Nobody wants to appear older or more exhausted than they already are. And it’s never a good look to walk around looking sad or angry – but that is exactly what marionette lines and wrinkles can do. These lines and wrinkles around your mouth not only make you look older but they can also cause the corners of your mouth to droop, giving you an unhappy or mad expression.

Marionette lines can simultaneously make you appear older, more fatigued, and unhappy. So it’s no wonder people want to get rid of them. The problem is that typical non-surgical wrinkle solutions like Botox and dermal filler don’t work very well. And for many years, the only other option to erase marionette lines was an invasive facelift, but not anymore!

There is a new cosmetic procedure providing remarkable results called PDO Threading. Read on to learn more about this non-invasive, non-surgical marionette line solution and the best place to receive a PDO Thread Lift in the Nashville, Tn, area.  

What Are Marionette Lines?

You might refer to them as the lines and wrinkles around your mouth, but the technical name for the creases that run from the corners of your mouth down to either side of your chin is marionette lines.

As the name implies, marionette lines can make you look like a puppet. And, of course, no one wants to look like Pinnochio all the time. The problem is that getting rid of these lines can present a challenge.

Typical treatments for lines and wrinkles, such as Botox and dermal filler, don’t work very well on marionette lines. We’ll explain why that’s the case a little further down. And many people don’t want to have an invasive facelift procedure.

Thankfully, there are ways to tighten your skin without facial surgery. One being a cost effective, non-invasive, non-surgical facelift option we use at Garza Plastic Surgery called PDO Threading, also known as the PDO Thread Lift.

In short, PDO Threading is a simple, fast, and effective aesthetic treatment that lifts the face and stimulates collagen production. PDO Threads can even be specifically targeted to smooth out other fine lines and wrinkles on your face.

We’ll dive deep into everything you need to know about PDO Threads and the PDO Threading technique a little further down (there are a lot of PDO Threading myths out there.) But first, we want to talk about what causes marionette lines and why PDO Threading is the best non-surgical treatment to eliminate them.

What Causes Marionette Lines?

The leading cause of marionette lines is the natural breakdown of collagen and elastin that occurs with age. The force of gravity is another factor that makes marionette lines more visible over time. It’s also been found that with time, the depressor anguli oris (DAO) muscle pulls down on the corners of the mouth and causes both frown lines and marionette lines.

Other causes of marionette lines include:

  • Stress
  • Smoking
  • Weight loss
  • Excessive alcohol use
  • Repeated facial expressions
  • Thinning of subdermal fat cells
  • Reabsorption of the mandible (lower jaw bone)
  • Overexposure to sun and other environmental hazards

Marionette lines can also be hereditary. Some people may be predisposed to more prominent and more noticeable marionette lines than others, mainly because genetic makeup plays a large part in facial structure, skin texture, and biological age.

What is the Best Non-Surgical Treatment for Marionette Lines?

PDO threads are the best option for non-surgical face lifting and for erasing marionette lines. The only way to treat marionette lines is to physically pull the skin back. And the best way to do that without surgery is with threading treatments.

The absolute best treatment for marionette lines will always be to restore your face with facelift surgery. However, we understand that surgery is intense, requires more downtime, and can be expensive. That is exactly why more and more people with marionette lines are opting for PDO Threading treatments.

Young fashionable woman standing outside, wearing a black jacket, a grey blouse, dark sunglasses, and with a defined jawline.

What are PDO Threading Treatments?

PDO stands for polydioxanone, which is a natural protein woven into a thread that’s thinner than a human hair. These threads are also made from the same material from which dissolvable surgical sutures are made. Meaning the threads will be naturally and safely absorbed into your body after they’re placed.

The best part about PDO Threading treatments is it’s just one treatment, and you’re done! There’s no follow-up thread removal appointment after treatment, and the results last a very long time.

How Does PDO Thread Placement Work?

When you come in for a threading treatment, Dr. Garza, Tracey, or one of our aestheticians will work with you to identify which areas should be treated. They will then draw out how the threads will be placed. With the outline traced on your skin, your skin will be sanitized, and your face will be numbed with a local anesthetic.

Once your face is numb, your provider will make a tiny incision using a needle and place a medical device called a cannula into that microincision. Then, the thread will be anchored in place, and the cannula will be removed. Finally, the excess thread will be cut off. That’s it!

There may be minor bleeding and redness immediately after the procedure, but it should go away shortly. And after that, you can get right back to your day. Yes, you can even return to work. The whole process takes about 45 minutes, so you can even plan to take a long lunch break if you have to work on the day of your treatment.

Different Types of PDO Threads

These are the three main PDO types, and they work in different ways. Some of the different types of threads we can use for your treatment include:

  • PDO mono threads or smooth threads
  • PDO cog threads
  • PDO screw threads

Each type of PDO thread is designed to produce results specific to each patient. Your medical provider might use one type of thread or a combination of threads to reach your desired results.

It’s worth noting that PDO threads aren’t the only option available when it comes to non-surgical facelifts. In addition to PDO threads, there are other thread types that utilize polylactic acid (PCA) or polycaprolactone (PCL) as the active ingredient.

At our clinic, we only use PDO threads for PDO Thread Lifts for several reasons. Not only have PDO threads been in use for the longest time, but they are also made from a material that has been trusted in cardiovascular surgery for decades. This makes them a safe, reliable, and durable choice for achieving the desired facelift results.

Why PDO Threads in Nashville are The Best Treatment for Marionette Lines

The benefits of PDO Threads go beyond being affordable and non-invasive. The PDO Thread Lift has become the most popular method for getting rid of marionette lines and other facial wrinkles for many reasons.

Minimal Downtime and Quick Results

PDO threading offers near-instant results with minimal downtime. Unlike traditional facelift surgery, which requires significant recovery time, PDO threading allows you to resume your normal activities shortly after the procedure. The threads provide an immediate lifting effect, giving you a more youthful appearance right away.

Long-Lasting Effects

While the initial results of PDO threading are noticeable right after the treatment, the benefits continue to improve over time. The threads stimulate collagen production, which helps to firm and tighten the skin gradually.

As collagen production increases, you can expect the effects of the treatment to become more pronounced, leading to natural and long-lasting rejuvenation. The ongoing collagen synthesis can provide improvements for many months.

Non-Surgical Alternative to Facelift Surgery

PDO threading is considered the best non-surgical alternative to facelift surgery. It offers the benefits of a facelift, such as lifting sagging skin and reducing the appearance of wrinkles, without the need for incisions, general anesthesia, or downtime.

This makes PDO threads a safer and less invasive option for individuals seeking facial rejuvenation. Additionally, PDO threading avoids the scarring associated with surgical facelift procedures, allowing for a more discreet and natural-looking outcome.

Versatility and Customization

PDO threading is a versatile treatment that can be customized to address specific areas of concern. The threads can be placed strategically to target sagging skin, define facial contours, lift the cheeks, reduce jowls, and improve the appearance of the neck and jawline.

The flexibility of PDO threading allows for tailored treatments to meet individual aesthetic goals, making it an appealing option for personalized facial rejuvenation.

Collagen Stimulation and Skin Improvement

The insertion of PDO threads into the skin stimulates the production of collagen, a vital protein that promotes skin elasticity and firmness. By enhancing collagen synthesis, PDO threading not only lifts and tightens the skin but also improves its overall texture and quality.

This can lead to a more youthful and radiant complexion, reducing the appearance of fine lines, wrinkles, and skin laxity.

Gradual and Natural-Looking Results

PDO threading provides gradual results that look natural. The collagen-stimulating effects of the threads contribute to a more subtle transformation, allowing the skin to improve gradually over time.

This gradual improvement ensures that the final outcome is harmonious with your facial features and maintains a natural-looking appearance.

Safe and Very Few Side Effects

PDO threads are FDA-approved and widely recognized as relatively low-risk, with the most common side effects being only minor bruising and swelling.

To keep your side effect risk low, it is crucial that your PDO Thread Lift procedure be performed by a board-certified provider who has completed advanced PDO thread lift training.

PDO threads in cheeks

Other FAQs About PDO Threading in Nashville, TN

Because PDO Threading is a relatively new technique to firm and lift the skin, patients have a lot of questions about the threads and the threading procedure.

Here are some of the most common questions we receive at Garza Plastic Surgery. If you have a question that is not on the list, please write it down and ask us during your complimentary consultation.

How Long Does it Take a PDO Thread to Dissolve?

The dissolving timeline can vary depending on factors such as the thickness and type of PDO thread used. On average, the threads take around 6 to 12 months to completely dissolve, with nine months being the most typical.

However, during this period, the threads continue to stimulate collagen production, contributing to long-lasting rejuvenation and improved skin texture.

Do PDO Threads Work on Sagging Skin?

Yes! We can place threads to tighten up jowls, browlines, and nasolabial folds. We can even help you tighten up other areas of your body with PDO threads.

What Are the Side Effects of a Thread Lift?

Because PDO threads are so minimally invasive, this treatment is a very low-risk procedure. However, there are a few minor risks associated. We’ve already mentioned that bruising is one of the side effects that patients can sometimes see.

Other possible side effects include swelling around the treatment site, as well as some slight pain or bleeding around the thread injection site.

Are There Any Potential Complications of PDO Threads?

Any medical or cosmetic procedure has potential complications. Thankfully, any complications that can result from PDO Threads are minor, easy to spot, and easily fixed.

Potential complications of PDO Threading include:

  • Dimpling
  • Allergic reaction to the threads
  • Unintended movement of the thread that causes lumps in the skin
  • Bleeding
  • Pain, discomfort, or feeling like the thread is too tight
  • Infection

Let us know if you see any of these complications, and we will be happy to help you. However, if you notice any of the following signs of infection around the treatment site, you should talk to your doctor immediately.

  • Discoloration
  • Swelling that lasts more than 48 hours
  • Fever
  • Frequent, persistent headaches

Are PDO Threading Treatments the Same for Everyone?

No, we tailor all of our threading treatments to each patient. We can use several different types of PDO threads depending on the results you want.

Also, the type of thread we use will depend on which area of your body you want to treat. We always work with our patients to design the most effective treatments for their aesthetic goals.

How Long Will My PDO Threading Results Last?

The great thing about a PDO Thread Lift is you will notice a difference as soon as the procedure is finished. After the thread placement, you will see initial results but don’t think that is the best your face will look. Results only improve with time because stimulated collagen production will help you maintain your results long after the thread dissolves.

In fact, the final results of a thread lift can last up to three years. Just remember that while PDO threading provides long-term benefits thanks to stimulated collagen production, results do not last forever.

How Many PDO Thread Treatments Will I Need?

Most patients only need one treatment before they see results. But, once again, the results tend to fade after a few years. So, you may want to get repeat treatments somewhere down the line.

Is PDO Threading Painful?

A PDO Thread Lift is generally well-tolerated by patients and is often described as mildly uncomfortable rather than painful. People often describe the sensation of PDO threading as a combination of mild pressure and tugging.

Any discomfort experienced during the procedure is generally tolerable and temporary, lasting only during the insertion of the threads. Additionally, we use a local anesthetic to help minimize any discomfort, ensuring a more comfortable experience.

Can I Not Just Use Dermal Fillers or Botox to Erase Marionette Lines?

Unfortunately, using dermal fillers or Botox to treat marionette lines is not practical. These injections can help fight off the earliest signs of marionette lines but require proportionately larger injections the more prominent the line or fold is.

While dermal filler would theoretically help lift the whole face, as mentioned, it would require a lot of product. Too much filler is never a good idea, particularly when treating marionette lines. Overfilling this area can lead to an unnatural or “overdone” appearance, resulting in a lack of facial balance and expression.

Marionette lines require a delicate approach to ensure subtle and natural-looking results. Excessive filler in this area can distort the natural contours of the face, making it appear swollen or disproportionate.

Can PDO Threads Work on Other Areas of the Face or Body?

PDO threads can be used in various areas of the face to provide lifting, tightening, and rejuvenating effects. Some common areas where PDO threads are used include:

  • Face and Neck
  • Brow and Forehead
  • Lower Face and Jawline
  • Lips and Perioral Region
  • Neck and Décolletage

PDO threads can also be used on various areas of the body, expanding their applications beyond the face. Some common body areas where PDO threads can be utilized include:

  • Arms
  • Abdomen
  • Thighs
  • Buttocks

It’s worth noting that PDO threads used on the body are typically longer and stronger compared to those used on the face. As with any PDO thread treatment, it’s important to consult with a qualified medical professional who can assess your specific concerns and determine the most suitable areas for PDO thread placement. The treatment plan will be tailored to your individual needs, ensuring optimal results and a natural-looking outcome.

Planning for Your PDO Thread Lift

Aside from discussing your goals during a complimentary consultation, there isn’t much else you will need to consider before having your PDO Thread Lift. You will be able to go back to work and resume all activities almost immediately following the procedure.

That said, there are a few things you will need to consider both before and after your PDO Thread Lift. Here is a list of things you should avoid before PDO Threading and what you can expect following the treatment.

What Not To Do Before PDO Threading

PDO threading can be performed any time of year, but there are a few pre-treatment guidelines you should follow to avoid physically disturbing the treatment area.

Some things you will need to consider in the days leading up to your PDO Thread Lift include:

  • Avoid sleeping on your side
  • Avoid sleeping on your stomach
  • Don’t use makeup for a couple of days
  • Don’t schedule any massages or facials after your thread lift
  • Stay out of the heat and avoid strenuous exercise
  • Stay away from alcohol
  • Avoid smoking
  • Stop rubbing your face
  • Try not to make any energetic facial movements
  • Don’t chew any gum
  • Avoid tanning or going to a sauna

What To Do After a PDO Thread Lift

One of the best things about PDO Threading is that it is non-invasive and requires very little downtime. You should be able to resume all normal activities on the same day as treatment. That said, one of the risks of threading is minor bruising around the treatment area.

To promote healing and avoid bruising and other risks, we recommend doing the following after your thread lift:

  • When sleeping, it is best to sleep on your back for a few days.
  • Apply ice to the treated area a few times daily for no more than fifteen minutes.
  • Rest and avoid highly emotional situations that may cause intense facial expressions.

Other than that, you should be able to resume your routine without any problems. Dr. Garza may have some additional instructions for you, depending on your health history, but overall recovery is not intense at all.

Visit Garza Plastic Surgery for PDO Threading in Nashville, TN

At Garza Plastic Surgery, our staff is highly skilled in PDO Threading. Make a consultation appointment today to learn how PDO threading and our other aesthetic services in Nashville can help you reach your aesthetic goals.