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PDO Threads are surgical threads made from Polydioxanone and is the material commonly used in surgical application treatments in Orthopedic and Cardiovascular uses for over 32 years. The PDO thread sutures used in aesthetic application are specifically designed to lift, tighten, and rejuvenate different aesthetic indications across the face and body. Once inserted below the skin, the PDO threads provide outstanding dermal retention with predictable and accurate results for skin volume deficits, scars, rhytids, and skin tightening as a result of increased collagen production in the area. The use of barbed sutures attach and lift the skin while improving the overall appearance of the skin.
PDO (Polydioxanone) thread sutures are a very safe and non-invasive procedure and are biodegradable that correct the outward appearance of aging skin, asymmetry, and moderate skin laxity.
PDO Thread Lift Treatments allow for correction of skin laxity, tissue integrity, and improving the appearance of wrinkles, creping of skin, and folds across the face and body. There are (2) types of PDO Threads that are used; smooth threads and barbed threads. Smooth PDO threads add volume to the tissues and creates collagen synthesis (increased collagen) in the inserted area. Barbed PDO threads also create collagen synthesis in the treatment area but also attaches to the skin and creates a lifting effect to tissues upon activation of the threads. The benefits associated with the procedure are numerous due to the effects of increased collagen and include:
Additional benefits associated with the procedures include:
PDO threads are placed within tissue where the patient is experiencing indications where loss of collagen or tissue integrity is needed. PDO thread sutures are absorbable, nonallergenic and will be resorbed naturally within (6) months of implantation. When PDO threads are implanted the body sees the material as foreign matter and produces collagen in the implanted area as well as reinforcing tissues. The collagen effect (increased collagen) occurs during the (6) months it takes for the threads to slowly resorb and the effects of which will result in new collagen, elastin (form of collagen), and increase in Hyaluronic Acid (natural to the skin – increased hydration) that will last up to 12 months or more. For even longer lasting results from the procedure Empire recommends to have additional threads injected at different time intervals after the initial procedure.
Depending upon the type of PDO Thread used in the treatment there are additional benefits to patients. Barbed (COG) PDO threads attach to the deeper dermis of the skin and when activated will lift, suspend, and give support to sagging skin in addition to the collagen benefits. As the Barbed Threads resorb the effect of lifting the skin remains the same as new collagen keeps supporting the lifting of the tissues. Smooth PDO Threads are used to support present tissue without the lift effect, they can be used to fill contrasting features of the face and body as well as supporting the barbed PDO Threads. As the smooth PDO Threads resorb the filling effect remains the same as new collagen replaces the surgical PDO suture.
The effects of PDO Threads when placed properly in the mid to deep dermis will last 12-24 months in most individuals. Results vary based upon age, body metabolism, and damage to the tissue where the corrective threads are placed. PDO threads will slowly resorb for 3-4 months while creating collagen synthesis within the skin that replaces the immediate volume effect of the threads whether it be the lifting effect or rejuvenation. Because the collagen synthesis is continual while the thread slowly reabsorbs, the newly created collagen will last approximately 9-13 months in addition to the first 3-4 months of the thread first being placed.
For even longer lasting results from the procedure Empire recommends to have additional threads injected at different time intervals after the initial procedure. Many patients will use a maintenance time interval to keep enjoying the results achieved.
There are not many educational institutions providing training on PDO Threads, however Empire Medical Training does provide this training nationwide throughout the year at major destination cities by board-certified physicians who have incorporated these procedures within their own practices.
Manufacturers may also offer training but most likely the trainers are mid-level healthcare providers who may be good at the placement of threads but may be lacking in the protocols and standard of care concerns associated with the procedure. It is our opinion that physicians are best suited to provide the initial training in PDO Thread procedures.
Every patient is different due to their age, lifestyle, biological processes, and the extent of their indication (skin quality, scarring, excessive laxity etc.). Patients will observe some immediate benefits at the time of treatment but the true indication for treatment will occur 3-6 weeks post treatment. Collagen synthesis takes approximately 3-6 weeks to occur from the increase of fibroblasts to the formation of collagen within the tissue area. The barbed PDO Threads have more of an immediate effect as patients will see the lifting effect almost immediately when the threads are engaged and will see further improvement of the area 3-6 weeks post treatment.
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