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What Is a PDO Thread Lift? Absorbable Threads That Lift Skin

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A PDO thread lift places thin, absorbable polydioxanone (PDO) threads under the skin with a fine needle or cannula to lift sagging tissue and stimulate collagen. According to the American Society of Plastic Surgeons, PDO threads stay in place for about 4 to 6 months before they slowly dissolve. Cleveland Clinic puts results at one to three years.

Written by Kiara DeWitt, BSN, RN
Medically reviewed by Dr. Josh Allen, D.O., Medical Director on November 5, 2026

Medical disclaimer: This article is for educational purposes only and does not constitute medical advice. Results vary by individual. Always consult a licensed healthcare provider before beginning any medical treatment or aesthetic procedure.

Key Takeaways

  • A PDO thread lift lifts sagging skin with absorbable threads placed under the skin.
  • PDO threads reach the US market through FDA clearance, and each product’s clearance names its uses.
  • Cleveland Clinic puts thread lift results at one to three years as the threads dissolve.
  • Bruising and swelling are common; call your provider for fever or swelling past 48 hours.

What Is a PDO Thread Lift?

A PDO thread lift is a nonsurgical procedure that uses thin, dissolvable threads to lift and support sagging skin. The threads are placed under the skin with a fine needle or cannula, where they hold tissue in a lifted position and stimulate collagen as they dissolve, according to Cleveland Clinic.

Thread lift threads being placed along the cheek

Common treatment areas include:

  • Jawline and jowls
  • Mid-face and cheeks
  • Neck
  • Brows
  • Smile lines

What Are PDO Threads Made Of?

PDO stands for polydioxanone, an absorbable suture material that’s been used in surgery for decades. The FDA classifies absorbable polydioxanone surgical sutures as Class II medical devices under 21 CFR 878.4840.

PDO threads come in a few shapes: smooth (mono), twisted (screw), and barbed (cog) threads with small hooks along their length. Each shape does a different job, and the mono, screw and cog threads compared side by side show how.

How Do PDO Threads Work?

Gloved hand placing a thread lift along the jawline

The Lift

Barbed threads have small hooks that grip the tissue under the skin. Once the threads are placed, the barbs hold the tissue in a new, lifted position.

The Collagen Response

As the threads dissolve, they trigger the body to produce collagen around them, according to Cleveland Clinic. This new collagen helps support the skin after the threads themselves are gone.

Are PDO Threads FDA Approved?

PDO threads aren’t FDA-approved. They reach the US market through a process called 510(k) clearance, and each product’s clearance names its own intended use.

Those uses vary a lot between products:

  • One barbed PDO thread family is cleared “for use in face suspension surgery to temporarily fixate the cheek sub dermis in an elevated position,” according to its FDA 510(k) summary (K220549).
  • Another PDO thread line “is not intended for body cavity applications or lifting and supporting tissues,” according to its FDA 510(k) summary (K240389).

So the label “PDO threads” alone doesn’t tell you what a product is cleared for. Ask your nurse injector which thread will be used and what it’s cleared for.

Who Is a Good Candidate?

According to Cleveland Clinic, a thread lift generally suits people who:

  • Are noticing early signs of aging
  • Are in their late 30s to early 50s
  • Don’t expect dramatic results
  • Don’t want cosmetic surgery

The American Society of Plastic Surgeons describes thread lifts as a fit for mild to moderate skin laxity. People with more significant sagging usually get better results from surgery.

Who Should Not Get a Thread Lift Yet

A thread lift isn’t right for everyone. Your nurse injector reviews your health history, your medicines, and your skin before recommending one, and may suggest waiting or another option.

Woman with lift lines drawn along the cheek and jaw

What to Expect: Procedure and Recovery

A thread lift takes about an hour, according to Cleveland Clinic, and you can go home right afterward. You may have bruising and swelling for up to five days. Most people return to work right away, though Cleveland Clinic notes your provider may recommend waiting about two weeks before vigorous exercise or other activities that could loosen the threads.

Cleveland Clinic also notes that common aftercare steps can include sleeping in a propped-up position and avoiding washing your face for 24 hours. Your nurse injector will give you instructions specific to your treatment.

Your look keeps changing as swelling settles and new collagen builds, and the full PDO thread lift before and after timeline walks through what changes week by week.

Risks and Side Effects

A 2025 review of facial thread lift complications groups the risks by how often they occur:

How oftenPossible effects
CommonBruising, pain, swelling, bleeding, and dimpling of the skin
Less frequentInfection, granuloma (a small lump of inflamed tissue), thread migration, and injury to a nerve or the parotid (salivary) gland

Call your provider right away if you notice signs of infection, which Cleveland Clinic lists as fever, a headache that won’t go away, or swelling that lasts longer than 48 hours. Choosing a licensed, trained nurse injector and asking which thread is used helps lower the risks.

How Long Does a PDO Thread Lift Last?

According to the American Society of Plastic Surgeons, PDO threads stay in place for about 4 to 6 months before they slowly dissolve, and results can last a year or more. Cleveland Clinic puts thread lift results at one to three years, after which you can have another treatment if you liked the outcome. Skin quality, age, and the threads used all play a part in how long a PDO thread lift lasts.

Clinician marking a patient's face before a thread lift

PDO Threads vs Botox, Filler and a Facelift

  • Botox relaxes the muscles that cause expression lines. It doesn’t lift sagging skin.
  • Dermal filler adds volume where it’s been lost. It doesn’t reposition tissue.
  • Radiofrequency skin tightening uses heat to tighten skin, but it doesn’t physically lift tissue the way threads do.
  • A facelift is surgery that lifts deeper tissue and removes excess skin. According to the American Society of Plastic Surgeons, a facelift can last up to a decade, compared with one to three years for a thread lift. Surgery costs far more and carries more risk, with anesthesia and a longer recovery.

PDO Thread Lift at InjectCo

At InjectCo, PDO thread lifts are nurse-led and performed under the medical direction of Dr. Josh Allen, D.O., Medical Director. Every treatment starts with a consultation, where your nurse injector checks your skin laxity, talks through your goals, and explains which thread would be used and why. Our PDO thread lift treatment is priced at your consultation, and you can ask about payment options then too.

Questions before you book? Call us at (817) 533-7676. Hablamos Español at all locations. Spanish line: (469) 804-9964.

PDO Thread Lift: FAQs

What are PDO threads?

PDO threads are thin, absorbable threads made of polydioxanone, a suture material used in surgery for decades. Placed under the skin, they lift sagging tissue and stimulate collagen as they dissolve.

How long do PDO threads last?

The threads stay in place for about 4 to 6 months before they slowly dissolve, according to the American Society of Plastic Surgeons, but the results last longer. Cleveland Clinic puts thread lift results at one to three years.

Does a PDO thread lift hurt?

You may feel some discomfort, and Cleveland Clinic notes you can take an over-the-counter or prescription pain reliever for several days afterward until it goes away. Your nurse injector will explain how comfort is managed during treatment.

Are PDO threads FDA approved?

No. PDO threads reach the market through 510(k) clearance rather than FDA approval, and each product’s clearance states its own intended use, so ask your nurse injector which thread is used and what it’s cleared for.

Who should not get PDO threads?

A thread lift isn’t right for everyone, and people with significant skin sagging often get better results from surgery, according to the American Society of Plastic Surgeons. Your nurse injector reviews your health history before recommending one.

Can PDO threads be removed?

Yes. According to Cleveland Clinic, if you don’t like your results, the threads can be removed.

PDO thread lift vs facelift?

A facelift is surgery that can last up to a decade, according to the American Society of Plastic Surgeons, while a thread lift lasts one to three years. A thread lift has a shorter recovery, but surgery gives a bigger change for significant sagging.

In this fillers, lips and threads series: Previous, What Is Russian Lip Filler?.

Sources

  • Cleveland Clinic. Thread Lift. my.clevelandclinic.org
  • American Society of Plastic Surgeons. What you need to know about thread lifts. plasticsurgery.org
  • U.S. Food and Drug Administration. 510(k) summary K220549 (MINT PDO sutures). accessdata.fda.gov
  • U.S. Food and Drug Administration. 510(k) summary K240389 (absorbable polydioxanone suture). accessdata.fda.gov
  • Code of Federal Regulations. 21 CFR 878.4840, Absorbable polydioxanone surgical suture. ecfr.gov
  • Yi KH, Park SY. Facial Thread Lifting Complications. J Cosmet Dermatol, 2025. PMC11702150

About Our Medical Director

Dr. Josh Allen, D.O., is InjectCo’s Medical Director. He oversees the clinical standards behind every treatment InjectCo offers and supports its nurse injectors across all nine Texas locations. He earned his Doctor of Osteopathic Medicine at Lake Erie College of Osteopathic Medicine and completed his residency in emergency medicine with Texas A&M.

Dr. Josh Allen, D.O., Medical Director at InjectCo MedSpa
Medically reviewed by Dr. Josh Allen, D.O.,
Medical Director, InjectCo MedSpa.
Last reviewed: November 2026.

Dr. Allen earned his Doctor of Osteopathic Medicine at Lake Erie College of Osteopathic Medicine and completed his emergency medicine residency with Texas A&M. As Medical Director, he reviews InjectCo’s treatments, protocols, and patient education content for accuracy and safety across all nine Texas locations.

Written By:
Kiara DeWitt, BSN, RN, CPN, Founder
Kiara DeWitt, BSN, RN, CPN founded InjectCo in early 2021 while also heading up the neurosurgery + neurology unit at Cook Children’s Pediatric Hospital as lead clinical educator. After completing her Bachelor's degree at Texas Christian University, Kiara realized just how much the aesthetic medicine industry was missing, wishing it was more focused on ethical decision-making and building relationships. Kiara’s dream was to create an atmosphere for her patients where they feel loved, empowered, and comfortable. She believes in a “lead to serve” mentality, hoping to create a more personal connection with both her patients and team alike. Today InjectCo has nine Texas clinics: seven in Dallas-Fort Worth, one in The Woodlands and one in Austin.
Kiara loves nothing more than creating a collaborating, educational approach with her team, and thrives on personal and professional growth opportunities. She hopes that her patients feel heard and encouraged at every InjectCo visit and that they are truly excited about their personalized and well-designed aesthetic treatment plan. This love for education and safety in the industry led her to later found Texas Academy of Medical Aesthetics, InjectCo's own injector training program, which specializes in a 100+ hour aesthetic injector internship where students are able to train and shadow at all nine of InjectCo’s clinics.

Kiara’s patients recognize her and the entire InjectCo team as highly skilled and extremely thorough clinicians. She hopes to continue being a knowledgeable and approachable resource for clinical injectors across the country who are hoping to grow and scale their aesthetic business.

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