The thread lift is becoming an increasingly popular treatment within the field of aesthetic medicine. The procedure can be performed using polydioxanone (PDO) threads to lift, tighten and rejuvenate areas of sagging skin, and minimise fatty tissue. This allows for the non-surgical redefinition of facial contours and enhancement of skin integrity. Thread lifting with PDO can also provide certain aspects of the much sought after surgical facelift in a clinic setting. PDO threads aim to promote targeted lipolysis of fatty areas and neocollagenesis in sagging skin, as well as lift the treated areas. However, it is important to note that the extent of these enhancements varies between individuals, and can carry unwanted side effects. The author draws on his experience to discuss the importance of managing patient expectations pre and post PDO thread lifting, describe the treatment's mechanisms of action, and highlight important considerations for aesthetic practitioners who wish to pursue these treatments.

Vikram Swaminathan - Academic Lead, British College of Aesthetic Medicine, and Associate Editor, Journal of Aesthetic Medicine