Mary Byron By Mary Byron • September 1, 2017

The Threadlift: Non-Surgical Facelift

Pretty soon, 60 will be the new 30 as aesthetic tools like the PDO Threadlift, fillers, neurotoxins, collagen stimulators and resurfacing techniques make up a formidable arsenal that can practically reverse facial ageing during your lunchbreak. The PDO Threadlift is not cutting edge - it has been around for years and had undergone various transformations from a simple, smooth, resorbable thread, to one with spirals, cogs and barbs. What it does perfectly complements what the wrinkle relaxers and fillers do. It lifts sagging tissues that had lost much of its structure and elasticity and anchors or repositions sagging skin to come up with natural looking results: lifted and full.

PDO Threads and Good Candidates

The threads used in PDO threadlifts are made of  polydioxanone (PDO), an absorbable material that had been used as sutures during surgery for years. Patients who are so called "PDO" positive or good candidates are identified by lifting the sagging skin with a finger. Proceed if  good results are seen upon a little skin elevation (usually 1-3 m around the jawline and cheek). Candidates with very lax skin or overweight may need a lift upto 5 cm. Beyond these measurements, results may be disappointing. 

Clients who have a distorted sense of self or body dysmorphia will never be pleased with the results, no matter how gorgeous. Threadlifts are also contrainidcated for those who are suffering from autoimmune diseases, coagualation diseases, Hepatitis C and HIV,  and inlammation, infection or ulcers around the area. It is also not advised for those taking anticoagulant therapy or supplements, have a tendency to form keloids, pregnant or nursing.Last but not least, pre-treatment photos must be taken to disprove claims of asymmetry resulting from the procedure.

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How Does It Provide a Lift?

Upon inserting into the skin, there is a "physical or structural lift". Then, the dissolving threads serve as a matrix over which new collagen grows. Results are appreciable two weeks after treatment and over a period of 4-6 months, we see a gradual return to the V-shaped facial contour of younger years. Compared with surgical facelifts, the PDP Threadlift is less risky, has shorter downtime and has less complications than a regular surgical facelift. Some doctors prefer to use cannulas to minimize bruising and swelling. Patients rate pain and discomfort after this hour-long procedure at 3/10.

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Commonly used are 5. 8 and 10 point threadlifts using monofilament, spiral, cogged or barbed threads which are anchored or are "free floating". More are used specially if there is a lot of sagging in the mandibular or mid face areas.  More threads can be used depending on the assesment.


Currently, a holistic approach is used with good and very refined results. The PDO threads are inserted first into the subcutaneous tissues of the skin. Then the HA or hyaluronic fillers are injected and the Botolinum toxin is injected last because it should stay in place. There is some concern about laser and other heat therapies because the structure of the thread may be affected. Microneedling is acceptable and is synergistic because it smoothens and brightens the surface, aside from encouraging collagen growth.

Now you can really say you look as young as you feel!

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