PDO Threads

Treatment Information

  • Duration - From 60- 90 minutes

  • Patch test required - No



  • Consultation - £10

  • Mid face lift (Cheeks) - £449 (cogs)

  • Mid Face lift & Jowls - £599 (Cogs)

  • Mini face Lift (Cheeks, jowls,  brows) - £899

  • Full Face Lift - (Cheeks, jowls, brows, neck) £1249



  • Collagen production

  • £150 - 10 Screw Threads

  •  £200 - 20 Screw Threads

  • £250 - 30 Screw Threads

  • £300 - 40 Screw Threads


PDO threads offers a short term alternative to a surgical facelift. The threads are made of fine sutures of biodegradable material.

A thread lift is a kind of instant facelift that uses ‘threads’ – fine sutures of biodegradable material – instead of scalpels. The sutures are threaded along your face under the skin using a needle, then pulled tight to hoist saggy parts of the face back to where you would prefer they had remained.


Using a narrow-bore needle, the practitioner places the threads in the superficial fat layer beneath the skin, above the muscle and also above the fibrous layer that lies between the muscle and the fat. This fat layer, you’ll be glad to hear, is clear of nerve endings, so you shouldn’t feel any discomfort while the practitioner is placing threads in it.


No. A thread lift moves the superficial tissues of the face and has a temporary effect. A surgical facelift goes deeper, and repositions the deeper layers of the face, and has a permanent effect.


A thread lift starts with an initial consultation at which you discuss your goals with the practitioner. The practitioner examines your face, looking in particular at how much loose skin there is in which areas, and assesses whether a thread lift would work for you.

Assuming the practitioner finds the thread lift suitable, and you decide to proceed, a thread lift normally goes something like this:

  • The practitioner decides how many threads to use and where to place them. The practitioner draws on your face to mark where the threads and cones will go, also marking the exit points for the threads. The exit points tend to be in the eyelid closure line, the line that runs from the outer corner of your eye around toward your ear.

  • The practitioner injects a small amount of anaesthetic to numb the entry point, then uses a needle to make a hole through the skin and a ‘well’ down to the fat layer.

  • The practitioner pulls the thread to close the knots in it, then drops the thread into the well and passes the thread along under the skin to the exit point.

  • With the thread in place, the practitioner pulls it taut. Then, starting from the entry point, the practitioner works along the thread, inching the tissue over the cones until it is in the right place to achieve the lift.

  • As the practitioner works, you’ll feel the pressure as they pass the threads under your skin. You may feel some smarting, but there should be no pain as such. Hard as it may be to believe, a fair number of patients actually fall asleep while having the threads inserted.

After having a thread lift, you must treat your face gently for at least the first two weeks to give the threads time to settle down. That means not only shunning vigorous activity and impact sports but also avoiding anything that will require stretching your mouth open wide, from having a dental appointment to biting into a whole apple. You should also be scrupulous about washing your hands before touching your face – harder than it sounds – and absolutely not rub your face. Your practitioner will likely also recommend staying out of the sun and avoiding alcohol, ibuprofen, or anything that might encourage bleeding.


A thread lift has two effects:

  • First, the threads actually lift your face. The threads have tiny barbs or cone-shaped lumps along them, so as they are pulled tight, they lift the skin tissues and anchor them into a new position.

  • Second, the threads stimulate the production of new collagen in your face. The threads take about three months to be absorbed by the body. During this time, new collagen grows to help hold the skin tissues in their lifted position.

A thread lift can be a good choice if your skin is losing its elasticity and sagging somewhat. If performed expertly, a thread lift can make your face look tighter and fresher while still looking natural.


The threads are made from biodegradable substances that are safe in the body, such as these:

  • Poly-L-lactic acid (PLLA). This is a bioplastic that is used in dissolvable stitches, so it is well-proven to be safe.

  • Polydioxanone (PDO). This is a biodegradable synthetic polymer.

Silhouette Soft threads and NovaThreads have both received FDA approval for lifting facial tissue. Silhouette Soft uses PLLA; NovaThreads uses PDO.


A thread lift lasts from 15 to 18 months on average.

You can prolong the effects by treating your skin and your body gently. If you’re highly active – for example, if you run and work out frequently – the thread lift won’t last as long as it might otherwise because your activities will put greater stress on the tissues of your face. Collagen-impairing activities such as smoking will also cut down the longevity of the thread lift.



Yes. Thread lifts are effective, but they’re not suitable for everyone.

To find out if your face and skin are suitable for a thread lift, consult an experienced practitioner.


Apart from being made from different materials, threads can have different designs that give different effects. Here are three examples:

  • Barbed sutures (often refered to as COGs) are good for gathering skin and giving a greater lift. The barbs are spaced along the threads.

  • Sutures with bidirectional cones anchor the threads firmly, making retightening more effective. Like the barbs, the cones are spaced along the threads.

  • Smooth sutures are primarily used to stimulate the production of collagen. (Know as Monos or screws)


After a thread lift, you will have small holes in your face from where the practitioner inserted the threads and drew them tight. You are also likely to experience the following side effects:

  • Swelling. Your face is likely to swell from the insertion of the threads and the manipulation of your flesh. The swelling should subside over the next few days.

  • Bruising. Your face may also develop bruises from the procedure. Any bruises should dissipate in a week or so.


If the thread lift is not entirely successful, the following side effects can occur:

  • Rippling of the skin. If the practitioner over-tightens the threads, the skin may be rippled rather than smooth.

  • Granulomas. Granulomas are grainy growths. They can form along the threads.

  • Threads sticking out of the skin. Barbs, cones, or the ends of threads can stick out of the skin if the practitioner doesn’t get their positioning quite right.


PDO Thread Facelift Aftercare

The following aftercare advice is essential to help reduce the risk of treatment complications, to improve your comfort/healing and to help achieve the best possible results from treatment.

Please follow the aftercare advice for PDO and PLLA thread lift treatments.

• After the procedure you may experience some temporary pain or discomfort, bruising and swelling. These effects should settle within the next 7 days. There may be some temporary skin changes at the insertion sites such as puckering, dimpling and lumpiness. These effects should resolve over 1-2 weeks but occasionally may last longer. You may feel a pulling sensation up to 5 weeks, this again will naturally resolve.

• Contact your practitioner at any stage if you are concerned about the healing process.

• A cold compress can be applied to help with swelling, you can also sleep propped up on 3 pillows to help drainage of fluid overnight.

• Sleep on your back to avoid pressure on the treated area overnight.

• Arnica cream can help with bruising resolution.

• Follow any wound care advice given to you by your practitioner for the thread entry port sites.

• Use a mild cleanser with tepid water to clean your face for 7 days after the treatment and gently dry the treated area. Keep your hands clean when touching your face.

• Do not rub or massage the face for 2 weeks after treatment.
• Do not open your mouth wide and avoid dental treatments for 2 weeks if possible.

• If you experience any pain after the treatment, you can take a simple over the counter pain killer such as paracetamol.

• Minimise facial movements for the first 24 hours.
• Avoid any perfumes, fake tan or other harsh chemicals for 72 hours after treatment.
• Avoid any makeup for 48 hours after treatment as this can increase the risk of infection.

• Avoid rubbing or picking the treated area/ thread entry port sites.
• Avoid any skin exfoliation for 72 hours following treatment.
• You can use a gentle moisturising cream over the treated area.

• Avoid any products that contain alpha hydroxy acids, retinol, and glycolic acid for at least 7 days after treatment.

• Avoid strenuous exercise, saunas, sunbeds and exposure to heat for 72 hours after treat- ment. These can cause sweating which can irritate the skin and slow down your ability to heal quickly.

• Avoid swimming for 7 days after treatment.

• Avoid any excess alcohol or caffeine for 48 hours after treatment.

• Wear SPF 30 or greater sunscreen for at least 2 weeks following treatment.

• Avoid any further cosmetic treatments such as Botox or dermal filler until your thread lift practitioner has given approval for these to go ahead.

• Avoid any heat producing cosmetic treatments such as HIFU, laser and IPL for 12 weeks after treatment. If you are looking to have an aesthetic procedure, ask your thread lift practitioner if it is safe to do so.

• Avoid facials or facial massages for 2 weeks after treatment.

• Avoid any hair removal treatments such as waxing for 2 weeks after treatment.

• If you experience thread protrusion then do not pull at the thread, contact your practitioner for a review.

• You must seek medical attention and contact your practitioner if you experience any signs or symptoms of infection after treatment. Infection can present as hot, red shiny skin, there may be pus formation and you may have a fever or feel generally unwell.

• You must contact your practitioner as soon as possible if you notice any other unwanted side effects.

• Your practitioner will advise when further review appointments are required. If you are advised to attend a follow up appointment, please do make every effort to attend them. You should do this even if you believe that the recovery process is going well and you cannot see that there are any visible complications.

It is essential that you have read all of the information available.

Please do let your practitioner know if you have any questions or if you do not understand any of the aftercare instructions provided above.