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  • Tracy Spring

PDO Threads: The Lunchtime Lift

Updated: Oct 9, 2020

Lift and smooth the look of loose or sagging skin without painful and expensive surgery!

PDO threads are an exciting development in the world of facial aesthetics.

They can lift and improve the appearance of a sagging neck, jowls, cheeks, eyebrows, and more. At One Aesthetics, we even use them to subtly reshape and lift the nose!

PDO stands for polydioxanone. Polydioxanone is the material the thread itself is composed of and it's one of the safest materials that can be implanted in the human body. PDO sutures have been used by physicians for many years. The body absorbs and metabolizes polydioxanone in about four to six months and leaves no scar tissue behind.

So, how do PDO threads work for lifting and tightening skin?

After numbing the patient sufficiently, a thread that has been preloaded into a hypodermic needle is inserted into the skin. As the needle is removed, the thread stays behind. The desired result dictates the type of thread used.

There are two main categories of PDO threads: Smooth and barbed. The smooth thread is meant to be placed in a “net” or “mesh” formation. For example, the doctor might inject three smooth threads horizontally and two vertically. As the skin heals itself around the threads, it creates new collagen, which results in naturally tighter, thicker and firmer skin. It can take a few PDO smooth thread treatments to notice a difference in skin quality, but smooth threads are fairly affordable, and your patience and consistency will pay off. We love them for the neck, under the eyes, and on the backs of the thighs to help smooth cellulite.

A few of the different types of threads available

The second type of thread are barbed threads. These threads have “barbs” (think tiny spikes) to provide grip under your skin. The injector places them at just the right angle and then pulls them tight in order to reposition your skin. You walk out of the office with instant, sometimes dramatic results. And just like with the smooth threads, your body begins the process of building collagen around the thread, which improves skin quality and helps maintain the lifted position.

Subsequent treatments yield the best result. At each appointment we get just a little more lift. We allow everything to heal, and then do it again. Unfortunately, even after a facelift, gravity continues to do its thing. PDO thread lifts are the perfect way to keep it from getting you down!

Picture the thread as a scaffolding that's in place while your skin is repairing and rebuilding. Similar to when stitches hold a wound closed until it heals.

What’s happening in the underlying tissues of the face after these threads are injected is called “selective inflammatory response.” Inserting the thread initiates a repair process under the skin. The scientific word for this process is neocollagenesis, which means the formation of new collagen. More collagen is what we're all after. Collagen takes up to six months to grow, so you'll see the results from your PDO thread treatment just get better with time.

Now, for anyone that hears talk of needles and immediately thinks "pain," rest assured, a local anesthetic in a few strategic places ensures your comfort at all times.

Before and After PDO threads and some dermal filler--Courtesy of Dr. Gerald Pierone, One Aesthetics, Winter Park

It’s important to seek out a highly skilled practitioner before you undergo a PDO thread treatment. These threads can do amazing things, but they're only as good as the hands that administer them. In the wrong hands, you may not get the results you're after, or worse, things could go terribly wrong. 

.Most people will be pleased to find that they need much less filler thanks to threads. A "PDO thread lift" can eliminate or substantially delay more invasive face-lift procedures.

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