What are PDO Threads?

Polydioxanone Threads (PDO Threads) are absorbable threads that induce collagen production in the body. Depending on the type of PDO thread and injection technique, PDO Threads lift, tighten, or add volume to the area treated.

Types and Brands of PDO Threads

Nova Threads offer 3 varieties of PDO Threads, each of which creates a different effect.

  • Smooth Nova Threads add volume by increasing collagen production that thickens and supports the skin. This volume is smoothly distributed throughout the area. These are most often injected in a mesh of threads to create three-dimensional volume.
  • Smooth-Twisted Nova Threads creates targeted volume in the specific areas treated.  For example, Smooth-Twisted Nova Threads can be used to redefine the lip’s shape and add volume.
  • Barbed Nova Threads lift and tighten the skin smoothly, by stimulating collagen to contract below the skin’s surface.


Symptoms Addressed by PDO Threads

Loose Skin in the Cheeks and Jawline

PDO Threads can be used to stimulate collagen below the skin to contract, creating natural lift and tightening along the jawline and throughout the cheeks. This minimally invasive procedure is a safe and effective alternative, that offers natural results with a very short downtime. As you can see in the photo below, PDO threads create an immediate effect by lifting the skin with barbed or coned threads. However, this result will continue to improve over 3-6 months as the collagen below contracts.


flattened Cheeks

PDO Threads can create three-dimensional lift and volume in the cheeks. The volume added is similar to what can be achieved with dermal fillers. Replacing the volume lost in the cheekbone area does allow for a moderate amount of lift. However, lifting PDO Threads take it to the next level, by creating tightening below the skin’s surface, and building a stronger collagen support system for the skin.


Loose and Wrinkled Skin Around the Eyes and Crow’s Feet

You may have heard Botox is the best for Crow’s feet, but it’s not that simple. Botox can help overactive muscles around the eyes to relax, preventing future wrinkles. But when it comes to resolving set-in lines and wrinkles around the corners of the eyes, PDO Threads provides a comprehensive solution.

There are two underlying causes of these wrinkles: loss of fat and collagen below the skin’s surface, and loss of skin elasticity (or looseness of the skin). PDO Threads add volume, restore collagen, and tighten the skin for the best result in a single treatment. Botox can be used in conjunction with PDO Threads to prevent future wrinkles in the area. Think of it as preventative maintenance.

Drooping Eyebrows

When it comes to lifting the brows without surgery, PDO Threads offer the unique ability to control and selectively lift sections of the brow. This creates a natural-looking result, tailored to the individual. Most patients will find the outside of the brows, or lateral brow, droops more than the center of the brow. When this is the case, PDO threads offers a nice option for lifting just the outside of the brow, without distorting the center of the brow.

Lip Shape and Definition (Feathered Lip Edges)

PDO Threads in the lips can be used to redefine feathered lip borders, in addition to adding volume. The result is much longer-lasting than a dermal filler, and creates a smooth, natural look.

Crepey Skin

PDO Threads can restore skin tone and texture, eliminating crepey skin, by promoting the growth of new collagen.

Horizontal Neck Bands (also called necklace lines)

PDO Threads can be used throughout the neck to improve skin smoothness and eliminate wrinkles.

Drooping Buttocks

PDO Threads can lift and support drooping, thin skin. Combined with dermal fillers like Sculptra, PDO Threads can be used to create a non-surgical Brazilian Butt Lift (BBL) result, which is particularly helpful for patients who are too thin to undergo traditional fat transfer for BBL techniques.

Wrinkled, Loose Skin Around the Elbows or Knees

Loose skin around the elbows and knees can be difficult to tighten, and there are very few solutions that offer a good result without unsightly scars. PDO Threads offer a non-surgical option to not only lift and tighten the skin, but also improve skin thickness and quality.

Who is a Candidate for PDO threads?

An ideal candidate for PDO Threads has:

  • Mild to moderate sagging, volume loss, or skin texture concerns
  • Not had neurotoxins (botox) or dermal fillers within the previous two weeks
  • Not taken blood thinners for at least the past 2 weeks

Could PDO Threads be the right treatment for you? The best way to find out is to schedule a consultation with one of our physicians, by calling our office at (732) 356-1666.

Are PDO Thread Lifts Safe?

Yes, PDO Threads are completely safe, and have been FDA-Approved.  The PDO Thread material has been used for years in dissolving sutures, and the cosmetic applications described in this page have been used for years in Europe with great success. PDO Threads should completely dissolve within 6 months following their insertion, leaving behind new collagen in their place.

Expected Results and Longevity of Results

Results from your PDO Threads are immediately visible, and will continue to improve over a period of 6 months, as they induce collagen production. You can expect your results to last up to 18 months, and can prolong and improve your results with a touch-up at 1 year.

Post-Procedure Care and Recovery from PDO Threads

Most PDO Threads procedures will not require more than one night off from normal work or social activities. Occasionally, patients may experience swelling or bruising which lasts longer than 24 hours. There are certain patients, and certain injection sites which are at higher risk for prolonged swelling or bruising than others. Your physician will discuss recovery expectations in greater detail during your consultation.

Reflections’ Award-Winning Injectors, Specializing in PDO Threads Procedures

Application of PDO Threads is an advanced injection technique. Reflections’ team of award-winning injectors have received specialized training in PDO Threads, and have mastered the nuanced skill of creating natural-looking results with PDO Threads. Learn More about our team of Cosmetic Physicians.

=Contact us now to schedule your free consultation for PDO Threads!

Medical Director at Reflections Center

Dr. Mitchell Chasin founded Reflections Center for skin & body as a place where physicians specializing in cosmetic medicine could focus on helping empower patients to feel their most beautiful. Dr. Chasin believes strongly that the best cosmetic physicians are those who are dedicated to mastering their craft through continuing education and collaboration with the industry’s top doctors.