Perfect Lift with threads

A new approach for anti-ageing treatment, not only of the face and neck but also of the body, is the soft lift with PDO (polydioxanone) threads, a medical procedure characterised by minimal invasiveness and offering natural results.


Polydioxanone is a thread of synthetic origin, used for suturing the subcutis and deep structures. It is characterised by slow resorption (approx. 180 days) and a long holding time. Polydioxanone threads have long been used in both general surgery and cardiovascular surgery to achieve a stimulating effect on collagen proliferation and provide tissue support. In Aesthetic Medicine they are used to define the contour of the face and are therefore also called Contour Thread Lift. In addition to better defining the mandibular profile, these devices are also indicated for other areas such as


  • frontal and superciliary region
  • periocular region
  • zygomatic/malar region
  • cheek region
  • submaxillary region
  • neck
  • décolleté
  • inner arms
  • inner thigh
  • anterior aspect of thigh
  • buttocks


The procedure consists of positioning threads, mounted on very small and fine needles, in the dermis facilitating the partial repositioning of sagging skin.


The action of the threads is not one of immediate lift, but of increased skin firmness.


The application, in most cases, does not involve anaesthesia; it is generally sufficient to treat the area subjected to the therapy with ice.


The positioning of the needles, (and of the relative threads), is done by means of implants that follow the tension lines of the skin and in any case form a network capable of stretching the tissue. Sessions: one or more sessions spaced an average of three to four months apart.


After treatment, the patient can return to normal daily activities immediately afterwards; the presence of any bruises can be masked with make-up.


Mechanism of action


The insertion of the threads into the skin creates a self-induced partial biological lift by means of two mechanisms:


1) Biostimulation proper: the action of the wires determines a good toning effect, through an increase in metabolism and a stimulating effect on the microcirculation, with improvement in skin luminosity.


2) Mechanical stimulation action: this is a soft-lift action.


With the positioning of the threads a stimulation of the dermis is realised. The dermis is rich in fibroblasts that provide for the health of the skin; these cells, sensitive to the action of the threads begin to produce collagen and all the components responsible for skin turgor. They can also assume contractile potential such that they exert modest traction on the surrounding tissues.


After about 6 to 8 months, the threads are completely reabsorbed, in a completely natural and harmless manner, but the biostimulation and lifting effect still lasts, since the support produced by the threads will have generated an important endogenous stimulation whose benefits will be visible much longer.


Not only moderately senescent skin can benefit from this therapy, but also patients with small acne scars, as the slight tissue stretching can contribute to scar reduction.


Finally, there are some threads characterised by the presence of mono- or bi-directional pins. The action is to promote tissue aggregation with a soft-lift effect and revitalisation that begins to become evident after 15-20 days with rejuvenation of the skin texture. Subsequently, the beneficial process on the skin continues, strengthening over the following months.


Silhouette Soft Traction Wires


Now that the trend is increasingly to avoid very invasive operations if possible, the problem of sagging facial skin must be tackled with tools other than those of cosmetic surgery.


Clearly, the surgical approach offers excellent results in terms of tightness and stability, but very satisfactory results can also be achieved with less invasive techniques. If Botox and hyaluronic acid allow the recovery of the original facial volumes, today effective results to combat sagging skin, especially in the lower part of the face, are obtained with traction threads.

Traction threads are made of material that can be reabsorbed by the body. They can have different characteristics, but overall they are applied under the skin between two points on the face and ‘pull’ the tissue upwards.

The doctor positions the wires with the help of a very thin needle-guide and ‘anchors’ them to the part of the face to be treated.


After placement, the effect is already visible, but it should not be forgotten that the threads induce tissue stimulation, and thus act both at a ‘mechanical’ level, pulling the area of the face where they are applied, and at a biochemical level, on turnover, cell renewal and the formation of new collagen.


The fact that the threads are reabsorbable means that the procedure is not definitive, but at the same time it is an extra safety element, precisely because of their reversibility.

Traction threads are reabsorbed in about one year. This means that their traction action tends to diminish over time and therefore the average protocol involves re-implantation every eight to twelve months, it being understood, of course, that there can be very different re-absorption times from person to person.

The application of traction wires is rather quick, can take place in the outpatient department, and afterwards the patient can return to her activities immediately without any problems. The only caution for the first few days is not to make too sudden movements, to sleep supine (i.e. on one’s stomach) between two pillows, and to avoid massage in the affected area.

There are no contraindications to the application of traction threads.


The side effects are also minimal in extent and duration: small bruising and slight swelling may occur immediately after treatment. Initially, small folds may be visible on the skin at the point of greatest traction of the wires, which disappear within a few days and can be hidden by the hair.

The application of the threads is not painful. Anaesthesia is only performed at the points where the thread enters and leaves the tissue through a very thin needle-guide.

The result is immediately visible and tends to improve with time: a face that regains its original smoothness and ‘geometry’, with no more sagging.

Where we are


Address: Via Caduti di Marcinelle 7, 20134 Milano (MI)


Tel/Fax: 0235956256


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Opening Hours: Monday to Friday: 09.00 – 20.00

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