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3 Ways Neck Rejuvenation with PDO Powder + Thread Lift

According to Neck Rejuvenation with Thread Lift by Gulhima Arora and Sandeep Arora (2019) aging is a universal phenomenon and inevitable.

Skin too ages just as other organs of the body. In addition to generic body aging, extrinsic factors such as sunlight (visible, ultraviolet, and infrared), smoking, and air pollution induce aging due to their direct impact along with ethnic skin characteristics, which are unique to individuals.

In addition to these, age-related structural changes in the bones, ligaments, fat pads, muscles, and skin all add to the aged skin look. Neck region is a perfect example of how skin in an exposed area is affected by all the above factors, resulting in textural changes with wrinkled blotchy, loose, inelastic, sagging skin; increase in neck volume with platysmal bands and Venus rings; and/or blunting of the cervicomental angle.

Chronological aging cannot be prevented. It can be delayed and accepted in a more elegant manner, whereas photoaging may be prevented to a certain extent by the use of the correct amount of sunblock starting at the right age.

However, structural correction, which is just as important, can be addressed to take care of the third inevitable change, which needs correction of superficial as well as deep layers to get a natural and harmonious result.


Neck aging assessment, in the form of neck wrinkling was carried out by six-point wrinkle assessment scale by Lemperle et al. (0: no wrinkles, 1: just perceptible wrinkle, 2: shallow wrinkle, 3: moderately deep wrinkle, 4: deep wrinkle with well-defined edges, and 5: very deep wrinkle with redundant fold) and in the form of neck volume can be carried out by five-point assessment scale by Sattler et al.

The most common signs of the neck aging treated were wrinkling of the neck skin, textural changes, platysmal bands, and double chin.


Choice of thread used will be based on the primary indication.

When just rejuvenation of the neck in terms of textural improvement is desired, monofilament or screw PDO threads were used, as these threads improve microcirculation and collagenosis and thus the texture of the skin and mild wrinkling is corrected.

PDO/PLLA Threads

A PDO thread lift is a procedure that uses dissolvable sutures to rejuvenate and lift sagging skin. It's a cheaper and faster alternative to facelift surgery, but the results don't last as long and aren't as dramatic. Recovery from the procedure is minimal and it's often possible to return to work the same day.

To improve sagging and severe wrinkling, more stretch in the horizontal plane was desired, and hence to redrape the skin, we used PDO bidirectional barbed or PLLA bidirectional cone threads.

To give a long-lasting result, PLLA was chosen over PDO threads in patients who could afford, as it has a longer half-life of 18 months as compared to 6 months of PDO.

PDO and PLLA materials dissolves and are naturally reabsorbed in the body over time – roughly 12 months for PDO and up to 2 years for PLLA – leaving behind no residue

Monofilament Threads

Mono threads typically stimulate collagen to tighten loose skin. Cog/barbed threads create a lift, while others are utilized to redistribute facial fat. The threads that are implanted act as a “reinforcement” material for your skin, like pillars in a building that add structural strength and volume.

When reduction in volume due to a double chin was desired, monofilament threads were used in a crosshatch technique to aid in lipolysis, along with tightening the skin, thus attempting to restore the optimal cervicomental angle.


Here we have an exclusive video shared by our global renowned faculty Dr Kwon Han-Jin to show case the 3 Way Neck Rejuvenation with PDO Powder filler + collagen boosting threads.

There are 3 main Techniques used for thread insertion. (A, B) Crosshatch. (C, D) Hammock. (E) Linear threading.

Cross hatching builds on linear filling where a series of parallel tunnels of filler is injected. Then perpendicular tunnels are injected to create a cross hatching. This technique is meant for filling in broader areas where more surface area was required to give greater textural improvement and also as optimal vectors for double chin.

Hammock technique is used to stretch the skin where laxity was more, and to give a good anchoring at the mastoid fascia.

Linear threading is used where just volumization with threads was desired as in Venus rings. For this technique, the full length of the needle is inserted into the middle of the wrinkle or fold to create a channel. The product is usually injected while the needle is slowly drawn backward, so that “threads” are deposited along the length of the wrinkle or fold.

Recovery & After Care

Recovery from a PDO thread lift is minimal. Patient may have some swelling and bruising for the first 24 to 48 hours but they can return to most of their daily routines right away.

Patients should also avoid rubbing their face as much as possible the week after procedure to avoid accidently dislodging the thread. It is also advisable to avoid pursing lips, smoking, and drinking through a straw for the first several weeks.

Other activities that they may want to avoid for 1 to 2 weeks include sleeping on your side, intense exercise, and visiting saunas. Sleeping with head propped on a pillow can help to avoid accidentally rolling onto the face during the middle of the night.


In conclusion, PDO and PLLA threads both stimulate fibroblast, collagenization, and neoangiogenesis, which improve the skin texture and laxity.

Repeat sessions may be needed similar to other aesthetic procedures to achieve and maintain the desired result. They can thus be used for improving skin texture as well as wrinkling and laxity to achieve the ideal aesthetic appeal: skin of the neck and face to be in sync, with minimal discomfort or downtime.

Therefore, only an experienced surgeon with sufficient knowledge & experience will be able to effectively guide their patients through the process & get a personalised treatment plan that fits them best.


Neck Rejuvenation with Thread Lift by Gulhima Arora and Sandeep Arora (2019)

The Blog by Dr Rachel Ho (2022)

Thread Lift by Lloyds Medical Group (2022)

What Is a Polydioxanone (PDO) Thread Lift by (2021)

Micro-Shuttle Lifting of the Neck: A Percutaneous Loop Suspension Method Using a Novel Double-Ended Needle by Tunc Tiryaki, Esin Aksungur & James C Grotting (2016)

Face Thread Lift For V-Shape Face And Tighter Skin: How Does It Work? By Dream Aesthetic & Plastic Surgery (2021)

Injection Techniques by W&O Medical Aesthetics GMBH (2015)

Hyaluronic Acid Compound Filling Plus Mesotherapy vs Botulinum Toxin A for the Treatment of Horizontal Neck Lines: A Multicenter, Randomized, Evaluator-Blinded, Prospective Study in Chinese Subjects by Yiming Li, MD, PhD, Meirong Liao, MD, Yijin Zhu, MD, Jie Gao, MD, Yang Song, MD, Yang Zhai, MD, Miao Zhu, MD, Yan He, MD, Weiwei Dong, MD (2022)


Learn the Combination of Thread Lifting Techniques with Collagen Boosting Threads, Lifting Threads & Filler Threads for Neck Rejuvenation in our upcoming

Aesthetic Injection Hand-On Master Classes/Mini Fellowship happening globally:

IFAAS Hands-on Master Class/Mini Fellowship (Hands-On)

Korean Advanced Non-Surgical Face Lifting

Using Aesthetic Injectables, Devices & Thread Lifting

November 19-20, 2022 - Sydney, Australia - [Register Now]

December 17-18, 2022 - Seoul, South Korea - [Register Now]


4 other upcoming IFAAS Mini Fellowship in Seoul

Korean Advanced Facial Aesthetic Surgeries - Advanced Asian Blepharoplasty

December 13-14, 2022 - Seoul, South Korea - [Register Now]

Liposuction & Fat Transfer for Face & body under Local Anaesthesia

December 15-16, 2022 - Seoul, South Korea - [Register Now]

Korean Advanced Minimally-Invasive Body Contouring

December 19, 2022 - Seoul, South Korea - [Register Now]

Korean Non-surgical Aesthetic Injections: Lip Augmentation, Eye Rejuvenation & Facial Contouring

December 20-21, 2022 - Seoul, South Korea - [Register Now]


More Upcoming Aesthetic Trainings Happening Globally


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