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 innovative minimally invasive procedure utilizing dissolvable surgical barbed sutures to lift cheeks and jowls, and to contour the jawline with instant and long-lasting results. This non-surgical treatment lifts sagging facial skin and stimulates collagen production and comes with minimal risks and side effects allowing you to immediately return to your normal activities.
  • Safety: Clinical studies have shown PDO threads to be a safe and effective alternative to invasive surgical facelifts 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: The threaded facelift cost can range from $2000 – $4000 per treatment.
  • Efficacy: When performed by a skilled board-certified cosmetic physician, Polydioxanone 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

Why do I have sagging skin?

The process of facial aging is a multifactorial, 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. As the skin gets weaker with age, it is unable to support underlying tissues properly, allowing gravity to pull in downwards and stretch it.

Why is a PDO thread lift so popular?

Skin laxity is a natural part of the aging process. Even so, no one wants loose and sagging skin and none of us want to look old, which is why many people undergo various skin tightening and “face lifting” procedures to minimize it. Up until recently, surgical facelifts were the only option to truly lift droopy jowls. Unfortunately, traditional facelifts are invasive and come with an array of potential risks that most people want to avoid.

Fortunately, medical technology has allowed for a much safer, far less invasive method: PDO threads. PDO thread lift takes advantage of the biodegradable and biocompatible barbed sutures, and this non-surgical facelift serves multiple functions from rejuvenating aging skin to lifting lax skin. Many people start with minimally invasive PDO threads before laxity begins to manifest and progress, allowing them to forgo future surgeries and address existing signs of aging. PDO threads are ideal for the prevention or full correction of early sagging.

How do lifting threads work?

Polydioxanone (PDO) absorbable sutures are attached to hypodermic needles or cannulas and used tactically to create the effect of a facelift in a minimally invasive manner. The threads are first precisely inserted under the skin along the SMAS layer. Each thread is kept under mild tension as the overlying skin is gently pulled upwards until all the barbs engage the underlying tissues, allowing them to settle and hold the newly lifted skin in place.

There is typical skin puckering at the level of cannula insertion, secondary to lifting and repositioning of ptotic skin, which is naturally reabsorbed by the body, resulting in the smoothing of the area.

  • What is the 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. As the threads dissolve, they crease a selective inflammatory response to produce collagen for a longer-lasting result.
  • What does a PDO thread lift address?
    By repositioning and lifting ptotic cutaneous and subcutaneous tissues, a thread lift primarily addresses facial laxity and droopy skin. By elevating tissues into a suspended position, this lift also provides improved contouring in the neck thread lift and jawline.
  • Why is collagen production 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 areas of the face can a PDO thread lift treat?

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. They are most commonly used on parts of your face that are experiencing signs of aging, such as your drooping cheeks, jawline and jowls, nasojugal folds, neck, and eye thread lift. Threads are also used for eyebrow lifts, nose lifts, cat eye thread lift, and fox eye thread lifts in some cases. People also get PDO thread lift eyes and thread brow lifts for a younger-looking appearance.

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 threads that don’t require or qualify them for a surgical facelift.

You are a good candidate for a PDO thread lift if you are overall healthy with minimal to mild loose skin in the face and neck and want prevention and full correction of early ptosis.

Some of the PDO thread lift procedure contraindications include personal insensitivity to polydioxanone, the propensity to keloid formation, bleeding disorders, immunocompromised state, and excessive sagging 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?

You will be advised to 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. You may also take arnica supplements beforehand to help avoid bruising after the procedure. Please let your doctor know if you are in the first 5 days of your menstrual cycle, as you will be more prone to excessive bleeding.

What is the procedure like?

  • What can I expect before the treatment?
    Before the session, you will consult with Dr. Schwarzburg to confirm that you are a candidate, by discussing your medical goals and going over your medical history, and your treatment will be customized to your unique skin laxity, skin texture, and desired result.
  • What can I expect during treatment?
    During your PDO thread treatment, you will be seated in a reclined position. The treatment area is sanitized using alcohol and injected with a local anesthetic to minimize discomfort, and a small incision is made with a needle, in which a cannula (blunt hollow needle) equipped with the thread is inserted. The thread is then anchored into place and pulled upward and the cannula pulled out. The thread is then secured and “pressed” into the tissue manually, and the excess cut off. 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. The entire session will take 45 – 60 minutes.

What are PDO threads' risks and side effects?

There is a much lower overall procedural risk associated with a minimally invasive lift when compared to traditional facelift surgery. There are some potential risks, side effects, and complications to take into consideration before moving forward with the treatment.

  • Mild side effects include dimpling (orange peel-like texture), a collection of small skin folds (puckering), swelling and inflammation, and bruising lasting up to 1 week. Some of these side effects may last several weeks, albeit always temporary.
  • Mild to severe complications occur in 15 – 20 percent of patients and are typically easily corrected. In these cases, patients may notice visible sutures below the cutaneous layer, tearing threads, infection, or damage to surrounding neurovascular structures. In some cases, the threads may puncture through the dermis, though it can simply be clipped by your provider to resume the healing process. Disengagement of threads can occur, however, will not harm you in any way.

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 – You will be advised not to engage in strenuous exercise for 1 – 2 weeks, and avoid any dramatic facial expressions for 4 – 6 weeks post-procedure. You should also not lay on the side of your face, and instead, prop your head between two pillows at night to prevent the threads from.

What is the aftercare for a PDO thread lift?

The aftercare for this minimally invasive facial rejuvenation depends on your individual procedural complications. Your provider will instruct you not to rub your face, make dramatic facial expressions, exercise, or lie on the side of your face to avoid accidentally dislodging the thread during the first few weeks. You should also apply betadine 2 – 3 times a day for the first few days and take antibiotics for 5 days to minimize the risk of infection. You will also be advised to ice the area for the first 24 hours to reduce swelling.

How much does a PDO thread lift cost?

The PDO thread lift cost depends on a variety of factors with the most critical being the doctor’s expertise, experience, and proficiency. Other things include the size and the degree of sagging of the area to be treated plus the number of threads used. In addition, the length and type of thread (barbed, smooth, or twisted) will play a significant role in the cost of your PDO lift.

The most common treatment area using barbed threads is the mid and lower face, which can range $1000 to $5000 per treatment. For other areas, the PDO thread lift price may vary. A PDO nose thread lift, 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.

What are the types of facial threads?

Facial threads have been used in surgeries since the 1980s and are made from a colorless polyester that dissolves in your body within 6 months. There are three types of PDO threads, including smooth threads, barbed threads, and twisted threads.

  • PDO cog threads, also known as “heart barbs”, tornado”, or “double screw” are barbed threads made of the same material as smooth threads, and latch on to facial skin tissue like tiny fish hooks, providing support and lifting lax skin in the thread lift jowls, jawline, neck, and upper face.
  • PDO mono threads, also called smooth threads, are floating non-barbed threads and are typically inserted under the dermal layers in a mesh-type pattern to rejuvenate the skin. By stimulating collagen production, the inflammation caused by the intertwined threads results in firmer, plumper, more rejuvenated skin in the face and neck.
  • PDO screw threads, or twisted threads, are made up of 1 – 2 intertwined threads and are used to restore volume to hollow areas in the face such as the nasolabial folds (or smile lines), under-eye thread lift, and cheeks.

What are the benefits of PDO thread lift?

One of the major indicators of health and youth is the classic “V-shape”, or “heart-shaped” face. The aging process tends to invert the “V-shape” leading to skin ptosis. The collagen thread lift is used to lift the tissues, reposition the skin, and to support lax tissues, allowing the original structure of the face to resurface and to recreate the attractive “V-shape”. This is why PDO thread lift before and after photos are so stunning and the PDO threads create a beautifully contoured jawline.

There are very few minimally-invasive procedures that have instant results. PDO thread lift instantly lifts and tightens the skin. In addition to an instant lift, these threads stimulate collagen production and neovascularization to renew your skin at a cellular level.

The procedure is purely non-surgical. Patients often opt for the PDO thread lift procedure because it is a non-surgical facelift with fewer risks and no risk of scarring. Residual scarring common after a traditional facelift can prevent the possibility of additional surgeries in the future. A PDO thread lift on the other hand can be performed as many times as needed.

Minimal recovery time after PDO thread lift means you can return to work shortly after the procedure. A major downside of plastic surgery is that it often comes with 2 – 4 weeks of minimal downtime. With a Polidioxanone thread lift, you will be able to take care of yourself and even drive yourself home immediately after.

What other aesthetic procedures can be combined with PDO thread lift?

PDO thread lifts are not always as drastic as surgical facelifts, which is why they are commonly used in conjunction with other anti-aging procedures to ensure an optimal outcome.

  • Injectables
    Botox and other neurotoxins are used 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 can replace lost volume in hollow areas of the face, including the under eyes and lift cheeks, which cannot be addressed using PDO threads. A variety of dermal fillers can be used as under eye fillers in the tear troughs, but the most common one is RHA filler. Cheek fillers are also commonly combined with collagen 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 – causes controlled damage to superficial layers of the skin to treat sun damage, pigmentation, improve texture, and reduce fine lines and wrinkles. Intense microneedling treatments such as Secret RF stimulate collagen production through added heat using radiofrequency technology. There are also treatments that utilize high-intensity ultrasound, like Ultherapy, to cause micro-scarring of the SMAS and gradual skin lifting and tightening.

How many PDO thread treatments will I need?

Most patients are satisfied after just one PDO treatment. However, 6 – 9 months after your session, you should come in for a follow-up to confirm whether you need another treatment. In most cases, patients get 2 sessions in their first year, followed by annual or biannual maintenance treatments.

Does PDO thread lift procedure hurt?

A sufficient amount of local anesthetic is injected minutes prior to the process, allowing you to sit through your thread facelift pain-free. You may experience a tugging sensation during your treatment, and pain and soreness after the anesthetic have worn off. This can last up to a week, can come in short bursts, and is alleviated with NSAIDs.

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

PDO threads have instant skin lifting effects 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 the longevity of the results. If you are wondering when you will see the final results, they will be settled within 1 – 2 months, though this depends on your age and how quickly your body can produce new collagen and repair itself.

What do thread lift before and after results look like?

PDO thread lifts are administered on patients with lax skin, namely, around the mid and lower face, jawline, and neck. After the threads are placed, the skin will be lifted and secured without any sagging. Many patients are left with dramatic results that appear to have taken years off of their faces. Facial threading before and after the treatment has both immediate and long-term effects.

  • 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 the production of large amounts of type I and type III collagen. As the threads dissolve over time, the mini-tracts created during thread placement become fibrotic, acting as scaffolding that continues to keep the skin in place. Collagenosis (the increase in collagen production) leads to the overall improvement in skin quality, turgor, and elasticity long term.

How long do results last after a thread facelift?

Collagen thread lifts cause immediate improvements in lax skin, though there is typically a noticeable decline within 9 – 12 months post-insertion.

The longevity of collagen thread lift results depends on the anatomical area being treated, the severity of skin laxity, the types of threads used, and the number of threads used. Smooth sutures last up to one year, while barbed sutures used for a nonsurgical facelift, eyebrow thread 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 PDO thread lift permanent?

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

Is PDO thread lift covered by insurance?

Because a collagen 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.

Does PDO thread lift work?

PDO thread lifts are an effective minimally invasive alternative to a surgical facelift 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.

Can PDO threads be used on the nose?

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

PDO threads vs. surgery

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

Most patients find that the biggest advantage of a non-surgical lift is the reduced recovery time, in place of the weeks of recovery time needed for surgery.

Are all PDO threads the same?

Each type of thread serves its own unique purpose. Depending on your overall goals, Dr. Schwarzburg may use any of the above-mentioned threads.

Are PDO threads the same as PLLA and PCL threads?

No, PDO threads are very different in that they dissolve after 6 – 9 months and vary in strength, stiffness, and durability. You may be wondering if it is better to be treated with more durable threads? Well, not always; PPLA and PCL threads are more durable, but also a lot stiffer than PDO threads, meaning that inflammation and other side effects may be intensified.

What’s the difference between a PDO thread lift and a Silhouette soft thread lift?

Both threads lift the skin, however, Polydioxanone PDO threads are more effective in lifting due to the technicalities behind the treatment, while Silhouette soft threads produce more of a volumizing effect through the compression of tissue.

Does it really matter what kind of PDO thread is used?

It definitely matters what kind of thread is used for your lifting procedure. Aside from the various differences in shape and texture, threads come in several lengths and thicknesses, all of which affect their strength, efficacy, and quality.

Is a PDO thread lift safe?

Polydioxanone threads 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.

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
    • Does not replace surgical facelift
    • 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, you should keep in mind that Polydioxanone threads are best to treat early signs of laxity and that it is important to keep realistic expectations for this procedure. PDO threads are temporary and do not replace surgical facelifts in patients who have severe loose skin. You should always consult with a board-certified plastic surgeon to confirm that you are a candidate for the treatment, before booking your appointment.

Takeaway

A PDO thread facelift is a cosmetic procedure that works to restore youthful V-shape contour of your face and reverse skin ptosis by lifting and tightening sagging jowls and jawline.

Because of its minimally invasive nature, many patients opt for this nonsurgical option. 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, 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 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 cosmetic 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 by emailing info@skinlyaesthetics.com, or calling us (212) 774-4264.