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Transforming Smile Lines with PDO Threads

Jan 09, 2024

The Quest for Youthful Skin with PDO Threads

Woman analyzing her smile line

Smile lines, also known as nasolabial folds, are the wrinkles extending from your nose to the corners of the mouth. This is one of the main effects of aging and they’re due to appear on most, if not all, faces. As we strive to rejuvenate our youth, smile lines are looked at as a major pain point, and if reversed, would make you look years younger. One of the latest advancements in this field is the use of polydioxanone (PDO) threads, a minimally invasive procedure gaining popularity for its effectiveness in treating smile lines through the use of lifting and collagen production.

What Are PDO Threads?

PDO threads are a type of medical-grade thread used in thread lift procedures. They are made from polydioxanone, a biodegradable material that has been used in surgical sutures for decades. When inserted under the skin, they provide a dual benefit: immediate lift and collagen stimulation.

The Thread Lift Process

1. Consultation: The first step involves a consultation with a qualified medical provider. They will assess your current condition, discuss your aesthetic goals, and help determine your eligibility and what you can expect in terms of results.


2. Procedure: During the procedure, fine PDO threads are inserted into the skin using thin cannulas or needles. These threads anchor onto the skin and lift it upwards. The process typically takes 30-60 minutes, depending on the area treated.


3. Recovery: Minimal downtime is required, and most patients can return to normal activities immediately. Some may experience mild swelling or bruising.

PDO Threads for Smile Lines and Nasolabial Folds

PDO thread lift procedure for smile line and nasolabial fold

The keys to treating your nasolabial folds with PDO threading is what threads are being used and how they are implemented.


When it comes to the type of PDO threads for nasolabial folds, there are three main types that are used:



Bi-directional barbed thread: These threads give the primary lift, using the barbs to latch onto the skin and reposition to smooth out smile lines. The ideal lifting thread will have press molded barbs, in which barbs are molded onto the thread, as opposed to cut threads which have barbs cut from the thread. They are usually long enough to insert from the hairline and down towards the nasolabial fold to pull the sagging tissue around your cheeks to relieve the smile line.



Multi-directional barbed thread: This type is used in conjunction with the bi-directional variant. The barbs constantly alternate directions along the whole length of the thread, and are used to fix and secure the bi-directional threads (like double-sided sticky tape) for additional lifting support. This also limits the excessive movement of tissue to extend the longevity of the lift.


Smooth threads: These threads are completely smooth with no barbs, and are typically shorter than its lifting counterparts. They are generally used in bunches and the way they’re placed all depends on what you’re trying to achieve (parallel, perpendicular, cross, circular, etc.). Barbed PDO threads provide lifting and collagen stimulation, whereas smooth threads offer collagen stimulation and additional volume, hence why it’s also called “collagen threads”.


What Makes a Good PDO Thread?

The tools used in your aesthetic procedures are just as important as the skill level of your provider. Make sure your provider is using the best brand of PDO threads. Some key points to look out for are:


  1. Ensure the barbs are molded, not cut. Molded threads are designed to have barbs molded onto the core of the thread, giving it the best lift, while cut threads have barbs cut from the core, which affects the structural integrity of the thread.
  2. See if the barb placement is in a 360 degree helical pattern. When the barbs surround all 360 degrees of the core of the thread, it gives it a much stronger lift as it has more touch points along your skin.
  3. Confirm that the brand has FDA clearances. Having a 510(k) clearance from the FDA (Food and Drug Association) ensures that the PDO thread has been proven to be safe to market, which is crucial for any medical device to have. Checking if the tools are FDA cleared offers a great peace of mind when choosing the best PDO thread brand.


Benefits of PDO Threads for Smile Lines


- Instant R
esults: The lifting effect is visible immediately after the procedure.

- Collagen Production: PDO threads stimulate collagen production, improving skin elasticity and texture over time, specifically the smooth “collagen threads.”

- Minimal Downtime: Unlike surgical facelifts, PDO thread lifts require minimal recovery time.

- Natural-Looking Results: The procedure can provide a natural-looking lift, avoiding the “overdone” appearance.


PDO threads are also great in combination with other procedures. While thread lifts can help with underlying sagging tissue, injectables like fillers and neurotoxins can address loss of volume and wrinkles to address aging related issues with minimally invasive treatments. Then skincare treatments like skin boosters, microneedling, and facials can be used to hydrate and nourish the surface of the skin for comprehensive facial rejuvenation. Make sure to consult your practitioner on the best treatment for you.


Hyaluronic Acid fillers for smile line and nasolabial fold

Who Is an Ideal Candidate?

Ideal candidates for PDO thread lifts are those experiencing mild to moderate sagging skin, particularly around the nasolabial folds. It can be most effective for individuals in their 30s to 50s, who are not quite ready to undergo a surgical facelift and are looking for a less invasive alternative.

Thread Lift Safety and Considerations

While PDO threads are generally safe, it’s crucial to have them performed by an experienced professional. Possible side effects include swelling, minor bruising, discomfort, dimpling, etc. It’s also essential to have realistic expectations and understand that the results are not permanent, typically lasting around 10 months.

A Step Towards Graceful Aging

PDO threads offer a promising solution for those looking to soften smile lines and rejuvenate their appearance. By choosing a qualified practitioner and understanding the process and expectations, individuals can enjoy the benefits of this innovative technique, embracing a more youthful and confident version of themselves.


Remember, every face tells a story, and smile lines are a part of that narrative. PDO threads provide an opportunity to refine that story, without erasing the chapters of joy and experience marked on our faces.

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