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

Are you tired of being reminded of becoming older due to the saggy skin that just seems to become heavier around your jawline and jowls every time you look in the mirror? You’re not alone – and you’re not the only one who doesn’t want to go under the knife to get rid of it! Cosmetic medicine has a less invasive option to lift your droopy facial and neck skin; the PDO thread lift, a minimally invasive alternative to a surgical facelift.

Contents

FAST FACTS

About: A PDO (polydioxanone) thread lift is a non-surgical skin lifting treatment that uses dissolvable barbed sutures to lift lax dermal layers, contouring the face and neck without the need for surgical intervention. As the threads dissolve over the course of several months, traces of collagen are left behind for not only instant but long-lasting results.

Safety: PDO threads have been clinically tested and confirmed safe and effective for subcutaneous administration to lift loose facial tissue in place of a surgical facelift. The minimally invasive nature of this treatment results in minimal downtime and complications. PDO threads are non-allergenic and biodegradable, meaning that your body absorbs and metabolizes them over time and you are extremely unlikely to have an allergic reaction to them.

Cost: A non-surgical PDO thread lift can range from $2000 – $5000 per treatment.

Efficacy: PDO thread lift is an effective minimally alternative to invasive surgical facelift when carried out and placed by a skilled and experienced board-certified cosmetic physician like Dr. Schwarzburg. The procedure is convenient with minimal downtime and immediate results with few risks and side effects.

Looking youthful, radiant, healthy, and refreshed is always in style regardless of other fluctuations and trends in societal beauty standards. One major indicator and a classic sign of losing this youthful appearance is skin laxity, particularly in the mid and lower face and neck. 

If you are noticing a difference in the firmness and plumpness of the skin in your face, around the corners of your mouth, your jowls, and jawline you may be subject to that inevitable consequence of aging: skin ptosis. Or you may have lost some weight over the past few months – which is great, but may have left you with sagging skin that wasn’t there before. Loose skin can be the result of a variety of factors, some of them are intrinsic such as the gradual weakening of facial ligaments secondary to depletion of collagen reserves; and some of them are extrinsic such as the unrelenting force of gravity that over time pulls down even the most resilient facial tissues. The bottom line is that while these processes naturally occur in almost everyone, the  previously most commonly accepted way to reverse the inevitable signs of aging involved an invasive surgical facelift, which, let’s be honest, isn’t always appealing or worth it given the advances of modern cosmetic medicine. Given the fast pace of New York City’s life where every minute is priceless and nobody can afford to take time off, it only makes sense to opt for a minimally invasive preventative non-surgical facelift. 

Fortunately, minimally invasive cosmetic medicine has made advancements over the past few years, allowing for a non-surgical alternative to get back that classic Audrey Hepburn V-shaped face, and that newly created addition to the arsenal of plastic surgery is PDO threads. A thread lift is a non-surgical procedure that involves considerably less stress and toll on the body compared to a classic surgical facelift. Non-surgical facelift with implantable PDO sutures involves no skin incisions or stitches and minimal possibility of scarring, all the while leaving you with a tighter, lifted face and ridding you of the loose skin that has manifested itself along your jawline. More often than not, full-blown surgical lifts have wax like, overstretched and look-alike effects secondary to the way the skin gets cut and devascularized during the surgery.

Surgical facelifts can be intimidating with a long list of associated risks, botched outcomes, and lengthy downtime. A collagen thread lift is non-surgical, quick, and effective, and stimulates collagen production and neovascularization renewing your skin at a cellular level alongside the actual instant lifting effect. 
Dr. Schwarzburg confirms that PDO threads are especially popular amongst younger patients at his NYC-based cosmetic dermatology practice. This younger patient demographic has a different mentality and takes full charge of their aging journey and is eager to reverse visible signs of skin aging at an early stage without waiting for decades to go under the knife. Many of them are also following the trends and try to resemble their celebrity role models, for instance, with that “fox eye” look that has grown into a trend amongst social media influencers like Bella Hadid and Hailey Bieber. This treatment is ideal for anyone looking for a mild to a moderate facelift for an overall fresh-faced and snatched look, whether to eliminate already existing sagging skin or to preclude mild skin laxity from progressing into moderate or severe loose skin.

PDO ThreadLift

PDO THREAD LIFT PROS AND CONS 

Overall, collagen-inducing PDO threads have many benefits being that they are conveniently quick compared to a surgical facelift and take only 45 – 90 minutes to complete. The results are immediate and long-lasting, with a very low rate of complications and minimal downtime, and outcomes that remain evident for up to 2 – 4 years. In addition, the collagen production that results from a thread lift helps improve the quality of your skin.

Just like any other invasive medical procedure, there are some downsides to PDO lifting to be aware of. PDO threads can not be used interchangeably with a surgical facelift and will not have a measurable effect on severely sagging and ptotic skin. While results do last a long time, they are not permanent and may require annual maintenance visits at your favorite NYC plastic surgery clinic in order for you to remain youthful with few signs of aging.

WHAT IS A V-SHAPED FACE?

A V-shape face is a classical face shape that resembles that of a heart and is often associated with a healthy and youthful doll-like look. As we become older and the effects of aging alongside the downward pull of gravity manifest themselves along our jawlines, this V-shape begins to diminish leaving us with droopiness rather than a perky and chiseled jawline. A non-surgical PDO thread facelift procedure is designed to regenerate this V-shape by lifting up the skin that has draped and covered up the natural form and contour of our lower face. While surgical procedures are effective in doing so, PDO thread insertion is quicker, minimally invasive, and involves less downtime, allowing you to leave your appointment with a heart-shaped face and snatched jawline to show off right away!

HOW DO PDO THREADS COMPARE TO SURGERY?

Surgical facelifts have a long and proven track of being effective and have been performed numerous times over the past several decades; they were considered the gold standard approach to facial skin lifting until the advent of minimally invasive and non-surgical alternatives such as PDO thread lifting. Nevertheless, surgery can be scary and dangerous with the possibility of irreversible damage even in the hands of most accomplished surgeons and currently should be avoided if possible. With polydioxanone dissolvable threads you can skip the incisions, stitches, post-operative vascular and nerve damage known to occur with plastic surgery, while still pulling and tightening loose skin.

A surgical facelift, also known as rhytidectomy, typically involves an incision made along the hairline or under the chin for droopy skin to be pulled up, trimmed off, and sutured along the original incision. The recovery time of a rhytidectomy can last up to 3 weeks and can result in unwanted sequelae including infection, scarring, and loss of sensation if not handled with care.

PDO thread lift requires no surgery or incisions and typically only necessitates 2 – 4 insertion points for the barbed threads to be inserted via cannula. The threads are then carefully secured in place as the skin is pushed upward with sharp barbs designed to keep the lifted skin in place. Over the following 2 – 3 months as the polydioxanone threads dissolve, they leave columns of collagen behind, giving you long-term tightness and a lasting lift. Downtime is nominal compared to a surgical facelift and has nearly zero restrictions in terms of social interactions and getting back to normal daily activities. Patients with a high load of social and work-related responsibilities in New York find it very hard to put aside time for surgical recovery. Most patients who live in NYC recover within several days to 2 weeks following their PDO thread treatment without having to stay at home or limit their personal or professional life.

HOW DO PDO THREADS WORK?

By manually elevating and mechanically suspending ptotic cutaneous and subcutaneous tissues, a thread lift addresses facial laxity and droopy neck skin. This non-surgical facelift is administered via a hypodermic needle or cannula, which is loaded with a barbed absorbable polydioxanone thread. The thread-loaded cannula is inserted and attached to the undersurface of the skin along the superficial muscular aponeurosis SMAS layer allowing Dr. Schwarzburg to gently push your skin upward. At this time, the barbs engage into underlying tissue, keeping the threads, and thus, your now lifted skin, in place. The number of threads needed is different for everyone and is based on the level of skin laxity, your individual facial anatomy, and your desired outcome and aesthetic goals.

WHAT HAPPENS TO ALL THAT REDUNDANT SKIN AFTER A THREAD LIFT?

Your skin is an extremely complex organ designed to evenly and smoothly cover and protect your body. As such, it has special qualities that allow it to repair itself, for example, if you have a cut or any type of irregularity it uses internal contraction mechanisms triggered by collagen and elastin proteins to heal the open wounds. The best way to think of this is when you have a cut and observe its healing process. First, you will have a scab, which will slowly become tighter and tighter until the cut itself is healed, leaving you either with nothing or a scar depending on the depth of the cut. Even a scar might disappear over the course of several weeks, months, or years.

With PDO thread lifts, excess and redundant skin is not trimmed off as it would be in a surgical facelift; instead, it is bunched up and puckered at the proximal end of the thread. Over time, the sophisticated internal signaling mechanisms cause this puckered tissue to gradually contract and shrink, diminishing over the course of 2 – 6 weeks. This process is quicker in younger patients who have more collagen reserves to begin with, which is why PDO threads are so commonly used and particularly effective on patients with mild to moderate skin laxity rather than severe drooping.

WHAT IS A PDO THREAD MADE OF?

Polydioxanone is a biocompatible, biodegradable synthetic biopolymer and is what makes up a PDO suture. There are several shapes, sizes, and forms that these threads come in, including smooth, barbed, molded and twisted, that are suitable for different treatment areas and aesthetic goals.

Smooth PDO threads are very small diameter threads that by themselves do not lift sagging skin. Contrary to their barbed counterparts they are inserted superficially into the deep dermis. Their main goal is to stimulate collagen generation to make the skin quality better, e.g. texture, acne scarring, skin dryness, etc.

Barbed PDO threads on the other hand are large diameter threads anywhere from 19G to 18G and have special sharp hooks, also called barbs attached bidirectionally along their length. Barbed PDO threads can not be placed into superficial dermal layers as they can cause excessive collagen production leading to visible scarring. They must be carefully placed along the SMAS layer, just above the muscle and below the subcutaneous layer. Barbed PDO sutures are created to withstand high loads of tension and can effectively reposition droopy skin in any direction. Barbed variety takes a long time to hydrolyze and their effects are longer compared to smooth PDO threads.

Polydioxanone is hydrolyzed by the body over time, stimulating collagen production as a result of the inflammatory response posed onto the body as the threads dissolve.

PDO thread lifting in New York

THE IMPORTANCE OF COLLAGEN FOR A PDO THREAD LIFT

Collagen is the most important protein that can be viewed as a building block for your skin. Without collagen, your skin essentially loses its structure, leaving you with weak, thin, flaccid skin. Unfortunately, our bodies produce significantly less collagen as we become older, which is why the primary visible signs of aging are manifested in the skin in the form of wrinkles, lines, and sagging. Dermal fillers and Botox can be useful to disguise some of these unattractive consequences of aging, though they can not get rid of skin flaccidity.

PDO threads not only manually lift the skin, but leave massive amounts of collagen behind, giving you back some of the structural integrity that has been lost in your dermal layers over time, and keeping the treated area plump and firm.

PDO THREAD FACIAL TREATMENT AREAS

Polydioxanone threads can be used on several regions of the face and body to reposition loose tissue and stimulate collagen production for an overall tightening effect. 

Both face and neck are the primary areas treated with threads to mechanically elevate lax and loose along the jawline, jowls, nasolabial folds, and cheeks. Threading also works great to suspend the superior aspect of the face for an eyebrow lift or minimally invasive eyelid lift to correct or prevent early ptosis. As the neck goes hand in hand with the jawline, non-surgical PDO threads are also commonly used to fix turkey neck or smooth aging skin and horizontal lines along the neck.

LIFTING YOUR JOWLS WITH PDO THREADS IN NYC

Jowls are those unsightly drapes of skin that sag past your jawline and trace to the corners of your mouth. Unfortunately for most, jowls are the inevitable result of collagen and volume loss combined with the force of gravity on facial tissue and cannot be avoided or reversed without medical intervention. Surgical facelifts are always a possibility, but leave us with potential scarring, the risk of infection, and weeks of downtime along with the general discomfort and unpleasantness that comes with surgery. 

PDO threads are a non-surgical alternative to lifting these jawline drapes, giving you back your prior face shape, with minimal downtime or side effects. A PDO thread lift to lift your jowls only takes 1 hour on average and gives you the immediate effect of a sculpted and “snatched” jawline that will last you up to 1 – 4 years with appropriate maintenance visits. As polydioxanone gradually dissolves over the course of 6 months following your procedure, it leaves behind rich traces of collagen, tightening your skin along the lines of the threads and keeping your face elevated and your jowls in the past.

PDO NECK LIFT 

Neck is a complex part of the body and plays a crucial role in the aesthetics of the head-neck region. A mature neck bears many signs of the aging process and it takes a deep understanding of the underlying anatomy and functional forces to revitalize the neck with PDO threads. Dr. Schwarzburg notes that neck rejuvenation is a multifactorial process frequently requiring different approaches along the way to achieve excellent cosmetic outcomes. Many think about neck aging simply in terms of skin laxity, such as turkey neck or “wattle” neck. However, there are multiple contributing factors and all must be taken into account during the planning phase to successfully rejuvenate the neck. 

As we age the fat compartments at the mandible-chin interface undergo certain degenerative changes resulting in abnormal fat distribution and effacement of the sharp mandibular border – a critical feature of youthfulness and beauty. The fat usually migrates inferiorly into submandibular and submental spaces, which is visually demonstrated by a double chin and full lateral neck without any apparent transition at the angle of the mandible. Reduction of the cervicomental angle also accompanies this abnormal adipose tissue positioning. Solving this excess fat problem involves undergoing surgical neck liposuction or non-surgical treatments like CoolSculpting or Kybella

Platysmal muscle hypertrophy is another nuisance that contributes to skin deterioration in the neck. The classically observed visual manifestation includes platysmal banding with a bow-string effect that pulls away from the neck musculature. Platysmal overactivity can be counted with targeted Botox neck injections at an early stage or with surgical plication when the bands can’t be simply reduced with a neurotoxin.

Both dysfunctional fat accumulation and platysmal bands lead to stretching out of the skin, which eventually over decades of unopposed action loses its ability to retract and snap back into its healthy, tight former self. As collagen production diminishes with age and stretching forces amplify, the skin around the neck assumes its new shape, form and function often described as saggy, ptotic or turkey neck. Without any medical intervention, this process is irreversible and unstoppable leading to further worsening of neck aesthetics. Strategically placed PDO neck threads can completely or significantly reverse mild to moderate neck laxity by draping the skin tightly around the neck. PDO neck threads work by both mechanically contracting the skin and by inducing intense collagen production. The results of the PDO neck lift are immediate and long-lasting with minimal downtime and side-effects.         

PDO EYEBROW LIFT 

A look that is trending heavily on social media and in millennial and GenZ celebrities and models is that foxy lifted eyebrow. Some examples of this look are Bella Hadid, Kendall Jenner, and Hailey Bieber, who have even triggered a wave of new trends to achieve this lifted look using stickers and special hair bands to pull the facial skin back. In select NYC plastic surgery clinics, PDO threads can be inserted vertically along the forehead to gently pull up the eyebrows for a semi-permanent brow lift and in some cases, a mini-blepharoplasty. The beauty of using PDO threads to elevate the eyebrows is that they can be adjusted to various degrees. While some patients want something a little more dramatic, others want a subtle lift to stay far away from the feared “spock eyebrow”. The brows can be pulled in various directions at different levels of intensity allowing for versatility in terms of cosmetic outcomes.

CAN I LIFT THE TIP OF MY NOSE WITH PDO THREADS?

Non-surgical rhinoplasties are possible using barbed threads. However, changing the shape and overall appearance of your nose is complex, meaning that a thread lift alone is rarely enough to achieve optimal results. In addition, because there is limited tissue for the barbs to stay in place, PDO nose lifts only last a few weeks before they begin to loosen, leaving you back at square one.

Dr. Schwarzburg typically recommends a liquid rhinoplasty for patients looking to restructure the bridge of the nose without having to undergo surgical intervention.

AM I A CANDIDATE FOR A PDO THREAD LIFT?

It is totally understandable to be overwhelmed with growing signs of the inevitable aging process and sometimes to be lost among all the different modalities that are currently available to reverse the most classic manifestations of facial aging. If you are noticing an increase in droopiness in your face and neck, then collagen threads may be just right for you. Whether it be the result of aging or significant weight loss, saggy and flaccid skin is never something that we like to welcome with open arms. Instead, it leaves us feeling old and insecure. You may even be in your early twenties, struggling with the idea that your face simply does not look the same way it did just three years ago – you’re not alone and no, you don’t need plastic surgery to get back to that younger you. 

A thread lift is ideal for anyone looking to rev up collagen growth and firm up their skin, whether the laxity is minor or moderate. Because this procedure is non-surgical and minimally invasive, you won’t be left with scars or the downtime that comes with invasive plastic surgery. 

Do keep in mind that there are some contraindications including sensitivity to polydioxanone, the tendency to form keloids, bleeding disorders, and immunocompromising disorders. PDO threads are not ideal for excessive skin sagging that necessitates surgical intervention.

The best way to find out if a thread lift is right for you is to consult with Dr. Schwarzburg at his private cosmetic surgery practice in New York who will painstakingly examine your facial anatomy and compose a custom treatment plan that meets your individual needs.

ARE PDO THREADS SAFE?

After several successful clinical trials, polydioxanone thread lifts have been cleared by the FDA in New York as a safe and effective means to treat skin laxity in the face and neck. As biocompatible, biodegradable synthetic polymers, PDO threads are reabsorbed by the body and rarely trigger allergic reactions in humans or animals. Their high safety profile and minimally invasive nature pose low risks, side effects, or complications, with associated minimal post-procedural downtime.

WHY DOES OUR SKIN SAG?

Facial aging is a multifaceted process involving the reduction of collagen and elastin production and facial fat and volume loss. The combination of these two major factors results in loose skin and overall limits dermal durability and structure. As we become older and our skin weakens, the tensile strength of the dermis and facial retaining ligaments diminishes and pulls down all the underlying tissues due to gravity and repeated facial expressions adding additional stretchiness where we don’t want it. 

The ultimate responsibility for the slow downward migration of skin belongs to the weakening of the multiple retaining facial ligaments including orbicularis retaining ligament, zygomatic cutaneous ligaments and masseteric cutaneous ligaments. Once their integrity has been weakened they can no longer support the overlying cutaneous tissues resulting in unwanted skin sagging. 

THREAD LIFT PREPARATION

Fortunately, you won’t have to worry about too many pre-procedural preparations other than discontinuing the use of blood thinning medications like aspirin and ibuprofen one week before your appointment. Blood thinners such as aspirin or warfarin can cause excess bruising, which may increase your social downtime. 

In terms of social downtime, one thing you should consider is the timing of your PDO thread lift, as you may appear what could be considered “unpresentable” for 1 – 2 weeks following your treatment. You can expect bruising, swelling, and skin puckering or dimpling, which will subside within 1 – 3 weeks and may not be particularly evident to begin with; nevertheless, everyone heals differently, which is why Dr. Schwarzburg recommends his New York City patients factor in 2 weeks of potential social downtime, especially if you plan on going to a special event following your visit, like a wedding or birthday party.

PDO THREAD LIFT PROCEDURAL PROCESS AT SKINLY AESTHETICS IN NEW YORK

Consultation:

Prior to your treatment session, you will have a one-on-one consultation with Dr. Schwarzburg at his NYC based medspa during which you can discuss any questions or concerns you might have. At this time you will also have the opportunity to vocalize exactly what is bothering you and what you want to look like in terms of your overall aesthetic goals. Taking this into consideration, Dr. Schwarzburg will optimize a unique course of action that will meet your individual needs after performing a thorough analysis of your facial anatomy, structure, and level of skin laxity. 

Treatment process:

You will be seated in a reclined or supine position during which the area of concern will be sanitized, followed by a local lidocaine and epinephrine infusion to minimize discomfort. This is usually the most unpleasant part, as you may feel a stinging sensation followed by complete numbness making the rest of the procedure pain-free. A small puncture hole will be made with a hollow 18G needle in which a cannula loaded with a barbed PDO thread will be inserted. The thread is then anchored into place and the cannula pulled out as Dr. Schwarzburg carefully applies pressure and manually pushes the skin in an upward motion with the barbs keeping the elevated dermal layers in their new place. Whatever is left of the thread is cut off and secured into the original insertion point. The former steps are repeated with as many threads and as many times as needed to achieve your optimal outcome. 

At his NYC practice, Dr. Schwarzburg routinely uses 10-18 threads to tighten and lift facial and neck tissues for best looking PDO thread results. Once complete (within 45 – 100 minutes), you will be sanitized, and provided with an ice pack, ibuprofen, and post-care instructions. You will then be scheduled for a follow-up appointment 1 – 2 weeks later to ensure that the threads have settled nicely with satisfactory results.

ARE PDO THREAD LIFTS PAINFUL?

The vast majority of Dr. Schwarzburg’s patients find the local lidocaine injection to be the most unpleasant part of the entire thread lift. You will feel a stinging sensation which is followed by immediate numbness for an overall painless experience for the remainder of the procedure. You may feel some tugging and tight pressure as the threads and facial tissue is pushed upward, though this is not painful. Once the anesthetic has worn off you can expect to feel tight, and tender with short bursts of pain for up to a week, which can be mitigated with NSAIDs.

PDO THREAD LIFT POST-PROCEDURAL DOWNTIME AND AFTERCARE

Downtime after a PDO thread lift is little to none, though many of his NYC patients schedule their session 1 – 2 weeks prior to an important event or meeting due to potential bruising and puckering or dimpling in the skin that fades within 7 – 14 days following your appointment. 

Medical downtime involves restricting intense physical activity for 1 – 2 weeks, and dramatic facial expressions for 1 -2 weeks post-treatment. 

It is also helpful to sleep in a supine position to prevent the threads from shifting or dislodging and to minimize discomfort as the treated area will be tender.

Betadine should be applied to the insertion points 2 – 3 times daily for the first 3 days following your appointment, and Dr. Schwarzburg will prescribe you antibiotics to counter the risk of infection if needed. He will also provide you with ice packs that should be applied during the first 24 hours to help reduce swelling and erythema.

WHEN WILL I SEE MY THREAD LIFT RESULTS?

Unlike surgical facelifts that take weeks to fully heal, your thread lift results are immediately visible and appreciated. Depending on the severity of baseline skin ptosis you can expect 1 – 2 weeks of minor to moderate skin dimpling and puckering which will veil your final results until you are fully healed. The amount of time that it takes to heal largely depends on your individual healing response and how quickly your body can produce new collagen to repair itself.

PDO THREAD BEFORE AND AFTER RESULTS

You may have decided to go through with a thread lift for any number of reasons. Maybe you went through a weight loss transformation but were left with hanging skin as the one negative by-product of your successful fat loss. It’s possible that you’ve always felt insecure about your skin and always lacked that firmness that your peers had at your age, or that you are simply experiencing the poor end result of growing older and are now left with sagginess that you just can’t bear to look at anymore. Your droopy and heavy eyebrows before the PDO treatment will be transformed into a beautiful and lifted arch that will be visible immediately after the procedure with long-lasting results.

After your NYC thread lift this lax skin will be lifted and secured, giving you that elevated, structured, and contoured look that you’ve been longing for.

Immediately after the threads are inserted, your skin will be suspended into a fixed position. Long-term, as the threads dissolve and significant amounts of type I and type III collagen have been produced, these proteins act as scaffolding that maintains the initial lift and turgor. Lifted and tightened skin if the final result of your PDO thread lift.

LONGEVITY OF PDO THREAD LIFT RESULTS – IS IT PERMANENT?

A thread lift can be viewed as a semi-permanent facelift if you take the necessary steps to maintain your results. You will reap the benefits of your collagen threads immediately after your treatment, which will last 9 – 12 months before the results begin to fade. How long your lift lasts depends on your individual anatomy, the area treated, the type and number of threads inserted, and how severe the laxity of that area was originally

Age also plays a huge role here as results tend to diminish sooner in more mature patients who are already suffering from collagen loss. The type of thread also factors into the longevity of your results as barbed sutures can last up to 12 months, while smooth threads aren’t ideal for a lift and are typically used for the sole purpose of collagen stimulation. The number of threads used is also important, as logically, fewer sutures will not give you the dramatic outcome that can be accomplished with multiple threads placed in the targeted area. 

Dr. Schwarzburg, a cosmetic surgeon located in NYC, recommends a full second PDO thread lift session 6 months after the first round to solidify the original outcome and produce further lifting and tightening. After your second session, you can come back for annual or biannual treatments to maintain your youthful and structured face.

HOW MANY SESSIONS ARE NECESSARY?

One PDO treatment leaves most patients satisfied, though Dr. Schwarzburg recommends a follow-up or maintenance treatment 6 months after your first round. However, it must be noted that depending on your baseline presentation and the degree of skin laxity you may require biannual sessions to fully keep and preserve the results for the first 1-2 years. Your upkeep sessions can then be administered every 1 – 2 years or as needed to keep your skin from becoming loose again. 

RISKS AND SIDE EFFECTS ASSOCIATED WITH PDO THREADS

The risks posed by a minimally invasive lift are minor compared to those of a surgical facelift. Some possible common side effects immediately after the procedure include swelling, ecchymosis, and puckering of the skin. Skin puckering and dimpling can develop because instead of excess skin being trimmed off during surgery, it is lifted and essentially bunched up at the superior aspect of the trace of the thread. This subsides over the course of 1 – 2 weeks and is completely normal and actually necessary for adequate results. While small skin folds and dimpling can occur, all associated side effects of a thread lift are temporary leaving you with the contoured face you’ve been waiting for.

More severe complications may occur, though they are rare and easily repaired. For example, some patients may notice the sutures visibly below the skin or accidentally tear or disengage a thread – while this can happen from time to time, it will not result in any permanent damage and can be easily addressed if necessary. It is also possible that the tip of the thread punctures through the dermis, in which case it is simply clipped by Dr. Schwarzburg and the healing process can continue. Infection is extremely rare and can be remedied with topical and oral antibiotics.

It is extremely important to get your threads administered by a very well-trained, experienced, and skilled board certified doctor in NYC. Improperly placed PDO threads can result in permanent damage of vascular, glandular, ductal, or muscular structures. A PDO thread lift is a complex procedure that, if carried out by an inexperienced or unqualified provider, can even cause long-term damage to facial nerves, in some cases resulting in partial facial paralysis. 

With this in mind, it is salient to do extensive research on the clinic and the person who is going to be placing your threads to confirm that you are in the right hands. There are very few providers in the United States and in New York that are actually capable of executing successful PDO thread lifts. Dr. Schwarzburg being one of them is one of the few select doctors in New York capable of effectively and safely performing various thread-lifting techniques.

WHEN SHOULD I START GETTING PDO THREADS AND WILL THEY PREVENT AGING?

The relationship between medicine and our society evolved to a point, where it is now a standard of practice to get immunized, maintain a certain lifestyle and take certain preventative drugs to prevent disease. Dr. Schwarzburg’s approach in this matter is to try to prevent the aging process altogether by implementing certain proactive minimally-invasive options. One of the most popular and at the same time effective solutions is a PDO thread lift. Depending on genetics and environmental factors, skin laxity starts developing in mid-20s when our collagen reserves start depleting. Visually this is evident by “sliding” and pushing the skin downward, creating classic folds near the corner of the mouth and the corner of the chin. 

This minimal skin ptosis can be completely reversed with a targeted placement of barbed sutures to lift and tighten the skin. In 30-60 minutes the clocks of your face will be completely reversed with no follow-up needed and going back to your favorite activities immediately after. This simplicity of the aftercare process is what makes this non-surgical skin lifting a winner and an easy decision for you to stay youthful for a long time. The threads will provide immediate structural support and reinforcement to the overlying skin making you look 4-10 years younger. 

Dr. Schwarzburg explains that this treatment can be conveniently and safely done once 1-4 years to successfully halt the aging process at its root through constant collagen production in your skin. Not only this, but many patients also consider other collagen-boosting treatments like Fraxel or RF microneedling that work in synergy a longer-lasting non-surgical threading facelift. 

TYPES OF FACIAL THREADS:

There are three major types of PDO threads, including cog, mono, and screw threads.

Cog threads are barbed and are used primarily for lifting facial tissue as the barbs act as suspenders to keep the repositioned skin in place. They are used in areas that tend to develop the most laxity such as the jowls, jawline, neck, and lower and midface. Cogs are also classified as “heart barbs”, “tornado”, or “double screw” threads.

Mono threads, also known as smooth threads are not barbed and never used for elevating purposes. Instead, they are inserted in a grid-like pattern for facial rejuvenation through immense collagen stimulation for tighter and stronger skin. Smooth threads can also be used to treat fine lines and wrinkles in delicate areas such as around the eyes and lips.

Screw threads or “twisted threads” consist of 2 intertwined threads and are generally used for mild volume enhancement under the eyes, in the cheeks, and mid-face.

DOES IT MATTER WHAT TYPE OF THREAD IS USED?

Yes! Depending on your aesthetic goals, the variability in shape, texture, thickness, and length of the thread is extremely important. For example, if you are looking to reposition and elevate your skin, smooth threads are very unlikely to give you the result you want, while barbed threads will have all the qualities needed to accomplish exactly what you are looking for.

WHAT IS THE DIFFERENCE BETWEEN PDO THREADS AND PLLA OR PCL THREADS?

PDO threads dissolve over the course of several months and have different levels of durability and stiffness. In some cases, a more durable thread is ideal, which is when PLLA or PCL threads are more suitable. However, PLLA and PCL threads tend to cause more inflammation due to their lack of malleability, which may intensify side effects.

PDO THREAD LIFT VS. SILHOUETTE SOFT THREAD LIFT

Both PDO and Silhouette soft threads are designed to lift flaccid dermal layers, though PDOs are more effective for that matter due to the intricacy of the treatment and variability of threads. Silhouette soft threads are ideal for general collagen production and mild volume enhancement.

CAN I COMBINE PDO THREADS WITH OTHER COSMETIC TREATMENTS?

Because a PDO thread lift isn’t always quite as dramatic as a surgical face lift and primarily is used to address skin laxity and sagging, many of Dr. Schwarbzurg’s patients get a variety of other rejuvenating procedures to further enhance their aesthetic rejuvenation.

Injectables such as neuromodulators including Botox, Dysport, Xeomin, and Jeuveau are used to treat lines and wrinkles that may not be affected or reduced after the insertion of threads. A botox brow lift may be administered in addition to a PDO eyebrow lift for optimal elevation.

Dermal fillers may be used to add volume in areas in which it is lacking, such as under eye filler and lip filler, two regions of the face that cannot be fixed using threads. Some thread-lifting techniques are able to create the illusion of a more structured cheekbone, though in cases in which the lower face is the area of concern, a Juvederm filler may be injected for a liquid cheek enhancement for an overall more contoured face shape.

Other collagen-stimulating treatments are frequently recommended for patients looking to improve the quality of their skin deep down to the SMAS layer using Secret RF microneedling and Fraxel laser resurfacing for a smoother and sleeker facial glow.

PDO THREAD LIFT COST IN NEW YORK

There are various factors that will affect the cost of your PDO thread lift. First and foremost, the doctor’s expertise, experience, and level of training primarily determine the pricing of your thread lift. A board-certified physician with an exquisite understanding of facial anatomy, trained by the best in the field, will charge more than a nurse or esthetician whose level of expertise may be impossible to assess. 

The thread itself, in terms of length, thickness, texture, and type, often factors into the overall cost of your procedure, in addition to the number of threads needed to successfully achieve your desired result. 

Finally, the area to be treated will also determine the cost, as a larger area such as the jawline and neck will likely take longer and require more detail and precision, than a mini-brow lift.

All in all you can expect to pay $1000 to $5000 per single treatment, though you may get lucky with a package deal or only need a very small number of threads in which case you may only be paying as little as $700. Also, if the doctor’s outpatient facility is located in a big city like NYC or Los Angeles you will definitely spend more money on your non-surgical PDO thread facelift than if it was in a more suburban area. Dr. Schwarzburg, an esteemed board-certified cosmetic physician based in New York, advises against pinching pennies for this highly complex procedure, which can dramatically change the way you look if done incorrectly. 

DOES INSURANCE COVER PDO THREAD LIFTS?

Collagen thread lifts are cosmetic and not strictly medical, which is why they are not covered by insurance. However, Skinly accepts FSA and HSA flexible spending cards as well as certain payment plans.

DO PDO THREADS WORK?

Yes! PDO threads have been proven to be effective as a non-surgical alternative to a traditional face-lifting procedure. In the ideal candidate, this procedure will reshape and rejuvenate the face for a more youthful and brighter appearance. If performed by a skilled and trained medical professional, collagen-generating PDO threads will be extremely beneficial in a wide range of patients.

ARE PDO THREADS WORTH IT?

Whether your goal is to ward off or undo both subtle or advanced signs of the facial aging process the technology behind PDO threads is clinically proven to be consistently and predictively effective. It is best to consider the procedure once you have noticed the initial signs of facial skin sagging. As Dr. Schwarzburg explains it – the earlier you catch the problem the easier it is to fix. PDO thread lift is completely worth it because it completely reverses early signs of the aging process and dramatically improve mild to moderate skin laxity. Whether it’s heavy eyebrows, early jawline jowling or deflated cheeks, thread lifting has kept thousands of happy patients looking youthful and healthy. As reflected by multiple online reviews and patient feedback the threadlifting procedure enjoys an unprecedented 89% approval rating on RealSelf.

WHERE CAN I GET PDO THREADS NEAR ME?

Since PDO threads have become an effective alternative to invasive surgical facelifts their popularity has grown tremendously with a lot of people trying to find a clinic that offers this advanced procedure. When trying to look up “PDO threads near me” you will likely get a lot of results in New York, and trying to decide on the best PDO doctor could be challenging. This non-surgical facelift has truly shifted the landscape by allowing patients to achieve surgical results without a surgery. However, this extremely sophisticated and advanced procedure can only be performed by very few doctors who received proper and advanced training. 

Dr. Schwarzburg is an Ivy League trained physician and one of the pioneers of PDO threading in New York. His exquisite understanding of facial anatomy and dynamics together with extensive experience in PDO threading procedures allows him to consistently achieve profound and yet natural PDO threadlifting results.

TAKEAWAY AND WHAT TO CONSIDER BEFORE PDO THREAD LIFT

Polydioxanone threads are ideal for patients with early mild and moderate signs of skin laxity rather than those with severe drooping. It is important to have realistic expectations and goals for this treatment and to first consult with a board-certified cosmetic surgeon to confirm that you are in fact a candidate for the treatment before moving forward with your appointment. This procedure works to revive that youthful V-shape in your face and jawline by lifting drapes of lax skin that has developed over time. Due to its minimally invasive nature, many patients choose a thread lift over its surgical counterpart to elevate and restore their youthful appearance.

HOW CAN I GET STARTED WITH MY PDO THREAD LIFT?

PDO threads are only offered by a select number of physicians in the United States. Even fewer are able to successfully execute this treatment on a variety of patients with different anatomy and aesthetic goals. Dr. Schwarzburg is one of the handful of board-certified plastic surgeons with the skill level, experience, and extensive training required to safely and effectively perform a PDO thread lift on any type of patient. At his clinic, Skinly Aesthetics, located on the Upper East Side of Manhattan, NYC, Dr. Schwarzburg invests heavily in updated state of the arts equipment and in continuing his own training to possess the intricacy and talent necessary to optimize each individual patient’s outcome based on their unique medical and aesthetic needs.

To schedule your personal consultation with Dr. Schwarzburg, M.D., you can contact Skinly at (212) 774-4264 or email us at info@skinlyaesthetics.com.