How to Choose the Right Threads: Smooth vs. Barbed Threads

When it comes to achieving a more youthful appearance, many people turn to non-surgical cosmetic procedures, and one popular option is thread lifting. Thread lifting involves the insertion of fine threads into the skin to lift and rejuvenate sagging areas. However, not all threads are created equal. 

There are two main types to consider: PDO smooth threads and barbed PDO threads. In this blog, we will explore these two options and help you determine which one is right for you.


What Are PDO Smooth Threads

PDO, which stands for Polydioxanone, is a biocompatible and absorbable material used in medical procedures for years. PDO smooth threads are typically thinner and smoother than their barbed counterparts. These threads are inserted beneath the skin to stimulate collagen production and provide a subtle lift to the treated area.

The body begins to recover and restore the tissue around the absorbable threads in the months after the procedure. It is this process that causes the healing regions to produce new collagen and elastin. Because smooth PDO threads don’t contain barbs that might pull the skin back, they are perfect for boosting the production of collagen in regions like the lips and cheeks that have deflated or wrinkled with age.  Our favorite areas to put smooth threads are the deep 11 lines that Botox can no longer improve, “accordion lines” on the lower face and cheek when one smiles, under the eyes to improve crepey skin, and finally under the chin to tighten and snatch that area.


What Are Barbed PDO Threads

Barbed PDO threads are designed for more intensive lifting and contouring. These threads have tiny barbs or prongs along their length, which grip the skin and provide a stronger lifting effect when compared to smooth threads.

The prongs on the threads aid in tightening skin and promoting the synthesis of natural collagen, giving the face a lifting effect that looks natural. Polydioxanone is used to make the threads, which gradually disintegrate and leave behind effects that can endure up to 9-12 months.


Which One to Choose

facelift procedure

Depending on your specific goals and and aesthetic concerns, here are some factors to consider:

  • Age and Skin Condition: If you have mild sagging and want a subtle lift, PDO smooth threads may be sufficient. However, for more advanced signs of aging, barbed threads could be more suitable.
  • Desired Results: Consider how dramatic you want your results to be. PDO smooth threads provide a natural enhancement, while barbed threads offer a more noticeable lift.
  • Consultation: Consult with a qualified practitioner who can assess your skin and recommend the most appropriate treatment plan.
  • Budget and Downtime: While both options are less invasive than surgery, barbed threads may have a slightly higher cost and require a bit more downtime due to their more intense lifting effect.


Rejuvenate with Us! 

Whether you opt for PDO smooth threads or barbed threads, you can achieve remarkable results with minimal discomfort and downtime. To make the right choice, consult with a skilled professional who can tailor the treatment to your unique needs and goals. 

At Ageless MD, we provide the most cutting-edge and sophisticated cosmetic treatments. Our primary areas of expertise are non-invasive face and skin rejuvenation. Simple issues like wrinkles and acne may be treated by Dr. TJ Tsay and our other Ageless MD specialists, as well as more difficult procedures like nonsurgical facelifts, nonsurgical nose jobs, and nonsurgical eyelid lifting. Contact us and schedule your appointment.