Threads and Biostimulators

Lift and Collagen From a Dissolving Suture

Absorbable threads placed in a specific tissue plane to reposition soft tissue and prompt new collagen along their path.

Treats Mild to moderate laxity, soft jawline, midface descent
Appointment About 45 to 75 minutes
Downtime Swelling and bruising for several days, tightness for longer
Results Show Immediate lift, collagen over months
How Long Typically many months, varies by thread and by person
A PDO thread treatment being placed along the jawline
What It Is

Two Effects, Arriving on Different Timelines

Polydioxanone is a surgical suture material that has been used safely for decades and is fully absorbed by the body. Placed into the subcutaneous plane, barbed threads catch tissue and hold it in a new position, which produces an immediate mechanical lift.

The second effect is slower and, in our view, the more valuable one. As the thread dissolves over months, the body lays down collagen along its path. That leaves behind structural support that persists after the thread itself is gone.

What threads do not do is remove skin. They reposition what is there. On mild to moderate laxity that is often exactly enough. On significant loose skin it is not, and stacking threads to compensate produces a pulled look rather than a lifted one.

Who It Is For

A Good Fit If Any of This Sounds Familiar

If the honest answer is that you need surgery, you will hear it here, and we perform it.

Your midface has dropped and your jawline has softened
You want a lift without an incision or a general anesthetic
You have reasonable skin quality and mild to moderate laxity
You want structure built rather than volume added
You accept a result measured in months rather than years
How It Goes Here

Three Steps, Start to Finish

01

We Map the Vectors

Direction of pull matters more than the number of threads. This is planned on your face before anything is placed.

02

Placed Under Local Anesthetic

Entry points are small. Depth and plane are what separate a good result from a visible one.

03

We Review at Six Weeks

Swelling has settled and the collagen response is underway. That is the first fair point to judge anything.

Physician Led. Results Driven.

Depth and Vector, Not Thread Count

A result people compliment and a result people can spot come from the same materials placed differently.

What to Expect

Tight First, Natural Later

First 72 Hours Swelling and Tightness Expect swelling, possible bruising at entry points, and a tight or pulled sensation. Sleep on your back and avoid wide mouth movements.
Week 1 to 2 Settling Swelling reduces and the initial over-corrected look softens toward the intended result. Some puckering can occur and usually resolves.
Weeks 4 to 8 Looking Natural The lift reads as your own face rather than as a treatment. Collagen deposition is underway along the thread paths.
Months 6 and Beyond Thread Absorbed The thread is gone. What remains is the collagen your tissue built in response, which is the durable part.
Science and Safety

Why a Dissolving Suture Builds Structure

Polydioxanone hydrolyses gradually in tissue. That slow breakdown provokes a controlled foreign body response in which fibroblasts migrate to the area and deposit new collagen along the thread track.

Barbed or cogged threads engage tissue mechanically so that tension applied at placement is held. The immediate lift is purely mechanical. The delayed effect is biological and outlasts the thread.

The risks worth knowing about are thread migration, visible puckering, palpability under thin skin, asymmetry and infection at entry points. Placement plane is the single biggest factor in avoiding them, which is why anatomy matters more here than the brand of thread.

PDO threads held against the cheek before placement
Questions

What People Ask Us First

No, and be careful with that phrase. A facelift removes and repositions tissue surgically. Threads reposition without removing. For mild laxity that difference does not matter much. For significant laxity it matters entirely.

Sometimes, particularly early on and in thin skin. That usually settles as swelling resolves and tissue integrates around the thread.

Typically many months, and it varies with thread type, how many were used and your own tissue. We will give you a realistic range rather than the most appealing number.

Early on, sometimes. Once tissue has integrated around them, removal is difficult, which is an argument for conservative placement in the first place.

Often yes. Threads address position, biostimulators address volume, and energy addresses the skin envelope. Most good plans use more than one.

Find Out Whether Threads Will Get You There.

They are excellent for the right degree of laxity and a poor substitute for surgery beyond it. We will tell you which you have.

4211 N. Buffalo Road, Suite 15, Orchard Park, NY 14127