PDO Threadlift
PDO threads and lift procedure information
PDO (polydioxanone) is a biodegradable synthetic polymer thread (suture) inside the lumen of a needle. Threads come in a few different types for different areas and targeted effects: smooth, twisted, and barbed. Threads range from tiny thin to heavy and thick; from ~ 1.5 to 6 inches in length. Barbed have the ability to immediately pull the skin up to 1 cm, in addition to the gradual tightening and volumizing effect they provide.
When implanted into the subcutaneous layer of the skin (at about 5mm deep) these sutures create micro-injuries that stimulate new collagen production, blood vessel growth, and tissue contraction. They remain there until it naturally dissolves over 6-8 months by simple hydrolysis, but they leave behind lasting effects long after the sutures have dissolved: for 18-24 months. 
 
PDO (polydioxanone) threads are placed into just below your skin and stimulate the following effects to skin:
  • Instantly lifts skin via a mechanical effect
  • Stimulates fibrin and elastin to produce collagen which improves skin texture, fine lines and elasticity
  • Stimulates new small blood vessel formation that support skin tissue growth
  • Tightens skin by contracting the underlying fat and muscle
Threads can correct horizontal and vertical forehead wrinkles, lift your brow, smooth out your lower eyelids and cheeks, minimize nasolabial folds and marionette lines, smooth out crow’s feet lines and “smokers’” lip lines, and redefine your jaw line. PDO threads are also effective for tightening sagging skin and adding volume in the neck, decollete, breast, abdomen, buttocks and thighs.
 
Threads are placed with very little discomfort due to topical cream anesthesia that is applied for 20 min prior. The down time is generally none, but you will feel face tightness for 3-5 days after the procedure. There is no scarring and minimal if any bruising. The procedure can last from 15 to 60 minutes depending on the size and complexity.
Expected and adverse effects of a threadlift
You should expect some mild swelling and soreness for 3-5 days after your procedure. The sensation of mild tightness will last up to 2 weeks.
 
With smooth and twisted threads, there are very little adverse effects. If they migrate or their placement is somehow right, they can be simply removed at the time of insertion. If they extrude out the skin, they can be pulled taught and cut to keep the end under the skin or simply removed entirely and replaced.
 
With barbed threads the potential adverse effects are more involved: temporary and mild dimpling of the skin (and it resolves in a few days), facial asymmetry, prolonged pain, prolonged dimpling, and depressions if not placed carefully.
 
More serious side effects are extremely rare, but can include infection, nerve damage, formation of granuloma (a nodule of thick skin where the thread remained protruding), or even (heaven forbid) damage to the salivary ducts.

Before the procedure:

  • Do not drink alcohol for 48 hours pre and post-procedure.

  • Avoid or reduce caffeine and nicotine (smoking) prior to your procedure.

  • Take Arnica tablets and apply topical cream for 3 days before, and continuing for 7 days after your procedure to help minimize bruising and swelling.

  • Avoid Vitamin E, fish oil, green tea, Aspirin, all NSAIDs (e.g. Ibuprofen, Aleve) for 1 week prior to the procedure.

  • If you are on blood thinners of any kind please inform the Doctor.

  • If you suffer from cold sores please discuss this with the Doctor. You may need to take Acyclovir (anti-viral medicine) the day of and for 3 days after the procedure.

  • Smokers heal slower than non-smokers.

After the procedure:

  • After the procedure gently apply cold compresses on and off to the treatment areas until you sleep.   

  • Immediately after the procedure and for 3 days please reduce expressive speaking, laughter, and unnecessary facial movements which can cause pain from implanted threads.

  • Do not sleep with pressure on your face for 3 nights. Best is to sleep on your back.

  • Wash your face very carefully with soap and water daily.

  • Report to SDIM & Spa if you develop increasing redness, swelling, or heat over the treatment area after 48 hours post-procedure. This could be infection and would benefit by the use of the antibiotic Keflex.

  • Consume liquids, thickened liquids, and mechanically soft food so that your mouth only opens a small amount for 3 to 7 days as needed to reduce pain with mouth/face movement. For example, avoid drinking from a straw or smoking.

  • Take care to avoid grimacing when shaving (gentlemen) and applying makeup for 3 days (ladies).

  • Light exercise (e.g. walking) is recommended at first. No heavy exercise for at least 3 days.

  • Acetaminophen (Tylenol) 1,000 mg every 6 hours or Tramadol twice daily (Rx required) may be needed for 3-7 days.

  • Avoid facials, chemical peels, waxing and massages for 3 weeks.

  • Your first follow-up phone communication with an SDIM & Spa Guest Relations should be near the 3rd day after the procedure. Plan to return to SDIM & Spa or text your photos to our business line (858.208.3676) approximately two weeks after your procedure. This is the best time to consider further intervention if desired.

 

It is normal to experience some swelling, bruising, and slight discomfort. There should be a feeling of tightness, pulling, and even mild tenderness. Immediately phone SDIM & Spa at 858-208-3676 if you experience any of the following:

  • Sudden asymmetry (your face becomes uneven).

  • A bump appears on your face (where the thread was trimmed).

  • Suspected infection.

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