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Face Treatment

PDO Lift

WHAT IS PDO LIFT?

PDO Lift[1, 2, 3] is a non-surgical skin lifting treatment using Polydioxanone threads (PDO). These synthetic dissolvable threads are not new in the medical industry.

Facial threadlift

In fact, they had been used as suturing materials in cardiac and paediatric surgeries for over fifty years. 

It has been discovered to be able to rejuvenate ageing skin. 

PDO thread is now used aesthetically to help retard signs of skin ageing for many men and women by tightening saggy folds by gently and effectively lifting the skin.

PDO LIFT TREATMENT PROCESS

PDO Threadlift Process
PDO thread lifting insertionsPDO thread lifting insertionsPDO thread lifting insertions

PDO Lift is a non-surgical skin lifting procedure that involves placing bio-degradable PDO threads within the soft tissue of the skin at strategic locations.

Doing so, gently lift the skin and tackle the loose folds in an upwards direction[6].

PDO threads act as supporting structures for the face and boost collagen production underneath the skin.

AREAS OF THE FACE ARE PDO LIFTS SUITABLE FOR

Upper Face [4]

  • Mild to moderate droopy eyebrows
  • Skin ageing issues such as fine lines and wrinkles

Middle Face [4]

  • Sagging cheeks
  • Nasolabial folds

Lower face [4]

  • Mild to moderate sagging jowls
  • Marionette lines
  • Sagging of skin
  • Jawlines

Neck area [4]

  • Neck bands
  • Crepey neck
  • Sagging skin
  • Turkey neck

BENEFITS OF PDO LIFT

PDO Lift is helpful for those aged 25 to 60.

Skin lifting

A softer, non-surgical skin-lifting option for the face and body[7]

Natural-looking

Subtle skin-lifting results (not a pulled and tight look)

Defined jawline

Improves definition along the jawline through jowl lifting[4]

Skin tightening

Reduces facial folds[4]

Collagen stimulation

Stimulates collagen production months after the PDO thread placement[7]

Facial Revoluminisation

Improves facial contours, such as lifting the cheeks subtly

Youthful appearance

Softens nasolabial and marionette folds[7]

Smooth skin

Reduces fine lines and wrinkles[7]

FACE LIFT VS threadlift

Scroll to view the table
Gold arrow
TreatmentsFACELIFTTHREADLIFT
AdministrationSurgically removing and tightening laxed skin and musclesInserting various types of PDO threads
Duration2 - 4 hours depending on the extent of the surgery30 - 45 minutes
Effect10 years or so. Face shape may alter if you gain drastic weight12 months or so
Downtime2 weeks for initial swelling and recovery. 6 - 9 months for surgical scars to subsideMinimal downtime within days; aftercare is necessary
RiskRisks associated with any form of surgery, including anaesthesia, infection, nerve damage, and scarring and moreTightness, swelling, soreness and bruising [5]

WHO CAN PERFORM PDO LIFT IN SINGAPORE?

Treatment such as PDO Lift (using Polydioxanone threads) is marked as a medical device in Singapore under HSA regulation. It can only be prescribed and carried out by registered and trained medical doctors in Singapore.  

Moreover, thread lifting needs both skill and a good understanding of facial anatomy to keep patients safe and achieve the desired look. Knowing the anatomy is imperative to reduce complications and maintain the natural function of facial features for the patients[8].

Dr Ivan Puah

Dr Ivan Puah, medical director of Amaris B. Clinic, obtained a Graduate Diploma in Family Dermatology from NUS, and he has over 20 years of clinical experience in treating patients with skin laxity, wrinkles, fine lines, and with hyperpigmentation, acne scarring issues, and many others.

Dr Ivan Puah Dermal filler and botulinum toxin injections

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FAQ

What is the material in the PDO thread?

PDO material has been in use for more than 30 years in various medical disciplines such as plastic surgery and gynaecology treatments because of its high tensile strength, good pliability and smooth tissue passage.

How long will the results last?

Results generally will last around 12 months. As the threads are biodegradable, they will gradually disintegrate to be absorbed by the body.

Thanks to the collagen stimulation effect of PDO threads, new collagen is built over time, which helps to maintain the lifting effect.

Reference

[1] Khan G, Ahn Kh, Kim Sy, Park E. Combined Press Cog Type And Cog Pdo Threads In Comparison With The Cog PDO Threads In Facial Rejuvenation. J Cosmet Dermatol. 2021 Oct;20(10):3294-3298. DOI: 10.1111/jocd.14092. Epub 2021 May 10. PMID: 33904637.

[2] Myung, Yujin Md, Phd*; Jung, Chinkoo Md†. Mini-Midface Lift Using Polydioxanone Cog Threads. Plastic And Reconstructive Surgery - Global Open 8(6):P E2920, June 2020. | DOI: 10.1097/GOX.0000000000002920

[3] Wanitphakdeedecha, R., Yan, C., Ng, J.N.C. Et Al. Absorbable Barbed Threads For Lower Facial Soft-Tissue Repositioning In Asians. Dermatol Ther (Heidelb) 11, 1395–1408 (2021). https://doi.org/10.1007/s13555-021-00569-x

[4] Yongtrakul, P., Sirithanabadeekul, P., Siriphan, P., & Aging, A. F. (2016). Thread lift: classification, technique, and how to approach to the patient. Int J Medical, Heal Biomed Bioeng Pharm Eng, 10, 547-555.

[5] Hsieh, C. H., Liang, C. P., Peng, P. H. L., & Samizadeh, S. (2024). Thread Lifting: Complications and Management. In Thread Lifting Techniques for Facial Rejuvenation and Recontouring (pp. 391-406). Cham: Springer International Publishing.

[6] Kang, S. H., Byun, E. J., & Kim, H. S. (2017). Vertical lifting: a new optimal thread lifting technique for Asians. Dermatologic Surgery, 43(10), 1263-1270.

[7] Hong, G. W., Kim, S. B., Park, S. Y., Wan, J., & Yi, K. H. (2024). Characteristics of Volumizing, Scaffold, Lifting Cogged Thread, and Monofilament Threads. Dermatologic Therapy, 2024(1), 1209667.

[8] Hong, G. W., Kim, S. B., Park, Y., Park, S. Y., Chan, L. K. W., Lee, K. W. A., ... & Yi, K. H. (2025). Anatomical considerations for thread lifting procedure. Journal of Cosmetic Dermatology, 24(1), e16618.

Image source

Hong, G. W., Kim, S. B., Park, S. Y., Wan, J., & Yi, K. H. (2024). Basic concepts in facial and neck thread lifting procedures. Skin Research and Technology, 30(4), e13673.

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