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PDO / PCL Threads

Norman J. Pastorek, MD, PC, FACS -  - Facial Plastic Surgeon

Norman J. Pastorek, MD, PC, FACS

Facial Plastic Surgeons located in New York, NY & Madison, CT

PDO (Polydioxanone) and PCL (Polycaprolactone) threads represent a cutting-edge advancement in the field of medical aesthetics. These minimally invasive procedures offer a natural, non-surgical solution for lifting, firming and rejuvenating the skin. Read on to discover the transformative benefits of PDO and PCL threads, and how they can help you achieve a more youthful, refreshed appearance.

PDO/PCL Threads Q & A

What are PDO/PCL threads?

PDO threads (Polydioxanone) and PCL threads (Polycaprolactone) are types of absorbable suture material made from a biocompatible and bioabsorbable polymer. Originally developed for medical sutures, PDO/PCL threads have found a unique application in the field of aesthetic medicine.

PDO/PCL threads are used to lift, tighten, and rejuvenate sagging or loose skin. These threads are inserted beneath the surface of the skin using a fine needle or cannula. Once in place, they serve as a support structure for the skin, promoting collagen production and creating a natural tightening effect.

PDO/PCL threads are particularly versatile and can be used in various facial areas, including the brows, cheeks, jawline, and neck. They are valued for their ability to provide subtle and natural-looking results without the need for surgery.

Over time, the PDO/PCL threads gradually dissolve within the body, leaving behind newly stimulated collagen and lasting rejuvenation effects. The treatment is minimally invasive, and recovery time is typically short, allowing patients to resume their normal activities with minimal downtime.


What are the key benefits of PDO/PCL threads?

PDO (Polydioxanone) and PCL (Polycaprolactone) threads offer a range of benefits in the field of non-surgical aesthetic treatments. Here are the key advantages of using PDO and PCL threads:

  1. Non-Surgical Facelift: PDO and PCL threads provide a non-surgical alternative to a traditional facelift. They effectively lift and tighten sagging skin, restoring a more youthful and rejuvenated appearance.

  2. Stimulate Collagen Production: Both PDO and PCL threads stimulate the production of collagen, a crucial protein that provides structure and elasticity to the skin. This leads to improved skin texture, firmness, and overall quality. Effectively smooth the undereye area as well as Nasolabial folds.

  3. Natural-Looking Results: The gradual collagen stimulation process ensures that results appear natural, avoiding an overly tight or "pulled" appearance. Patients can expect subtle yet noticeable enhancements.

  4. Versatility: PDO and PCL threads can be used on various areas of the face, including the forehead, cheeks, jowls, jawline, neck, lips, and around the eyes.

  5. Minimally Invasive: The procedures involve minimal discomfort and downtime. They are performed in-office, and most patients can resume their regular activities shortly after treatment.

  6. Long-Lasting Effects: While individual results may vary, the benefits of PDO and PCL threads can last for several months to a few years depending on the type of tread used. Additionally, the collagen-boosting effects may continue for an extended period, providing long-term rejuvenation.

  7. Customizable Treatments: Threads can be tailored to address specific concerns and areas, allowing for personalized treatments that align with individual aesthetic goals.

  8. Safe and Well-Tolerated: PDO and PCL threads are made from biocompatible materials that have been used in medical applications for years. When administered by a skilled and experienced healthcare professional, they are considered safe.

  9. Minimal Downtime: Recovery time is typically short, allowing patients to return to their daily activities with minimal disruption.

  10. No General Anesthesia Required: Unlike surgical facelift procedures, PDO and PCL thread treatments do not require general anesthesia, reducing the associated risks and recovery time.

  11. Suitable for Various Skin Types: Both PDO and PCL threads can be used on a wide range of skin types and tones, making them a versatile option for many individuals seeking facial rejuvenation.


What to expect at your PDO/PCL threads appointment?

When you arrive for your PDO (Polydioxanone) or PCL (Polycaprolactone) threads appointment, you can expect a thorough and carefully guided process. Here's what you can generally expect:

  1. Consultation and Assessment:

    • Your appointment will begin with a consultation to discuss your specific goals, concerns, and expectations. An assessment of your facial anatomy, skin condition, and areas to be treated will be done and we will explain how PDO or PCL threads can address your unique concerns.

  2. Pre-Procedure Preparation:

    • Before the procedure begins, the treatment area will be cleaned, and a topical numbing cream and/or local anesthesia may be applied to the thread insertion area to ensure your comfort during the procedure. A chiller device may also be used for your comfort. 
  3. Thread Insertion:

    • Using a fine needle or cannula, the provider will insert the PDO or PCL threads beneath the surface of your skin. The threads are carefully placed in a strategic manner to achieve the desired lifting and rejuvenating effects. You may feel a sensation of pressure or tugging during this process, but any discomfort should be minimal, especially with the use of anesthesia. We may gently massage or adjust the threads to ensure they are positioned correctly for optimal results.

  4. Post-Procedure Care:

    • You will be provided with post-procedure care instructions as well as homeopathic remedies to help minimize any bruising, soreness, or swelling. It is recommended to avoid strenuous exercise, excessive sun exposure, and alcohol consumption for the first 24-48 hours. You may experience mild soreness for a few days and up to two weeks.
  5. Follow-Up Appointments:

    • Depending on your specific treatment plan and the area treated, a follow-up appointment may be recommended to monitor your progress and address any concerns.

Every individual is unique, and your experience may vary. It's important to communicate openly with us throughout the procedure to ensure your comfort and satisfaction.


Am I a good candidate for PDO/PCL Threads?

You may be a good candidate for PDO/PCL threads if:

  1. Mild to Moderate Skin Sagging: You have mild to moderate sagging or laxity of the skin, particularly in areas such as the brows, cheeks, jawline, neck, or around the eyes.

  2. Good Overall Health: You are in good general health with no underlying medical conditions that could increase the risks associated with the procedure.

  3. Realistic Expectations: You have realistic expectations about what PDO/PCL threads can achieve. While they provide noticeable improvements, they may not produce the same results as a surgical facelift.

  4. Commitment to Aftercare: You are willing to follow post-procedure care instructions provided by your healthcare provider to ensure optimal healing and results.

  5. Individual Goals and Concerns: You have specific areas of concern or aesthetic goals that align with the benefits offered by PDO/PCL threads. These may include lifting sagging skin, improving skin texture, and enhancing facial contours.