Outcomes of polydioxanone knotless thread lifting for facial rejuvenation

Dermatol Surg. 2015 Jun;41(6):720-5. doi: 10.1097/DSS.0000000000000368.


Background: Thread lifting is a minimally invasive technique for facial rejuvenation. Various devices for thread lifting using polydioxanone (PDO) are popular in aesthetic clinics in Korea, but there have been a few studies regarding its use.

Objective: To describe PDO thread and techniques adopted to counteract the descent and laxity of the face.

Methods: A retrospective chart review was conducted over a 24-month period. A total of 31 thread lifting procedures were performed. On each side, 5 bidirectional cog threads were used in the procedure for the flabby skin of the nasolabial folds. And, the procedure was performed on the marionette line using 2 twin threads.

Results: In most patients (87%), the results obtained were considered satisfactory. Consensus ratings by 2 physicians found that objective outcomes were divided among "excellent," "good," "fair," and "poor." Texture wise, the outcome ratings were 13 as excellent and 9 as good. Lifting wise, ratings were 11 as excellent and 6 as good. The incidence of complications was low and not serious.

Conclusion: Facial rejuvenation using PDO thread is a safe and effective procedure associated with only minor complications when performed on patients with modest face sagging, fine wrinkles, and marked facial pores.

MeSH terms

  • Adult
  • Contusions / etiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nasolabial Fold
  • Polydioxanone*
  • Rejuvenation
  • Retrospective Studies
  • Rhytidoplasty / instrumentation
  • Rhytidoplasty / methods*
  • Skin Aging
  • Suture Techniques / adverse effects
  • Suture Techniques / instrumentation*
  • Sutures*
  • Treatment Outcome
  • Young Adult


  • Polydioxanone