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The Complete Patient Guide to PDO Thread Lifts in 2026

Everything you need to know about PDO thread lifts — the non-surgical facelift alternative that uses absorbable sutures to lift sagging skin, define your jawline, and stimulate collagen production for results lasting 12-18 months.

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In This Guide

What Are PDO Threads?

PDO threads (polydioxanone threads) are absorbable medical-grade sutures that are inserted under the skin using thin needles or cannulas to lift sagging tissue and stimulate collagen production. PDO is a synthetic polymer that has been used in surgery for over 30 years — in cardiac, orthopedic, and dental procedures — making it one of the safest and most well-studied suture materials in medicine.

A PDO thread lift is a minimally invasive, non-surgical alternative to a traditional facelift. The procedure takes 30-60 minutes, requires only local anesthesia, and has minimal downtime (1-3 days). Results are visible immediately and continue to improve over 2-3 months as the threads stimulate neocollagenesis — your body's natural collagen-building process.

Key Facts About PDO Thread Lifts:
  • Material: Polydioxanone (PDO) — absorbable surgical suture
  • FDA Status: PDO sutures are FDA-cleared for soft tissue approximation
  • Procedure Time: 30-60 minutes
  • Anesthesia: Local anesthetic only (no general anesthesia)
  • Downtime: 1-3 days (most patients return to work next day)
  • Thread Dissolution: 6-8 months (threads fully absorb)
  • Results Duration: 12-18 months (collagen persists after threads dissolve)
  • Mechanism: Dual-action — immediate mechanical lift + collagen stimulation

Thread Types: Smooth, Screw, Barbed & Mesh

Not all PDO threads are the same. There are four main types, each designed for specific purposes and treatment areas:

❘ Smooth (Mono) Threads

Single, smooth filaments without any barbs or hooks. They are the thinnest PDO threads and work primarily through collagen stimulation rather than lifting. Inserted in a mesh-like pattern under the skin to create a collagen web that tightens and firms the tissue over time.

Skin Rejuvenation Fine Lines Skin Tightening No Lifting

Best for: Fine lines around eyes/mouth, neck crepiness, overall skin quality improvement. Often used in combination with barbed threads.

Threads per session: 10-30 threads | Duration: 6-12 months

❘ Screw (Twisted) Threads

One or two smooth threads intertwined around a cannula in a spiral pattern. When placed, they create a volumizing effect by bunching the tissue together — providing modest volume restoration without the use of fillers.

Volume Restoration Nasolabial Folds Mild Lifting

Best for: Adding volume to sunken cheeks, nasolabial folds, marionette lines, and under-eyes. Moderate collagen stimulation with some volumizing effect.

Threads per session: 4-10 threads | Duration: 8-12 months

❘ Barbed (Cog) Threads

The primary lifting threads. Barbed threads have tiny hooks or barbs cut into the PDO material at regular intervals. These barbs grip the tissue and allow the practitioner to physically reposition and lift sagging skin. They provide both immediate mechanical lifting and long-term collagen stimulation.

Maximum Lifting Jawline Jowls Mid-Face

Best for: Jawline definition, jowl lifting, mid-face lifting, neck tightening, eyebrow lifting. This is the "thread lift" most patients are looking for.

Threads per session: 4-12 threads | Duration: 12-18 months

❘ Mesh (Molding) Threads

Pre-formed mesh structures made from PDO that are placed under the skin to provide a broad scaffolding effect. They combine the collagen stimulation of smooth threads with a wider area of coverage.

Wide Coverage Scaffolding Neck Jawline

Best for: Large surface areas like the neck, lower face, and décolletage. Provides even collagen stimulation across a broad zone.

Threads per session: 2-6 pieces | Duration: 12-15 months

Thread Type Comparison

Feature Smooth (Mono) Screw (Twisted) Barbed (Cog) Mesh
Primary EffectCollagen stimulationVolume + collagenLifting + collagenScaffolding + collagen
Lifting AbilityNoneMildStrongModerate
Volume EffectNoneModerateNoneMild
Collagen BoostHighModerateHighHigh
Threads/Session10-304-104-122-6
Duration6-12 months8-12 months12-18 months12-15 months
Cost/Thread$30-$75$50-$150$150-$450$200-$400
Pain LevelLowLow-ModerateModerateModerate
Recovery0-1 days1-2 days3-5 days3-5 days
Best ForSkin texture, fine linesNasolabial folds, volumeJowls, jawline, neckLarge areas, neck

Treatment Areas & Thread Count Guide

PDO threads can be used across the face, neck, and body. Here are the most common treatment areas with recommended thread types and counts:

💪

Jowls & Lower Face

4-8 barbed threads
Duration: 12-18 months
$1,500-$3,000
⚪

Jawline Definition

4-8 barbed threads
Duration: 12-18 months
$1,500-$3,500
🙂

Mid-Face / Cheeks

4-8 barbed threads
Duration: 12-18 months
$1,500-$3,000
👁

Eyebrow Lift

2-4 barbed threads
Duration: 10-14 months
$800-$1,800
👅

Neck Tightening

6-12 barbed + smooth
Duration: 12-15 months
$2,000-$4,000
😞

Nasolabial Folds

4-8 screw threads
Duration: 8-12 months
$800-$1,500
👃

Marionette Lines

4-6 screw or barbed
Duration: 10-14 months
$800-$1,800
☝

Non-Surgical Nose Lift

2-6 smooth or cog
Duration: 10-12 months
$800-$2,000
✨

Full Face Skin Rejuvenation

20-40 smooth threads
Duration: 6-12 months
$1,000-$2,500

The Procedure: Step by Step

Here's what to expect during a PDO thread lift appointment:

Consultation & Marking (10-15 min)

Your practitioner evaluates your skin laxity, discusses goals, and marks the insertion points and thread pathways on your face using a surgical marker. Photos are taken for your before/after record.

Cleansing & Anesthesia (5-10 min)

The treatment area is thoroughly cleansed with antiseptic solution. Local anesthetic (lidocaine) is injected along the planned thread pathways to numb the area. Some practitioners also apply topical numbing cream 20-30 minutes prior.

Thread Insertion (15-30 min)

Using thin needles or blunt-tip cannulas, the PDO threads are inserted under the skin at the predetermined depth (usually in the subcutaneous fat layer or SMAS layer for barbed threads). Each thread is carefully placed along the marked pathway.

Repositioning & Lifting (5-10 min)

For barbed threads, the practitioner gently pulls and adjusts the threads to achieve the desired lift. The barbs grip the tissue and hold it in the elevated position. The practitioner checks symmetry and adjusts as needed.

Trimming & Finishing (5 min)

Excess thread material is trimmed at the insertion points. The entry points may be closed with a small adhesive strip. Ice packs are applied to minimize swelling. You can see the initial lifting results immediately.

Total Procedure Time: A typical PDO thread lift takes 30-60 minutes from start to finish, depending on the number of threads and treatment areas. Most patients can drive themselves home and return to work the next day.

Results Timeline

0

Day of Treatment

Immediate visible lifting from barbed threads mechanically repositioning the tissue. Mild swelling, tenderness, and a feeling of tightness. Some patients notice minor dimpling — this is normal and resolves.

1-3d

Days 1-3

Peak swelling and bruising (usually mild). Tenderness when touching the treated area. Feeling of tightness and mild restriction when opening the mouth wide. Most patients return to work on day 1 or 2.

1-2w

Weeks 1-2

Swelling and bruising resolve. Any dimpling or puckering smooths out. The initial lifting result "settles" into a more natural look. The threads begin stimulating the inflammatory-healing response that triggers collagen production.

1-3m

Months 1-3

Collagen production ramps up. New collagen fibers form around the PDO threads, creating a natural scaffolding. Skin quality visibly improves — firmer, smoother, and more elastic. The results continue to improve during this phase.

6-8m

Months 6-8

Threads fully dissolve. The PDO material is safely absorbed by your body through hydrolysis, breaking down into water and carbon dioxide. The collagen scaffolding that formed around the threads remains in place, maintaining the lift.

12-18

Months 12-18

Gradual, natural fading of results as the collagen slowly remodels. Most patients schedule maintenance treatments at this point. Some patients find that repeat treatments yield progressively better results due to accumulated collagen.

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PDO Threads vs. Dermal Fillers

PDO threads and dermal fillers are both non-surgical rejuvenation options, but they address different concerns. Here's how they compare:

Feature PDO Thread Lift Dermal Fillers (HA/CaHA)
Primary EffectLifting & repositioning tissueAdding volume & filling
Best ForSagging skin, jowls, loose neckVolume loss, wrinkles, lips
MechanismMechanical lift + collagen stimulationVolume through gel injection
Collagen Stimulation✅ Significant✅ Some (CaHA) / ❌ Minimal (HA)
Immediate Results✅ Visible lifting right away✅ Volume immediately
Duration12-18 months6-24 months (varies by product)
Procedure Time30-60 minutes15-30 minutes
Downtime1-5 days0-2 days
Pain LevelModerate (with local anesthesia)Mild (lidocaine in product)
Cost$1,500-$4,500$500-$3,000
Reversible❌ No (dissolves naturally)✅ HA fillers (hyaluronidase)
Can Be Combined✅ Yes (different session)✅ Yes
Threads + Fillers Together: Many patients achieve optimal results by combining PDO threads for lifting with dermal fillers for volume. For example: barbed threads to lift the jowls and jawline, plus Radiesse or Juvederm Voluma for cheek volume. Treatments are typically done at separate appointments, 2-4 weeks apart.

PDO Threads vs. Surgical Facelift

Feature PDO Thread Lift Surgical Facelift
InvasivenessMinimally invasive (needles/cannulas)Surgical (incisions, sutures)
AnesthesiaLocal onlyGeneral or IV sedation
Procedure Time30-60 minutes3-6 hours
Downtime1-5 days2-4 weeks
ScarringNone (tiny needle punctures)Scars (hidden in hairline/behind ears)
Results Duration12-18 months5-10 years
Degree of LiftingMild to moderateDramatic
Cost$1,500-$4,500$8,000-$25,000+
Risk LevelLowHigher (surgical risks)
Ideal CandidateAges 30-55, mild-moderate laxityAges 45-70, significant laxity
Repeat TreatmentsEvery 12-18 monthsMay last a decade
Bottom Line: PDO threads are ideal for patients who want noticeable improvement without surgery, have mild to moderate sagging, and prefer minimal downtime. A surgical facelift provides more dramatic and longer-lasting results but requires significant recovery time and investment. PDO threads are sometimes called a "lunchtime lift" because of their quick procedure time and minimal downtime.

Cost & Pricing

Cost by Treatment Area

Treatment Area Thread Type Threads Needed Cost Range
Jowls OnlyBarbed (cog)4-8$1,500-$3,000
Jawline DefinitionBarbed (cog)4-8$1,500-$3,500
Mid-Face LiftBarbed (cog)4-8$1,500-$3,000
Eyebrow LiftBarbed (cog)2-4$800-$1,800
Neck TighteningBarbed + Smooth6-12$2,000-$4,000
Nasolabial FoldsScrew4-8$800-$1,500
Marionette LinesScrew or Barbed4-6$800-$1,800
Non-Surgical Nose LiftSmooth or Cog2-6$800-$2,000
Full Face Skin RejuvenationSmooth (mono)20-40$1,000-$2,500
Full Face Thread LiftBarbed + Smooth12-30$2,500-$4,500

Cost per Thread by Type

Thread Type Cost per Thread Typical Quantity Total Cost Range
Smooth (Mono)$30-$7510-30$300-$2,250
Screw (Twisted)$50-$1504-10$200-$1,500
Barbed (Cog)$150-$4504-12$600-$5,400
Mesh$200-$4002-6$400-$2,400
Cost Factors: The total cost of a PDO thread lift varies based on: (1) geographic location (major cities tend to cost more), (2) provider experience and credentials, (3) number and type of threads used, (4) treatment complexity, and (5) whether additional treatments (Botox, fillers, PRP) are combined. Always choose your provider based on training and experience — not price alone.

Who Is a Good Candidate?

✅ Ideal Candidates

  • Ages 30-60 with mild to moderate skin laxity
  • Early jowling or loss of jawline definition
  • Mild neck sagging or banding
  • Drooping eyebrows
  • Deepening nasolabial folds or marionette lines
  • Desire for non-surgical improvement
  • Realistic expectations about results
  • Good overall health

❌ Not Recommended For

  • Severe skin sagging (surgical facelift may be needed)
  • Very thin or translucent skin (threads may be visible)
  • Active skin infections at the treatment site
  • Autoimmune or connective tissue disorders
  • Bleeding disorders or on blood thinners
  • Pregnant or breastfeeding
  • History of keloid or hypertrophic scarring
  • Unrealistic expectations (threads are not a facelift)

Side Effects & Risks

Common Side Effects (Expected & Temporary)

Swelling & Bruising

Mild to moderate swelling and bruising are the most common side effects. Peaks at 24-48 hours, resolves within 5-7 days. Apply ice and sleep elevated.

Soreness & Tightness

A feeling of tightness and tenderness in the treated area is normal and expected. Lasts 5-14 days. Indicates the threads are anchored properly.

Dimpling or Puckering

Mild skin dimpling at the insertion points or along the thread path. Usually resolves within 1-2 weeks as the tissue settles around the threads.

Difficulty Opening Mouth Wide

Temporary restriction when opening the mouth wide, yawning, or chewing large bites. Resolves within 1-2 weeks. Eat soft foods during this period.

Rare Complications

⚠ Rare but Possible Complications:
  • Thread extrusion: Thread poking through the skin surface (can be trimmed by your provider)
  • Thread migration: Thread shifting from its original position
  • Infection: Very rare; treated with antibiotics. Signs include increasing redness, warmth, and pain after the first week
  • Asymmetry: Uneven results that may require additional threads or adjustment
  • Nerve injury: Extremely rare; temporary numbness or tingling that typically resolves
  • Visible threads: Threads visible under thin skin (more common in very thin patients or with superficial placement)

Recovery & Aftercare

Proper aftercare is critical for optimal PDO thread lift results. Follow these guidelines carefully:

✅ Do

  • Sleep on your back with head elevated for 1 week
  • Apply ice packs (10 min on, 10 off) for 48 hours
  • Eat soft foods for 1-2 weeks
  • Take prescribed antibiotics if given
  • Use Arnica supplements to reduce bruising
  • Keep the treated area clean and dry
  • Take over-the-counter pain relievers as needed
  • Attend your follow-up appointment (1-2 weeks)

❌ Don't

  • Open your mouth wide, yawn excessively, or chew hard food for 2 weeks
  • Sleep on your face or side for 1-2 weeks
  • Exercise vigorously for 2 weeks
  • Rub, massage, or press on the treated area for 3-4 weeks
  • Get dental work for 3-4 weeks
  • Use saunas, steam rooms, or hot tubs for 2 weeks
  • Get other facial treatments (facials, lasers, microneedling) for 4 weeks
  • Smoke or drink alcohol for 1 week
Important — Dental Work: If you need dental procedures, schedule them before your thread lift or wait at least 3-4 weeks after. The wide mouth opening required for dental work can displace freshly placed threads. Inform your dentist that you have PDO threads before any dental procedure.

Frequently Asked Questions

What are PDO threads? +
PDO (polydioxanone) threads are absorbable medical sutures made from a synthetic polymer that has been used in surgery for over 30 years. When inserted under the skin, they provide immediate mechanical lifting and stimulate collagen production (neocollagenesis) over time. The threads dissolve naturally within 6-8 months, but the collagen scaffolding they create maintains results for 12-18 months.
How much does a PDO thread lift cost? +
PDO thread lifts cost between $1,500-$4,500 depending on the treatment area and number of threads used. A full face thread lift with barbed threads typically costs $2,500-$4,500. Individual areas like jowls or neck may cost $1,500-$3,000. Smooth threads for skin texture improvement cost $500-$1,500. Cost varies by geographic location, provider experience, and thread type.
How long do PDO threads last? +
PDO threads dissolve within 6-8 months, but the results last 12-18 months. This is because the threads stimulate your body's collagen production, creating a natural scaffolding that persists after the threads have dissolved. Barbed threads typically provide lifting results for 12-18 months, while smooth threads may need touch-ups every 6-12 months.
What is the difference between smooth and barbed PDO threads? +
Smooth (mono) threads are thin, single filaments that stimulate collagen production and improve skin texture, but provide no mechanical lifting. Barbed (cog) threads have tiny hooks along their length that grip the tissue and provide immediate mechanical lifting plus collagen stimulation. Smooth threads are for skin rejuvenation; barbed threads are for lifting sagging jowls, jawline, and neck.
Does a PDO thread lift hurt? +
Most patients report minimal to moderate discomfort. Local anesthetic is injected along the thread path before the procedure, numbing the area. Patients may feel pressure or a tugging sensation during thread placement, but sharp pain is uncommon. Post-procedure soreness and tightness last 3-7 days. Over-the-counter pain relievers are usually sufficient.
Who is a good candidate for PDO threads? +
The ideal candidate is aged 30-60 with mild to moderate skin laxity. Good candidates have early jowling, mild sagging along the jawline or neck, deepening nasolabial folds, or drooping eyebrows. PDO threads are NOT suitable for patients with severe skin sagging, active skin infections, autoimmune disorders, bleeding disorders, or who are pregnant or breastfeeding.
What is the recovery time for a PDO thread lift? +
Most patients can return to normal activities within 1-3 days. Swelling and bruising typically peak at 24-48 hours and resolve within 5-7 days. For the first 2 weeks, avoid wide mouth opening, strenuous exercise, facial massages, and sleeping face-down. Full recovery with final results settling takes 2-4 weeks.
Can PDO threads be combined with other treatments? +
Yes, PDO threads work well combined with Botox (2 weeks before or after), dermal fillers (separate appointment, different areas), PRP/PRF (same session for enhanced collagen stimulation), and skin tightening devices. Threads provide lifting while fillers add volume — complementary effects for comprehensive facial rejuvenation.
What are the risks and side effects of PDO threads? +
Common (temporary): swelling, bruising, soreness, tightness, mild dimpling — all resolving within 1-2 weeks. Rare: infection (treated with antibiotics), thread migration or extrusion, asymmetry, visible threads under thin skin. Very rare: nerve damage or persistent numbness. Serious complications are extremely rare when performed by trained practitioners.
How do PDO threads compare to dermal fillers? +
PDO threads physically lift and reposition sagging tissue — best for jowls, jawline laxity, and sagging. Dermal fillers add volume where fullness has been lost — best for nasolabial folds, cheeks, lips, and under-eyes. Many patients benefit from both: threads for lifting and fillers for volume. Threads last 12-18 months; fillers last 6-24 months depending on the product.

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