SF 415 255-9510  |  MARIN 415 464-8801 

Available at our Marin location only

PDO Thread TreatmentWhat Is A Thread Treatment?

We use 3/4 inch long, thinner than a hair, thread made with polydioxanone (PDO) which dissolves as your body’s natural foreign-body reaction promotes collagen, elastin, and hyaluronic acid production. These reactions improve skin elasticity, texture, and overall appearance.

These PDO threads are made in America, medical grade, and FDA-approved for surgical applications. Polydioxanone sutures have been safely used for various medical procedures for many decades.

Which conditions can be treated?

• Lip lines
• Smile lines on cheeks
• Crows feet
• Crepey skin on abdomen, knees
• Sagging under chin
• Restoring volume to cheeks, nasolabial fold or marionette lines

Is a thread treatment right for me?

PDO threads are not an option for someone who is pregnant or breastfeeding, or has an autoimmune disease, diabetes, or an infection. Some skin conditions, supplements, or medication may also exclude someone from this treatment.

Key benefits and typical results

Typically, your skin will be younger looking, firmer, and tighter for about a year after treatment (longer for our younger patients). Results vary because of age, your natural collagen levels, and your skin care regimen.

How do I prepare for treatment?

Once you decide to move forward with PDO threads, we’ll provide comprehensive directions on treatment prep, which will include avoidance of alcohol, tobacco, and anything which may increase the risk of bleeding, such as some medications and green tea, for five days prior to the procedure. We’ll provide you with a numbing cream to apply 45 minutes before your appointment time.

What happens during treatment?

First, we clean the treatment area and then apply a local anesthetic. Threads are inserted into the dermal layer during a procedure that will take 15-45 minutes. The needles and cannulas used are so fine that discomfort is minimal.

Post-treatment care or downtime?

You’ll likely be able to return to your most of your regular activities immediately. Patients may experience mild bruising or swelling, but no pain.

Avoid rubbing your face, extreme temperatures, and alcohol. You’ll also need to avoid some esthetic treatments and sleeping on your side for a few weeks. Complete post-procedure care instructions will be provided at your appointment.

How long until I see results?

After any initial swelling subsides skin will be tighter. Over the next few weeks, you will notice development of a more even texture, plumper skin, and a more youthful appearance.

How long will results last?

Results will last from one to three years.

What’s the science?

The concept is straightforward. The PDO threads are inserted via blunt-tipped needles, called cannulas. By threading these thin 3/4 inch long dissolvable sutures underneath your skin, our expert practitioners are able to activate a process of natural protein synthesis which begins after about ten to fourteen days. The presence of these sutures in your skin triggers cells in your body, called fibroblasts, to produce more collagen, elastin and hyaluronic acid. Over the subsequent weeks improvements will continue to take place, peaking at around six months and lasting for up to three years*.

The thread itself is completely biodegradable and dissolves within six to eight months, after which new collagen has formed around the thread to continue to support the skin’s matrix, helping maintain a smooth and supple skin texture. These polydioxanone sutures are FDA-approved and have been used in surgical procedures since the early 1980s.

NovaThreads are FDA-approved for “soft tissue re-approximation”. FDA-approval for esthetic thread treatments is expected by the end of 2021.

*A small 2017 study by the National Institutions of Health suggested that the primary effect of a PDO thread procedure is skin appearing tighter and more structured. After a year, this effect begins to decrease. However, there was a secondary “rejuvenation” effect that stayed in place and was noticeable three years or more after the procedure.