PDO (polydioxanone) threads are medical-grade sutures made from the same biocompatible material used in cardiac and surgical procedures for over 30 years. They work through dual mechanisms: immediate mechanical lifting by physically repositioning sagging tissues, and progressive collagen stimulation as the threads gradually dissolve over 6-8 months. The result is instant elevation followed by sustained tissue tightening lasting 12-18 months.

PDO threads provide 60-70% of the lifting achieved with surgery while offering immediate results, minimal downtime, and lower costs. Surgical facelifts last 10-15 years but require general anesthesia, extensive recovery, and higher risks. Thread lifts are ideal for mild to moderate sagging and can be repeated as needed, making them perfect for patients seeking gradual improvement or those not ready for surgical intervention.

PDO threads effectively treat the entire face including cheeks, jowls, jawline, neck, eyebrows, forehead, nasolabial folds, and marionette lines. They're particularly effective for mid-face lifting, jawline definition, and neck tightening. Some practitioners also use threads for body areas like arms and abdomen, though facial applications show the most dramatic and predictable results.

Treatment typically takes 30-60 minutes depending on the number of threads used. Local anesthesia numbs treatment areas, then threads are inserted through tiny entry points using specialized cannulas. The threads are positioned and adjusted for optimal lifting before excess material is trimmed. Most patients experience minimal discomfort and can return to normal activities within 24-48 hours with some temporary swelling or bruising.

Ideal candidates are adults with mild to moderate skin laxity who want immediate results without surgical risks. Threads work best on patients in their 30s-50s with good skin quality but noticeable sagging. Contraindications include pregnancy, breastfeeding, active infections, autoimmune disorders, bleeding disorders, and unrealistic expectations. Very heavy sagging may require surgical intervention for optimal results.

Results typically last 12-18 months, with immediate lifting effects maintained throughout this period while progressive collagen benefits may extend beyond thread absorption. Longevity depends on individual healing response, thread placement technique, lifestyle factors, and natural aging progression. Touch-up treatments can extend results, and many patients schedule maintenance sessions annually for sustained improvement.

Recovery involves minimal downtime with possible swelling, bruising, or tenderness lasting 3-7 days. Patients should avoid vigorous exercise, excessive facial movements, and sleeping on their side for the first week. Most return to work within 1-2 days with makeup covering any minor bruising. Full healing occurs within 2-3 weeks, with final results visible as swelling completely resolves.