drjonathansykes.com/ -- PDO threads are used by many modern plastic surgeons to achieve impressive anti-aging results on male and female patients of all ages. But surprisingly, many people have never heard of the procedure. When patients want to turn back the clock without going under the knife, they often first think of facial paralytics like Botox, or dermal fillers like Juvederm. These treatments are safe and effective, and yield beautiful results when applied properly. But a PDO threadlift can often be used alongside of - or in lieu of - injectables to combat facial sagging, minimize lines and wrinkles, and tighten up the skin. If you have only mild to moderate skin laxity, or just want to avoid the higher stakes and price tag of a full facelift, PDO threadlifts are definitely a nonsurgical option worth exploring.
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What are Polydioxanone or PDO threads?
Polydioxanone or PDO threads are a special medical-grade thread that are much like sutures and are made in varying diameters and thicknesses. When larger PDO threads are used, the threads can be used for lifting various parts of the face and body. When smaller diameter threads are used, these threads are used for volumization, much in the same way that in injectable filler is used to create facial volume.
In my practice, I use both lifting threads and volumizing threads. The term thread lift is used when the thread is inserted to create lifting of soft tissues. The interesting thing about these threads, is that there are microbarbs welded to the thread, so that these small barbs can keep the tissue from falling. I explain this to my patients as though the barbs on threads are like those metal parking lot devices that prevent drivers from re-entering a parking lot after exiting.
Let me explain, imagine you’re leaving a parking lot, and you’re driving over the angled metal teeth that prevent you from re-entering the parking lot. What we do with these barbs is to place these underneath the skin, then we pull the skin up and over the barb, and the skin “stick” to this. Preventing it from descending. The only difference is that instead of large pieces of metal, the microbarbs hold the tissue up.
With a PDO “threadlift,” lidocaine or another numbing agent is first injected at the threading site so that the patient feels little to no pain during the procedure. Then, the PDO threads are not stitched into the patient’s skin, they are inserted under the patient’s skin, subcutaneous fat, or underlying facial muscles, depending on the target area and the type of threads used. When done by an expert, the PDO threads will not be visible, and will dissolve naturally over time.
The PDO threads act as a sort of mini facelift. They can help correct sagging skin, relax the muscles that cause wrinkles, and stimulate the body’s natural production of collagen, elastin, and hyaluronic acid. The benefits of PDO threadlifts are thus two-fold in many cases. The stitching itself gives a slight, natural-looking lift to the facial features. Meanwhile, the substances in the threads, and the micro-trauma from the procedure, prompt the body to create more of its own age-defying resources at the threading site. The result is firmer, younger-looking skin with reduced sagging and wrinkling.
Different types of PDO threads are used for different purposes. Barbed threads are used to lift the skin, whereas twist threads are used to add volume to sagging areas, depressions, or deep creases. Smooth threads can help fix more superficial lines in thinning or crepey skin. An expert PDO thread practitioner can use a combination of threads on different areas of the face and neck to achieve the patient’s desired results.
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About Dr. Jonathan Sykes
Dr. Jonathan Sykes is a world-famous expert plastic surgeon who performs all cosmetic and functional plastic surgery procedures on the face and neck. He is a past president of The American Academy of Facial Plastic and Reconstructive Surgery, and served on their Board of Directors for over 10 years. He is also a Professor Emeritus in Facial Plastic Surgery from UC Davis Medical Center, and the former Director of Facial Plastic Surgery at that institution.
He is known as the expert’s expert, and is often called to consult and advise other plastic surgeons in both Northern California and Beverly Hills. He has a special interest in eyelid and browlift surgery, facial rejuvenation surgery including facelifts, and rhinoplasty. He also has a particular interest in facial feminization surgery. Have questions? Email Dr.Sykes at: hello@sykesplasticsurgery.com.
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