Thread lift (PDO threads): what it is, what the evidence shows and the risks

A thread lift uses absorbable, barbed sutures placed under the skin to lift and tighten the face and neck.¹ The sutures most often studied are made of polydioxanone, which is where the name PDO threads comes from.²

Here is what the plastic surgeons' society says, what two systematic reviews found about how well it works and how long it lasts, and the risks. Whether to have it is for you and a clinician.

What it is

The plastic surgeons' society (ASPS) describes a thread lift, sometimes called a lunchtime lift, as a minimally invasive procedure that works by stimulating collagen production in the skin and can also mechanically lift tissues where the barbed sutures sit.¹ It names wrinkles, early jowls and sagging skin as what people want to reduce.¹ That is a society of plastic surgeons describing its own field, so weigh it accordingly.

What to expect

The ASPS says results become apparent after a few weeks, that there is usually little pain, and that swelling or bruising can occur. Most patients are presentable to the public in 3 to 5 days, though it may take a few weeks before the final healing is complete.¹

Recovery may include antibiotic ointment near the entry points and cold compresses.¹ The ASPS adds that you continue to age after a thread lift, and that although good results are expected there is no guarantee. Another procedure may be needed.¹

What the evidence shows

A 2025 systematic review of 12 studies and 818 patients looked at absorbable threads in the mid and lower face. Scores on several rating scales improved in every case immediately after the procedure. The longest follow-up was 2 years. Complications were mild, but long-term efficacy data are lacking.²

A 2018 review of 12 articles was more cautious. It found that over the past decade little or no substantial evidence had been added to support thread lifts for efficacy or safety, and that all but two studies showed at best very limited durability of the lifting effect. The two positive studies were sponsored by companies that make the threads.³

Risks

The ASPS lists these possible risks.¹

A 2026 meta-analysis of 42 studies of nonsurgical facial procedures put treatment-related adverse events with absorbable threads at about 20%, with a wide range around that figure. Pain (31.5%) and bruising (23.4%) were the most frequently reported among thread lifts.⁴

Which licensed professionals may place threads depends on your state. See our guide to who may inject. The ASPS, which represents plastic surgeons, says a plastic surgeon will evaluate your anatomy and goals to decide if you are a candidate.¹

Here is what to bring to a consultation.

Cost

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Common questions