months.
  • Always consult with a board certified plastic surgeon to confirm that you are a candidate for the treatment, before booking your appointment.

Is a PDO thread lift covered by insurance?

Because a PDO thread lift is considered a cosmetic procedure, it is not covered by insurance. Skinly Aesthetics accepts FSA and HSA cards, which may be used to pay for your treatment if covered by your provider.

Takeaway

A PDO thread lift is a cosmetic procedure that works for lifting and skin tightening and smooths out wrinkles and folds.

Because of its minimally invasive nature, many facelift candidates opt for the non surgical PDO thread lift. It is still important to keep the possibility of risks and side effects, as well as the necessary recovery time in mind.

If you want to schedule an appointment for a PDO thread lift, be sure to consult with a board certified plastic surgeon to confirm that you are a candidate for the treatment.

How can I get started with my PDO thread lift?

Because PDO thread lifts are fairly recent in the United States, they are only offered by a select number of physicians.

Dr. Schwarzburg is one of the few qualified board certified plastic surgeons in New York that offers thread lifts at his medical practice on the Upper East Side of Manhattan. If you live in New York and search for “PDO thread lift near me,” chances are that Skinly Aesthetics will be one of the first clinics to appear in your search. Many clinics only offer mono thread treatment, which will not result in any lifting effect to thread lift jowls or thread lift drooping cheeks.

If you are interested in scheduling an appointment for a PDO thread facelift, you can schedule your consultation with Dr. Schwarzburg, who offers the best PDO thread lift in NYC alongside numerous non-surgical and minimally invasive aesthetic procedures. To schedule your consultation with Dr. Schwarzburg, you can contact Skinly Aesthetics at info@skinlyaesthetics.com, or call us at (212) 774-4264.