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A patient lying back on a white towel and pillow while a gloved clinician places a fine PDO thread cannula into her cheek, the thread's lilac strands visible above the needle

PDO Thread Lifts for Face, Nose & Body in Southlake, TX

Dissolvable threads placed in Southlake, TX. They lift the face and neck, reshape the nose, and contour the body, from the jawline and nasolabial folds to the décolletage, arms, and thighs.

  • Board-Certified MD
  • NPI1629854690
  • LicensedTX & NM
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Three areas, three different jobs

Some threads lift the moment they go in. Others firm and smooth the skin over the months after, as your body builds new collagen around the threads. Dr. Mikki chooses the mix for each area.

A woman in her forties with her chin lifted and her own fingertips resting along her jaw, the jawline and neck PDO threads are placed in

Face & Neck

For a jawline that has softened, a slack neck, under-eye hollowing, or nasolabial folds and marionette lines that have deepened. Barbed lifting threads lift the tissue the day they are placed; smooth and twisted threads work on texture and volume as collagen builds around them.

Two fine PDO thread cannulas being placed into a marked-up abdomen by gloved hands, the loose body skin threads are used to firm

Body

For skin that has loosened on the décolletage and chest, the arms or abdomen, or the knees and thighs, often after weight loss or with age. The same dissolvable threads cover a larger area than a face, firming the skin and building collagen where it has slackened.

A woman in her thirties photographed in profile, the bridge and tip of the nose a thread lift reshapes

Nose

For a tip that drops, a bridge you would like straighter, or a shape you want refined without surgery. Dissolvable threads are placed along the bridge and tip to lift and straighten it, with no incision and no filler.

Know more

The three types of PDO thread

"PDO thread lift" is three different threads doing three different jobs, and which one you get is the whole treatment plan. Most faces are treated with more than one. Dr. Mikki decides the combination at consultation, after she has looked at what is actually moving.

The three types of PDO thread compared by what each one does and where it is placed
Lifting threads (barbed or cog) Does:Grip the tissue and lift it. The effect is immediate and mechanical — this is the thread that does the actual lifting on the day it is placed. Used on:Jawline, cheeks, neck, brow lift.
Smooth threads Does:Do not lift. They stimulate collagen production, which improves fine lines, wrinkles and skin texture over the months after placement. Used on:Under-eye area, neck, forehead, décolletage.
Twisted (screw) threads Does:Add more volume and more collagen stimulation than a smooth thread, without the mechanical pull of a barbed one. Used on:Deeper wrinkles, nasolabial folds, cheeks.
Medrein's diagram of the types of PDO thread: four threads drawn side by side on their insertion needles and labelled Flat Thread, Screw Thread, Cog Thread and Twist Thread
This drawing is from Medrein's own thread material, and it labels the same threads the table above does under the manufacturers' names for them. Cog is the barbed lifting thread, flat is the smooth thread, and screw and twist are both the wound thread — four shapes, the three families above. What differs between them is the surface: a barb grips tissue and pulls it, a wound thread adds volume along its length, and a smooth thread does neither and works only by prompting collagen.

What PDO threads do

A non-surgical facelift

Dissolvable sutures placed under the skin lift and tighten it without an incision, general anaesthetic or the recovery a surgical facelift asks for.

Collagen stimulation

The threads prompt your own collagen synthesis as they sit. That is what carries the result past the point at which the threads themselves have dissolved.

Fine line and wrinkle reduction

Smooth and twisted threads work on the lines themselves rather than on the tissue holding them, softening wrinkles and improving skin texture.

Jawline and cheek definition

Barbed threads reposition the tissue along the jaw and mid-face, which is what returns definition to a jawline that has softened.

Skin tightening

Firmer, tighter skin as new collagen builds around the thread line — on the body as well as the face, over a larger area than a face can offer.

Minimal downtime

No incision means no surgical recovery. Most patients are back to normal activities quickly, with mild swelling or bruising for a few days.

A clinician in white gloves holding four fine PDO threads fanned against a patient's cheek, the patient lying back with her eyes closed
A treatment is rarely one thread. Dr. Mikki works out how many go in, of which type and along which line, from what is actually moving on your face — which is why the number and the mix differ from one patient to the next, and why she will not quote either before she has examined you.

What happens after your threads are placed

Two results arrive on two different schedules, and knowing which is which is what stops the first few weeks feeling like a disappointment.

1

The same day

The lift from any barbed threads is there when you sit up. A topical anaesthetic is used for the placement itself, and most patients describe pressure rather than pain.

2

The first few days

Mild swelling or bruising is normal and resolves within a few days. Most people return to normal activities quickly, with short-term restrictions on opening the mouth wide after facial threads.

3

Two to six months

The collagen your skin builds around the threads comes through, so the tightening keeps improving after the initial lift has settled. The threads themselves dissolve naturally and safely over this period.

4

Twelve to eighteen months

The typical span of the result, depending on your skin type, metabolism and lifestyle. What is holding it by this point is your own collagen rather than the threads. Results may vary.

Medrein's illustration of thread lift direction: upward arrows drawn in white over a woman's cheek and temple, showing the line along which lifting threads pull
The arrows mark the direction a lifting thread pulls, not a result. How far tissue moves along that line depends on your skin, and Dr. Mikki will tell you at your consultation if it is looser than a thread can lift.
Dissolvable threads placed under topical anaesthetic
Depends on skin and lifestyle; results may vary
Independently verifiable, not self-reported
Dr. Mikki's clinical foundation before aesthetics

How a thread lift differs from a laser

A thread lifts the moment it goes in, then dissolves within a few months, leaving the collagen it stimulated to carry the result out to 12 to 18 months. A laser or RF places nothing and lifts nothing on the day; it builds that collagen directly and reaches deeper laxity. If your skin is looser than a thread can lift, Dr. Mikki will tell you at your consultation and point you to EndoTight, RF Microneedling, or the Fotona 4D Facelift instead.

PDO Thread Lifts compared with laser and RF skin tightening
Feature PDO Threads Lasers & RF
Visible lift on the day of treatment Included Not included
Stimulates your own collagen over the months after Included Included
Nothing placed and left under the skin Not included Included
Reshapes the nose bridge and tip Included Not included
Reaches greater, deeper skin laxity Not included Included

Why patients choose a thread lift here

These reflect common patient sentiment rather than verbatim quotes, and individual results vary.

I had watched my jawline soften for a couple of years and was nowhere near ready for surgery. Dr. Mikki went through what a thread lift would and would not do, was specific about how long it holds, and placed threads along the jaw and neck. The lift was there the same day and it kept improving for a few months after. Results may vary, but getting the honest version before the treatment is why I booked it.

S.R., PDO Thread Lift patient, Southlake, TX

She told me exactly how long the threads would last before she placed them, and the result matched what she said. No overselling.

D.L., PDO Thread Lift patient, Colleyville, TX
Dr. Haritha Mikkilineni, MD, with the Medrein Health team at the Southlake, TX clinic
Dr. Mikki and the Medrein team in Southlake, TX
4.8★ 128 verified reviews

Frequently asked questions

What areas can PDO Threads treat?

On the face and neck: the under-eye area, the jawline, neck tightening and lifting, nasolabial folds and marionette lines, the eyebrow, and scar tightening. On the body: the décolletage and chest, arms and abdomen, and knees and thighs. The nose is treated as its own procedure, Non-Surgical Rhinoplasty.

How long do PDO Thread results last?

Results typically last 12 to 18 months, depending on skin type, metabolism, and lifestyle. The threads themselves dissolve within a few months; what carries the result past that is the collagen laid down around them. Results may vary.

When will I see results?

You will notice an immediate lift from the lifting threads, then continued tightening as collagen production increases over the next few months. The two effects arrive on different timelines, which is worth planning around if you have a date in mind.

Is the procedure painful, and is there downtime?

A topical anaesthetic is applied before the threads are placed, and most patients describe pressure rather than pain. Most experience mild swelling or bruising that resolves within a few days, and return to normal activities quickly, with some short-term restrictions on wide mouth opening after facial threads.

Can PDO Threads be combined with other treatments?

Yes. PDO Threads pair with dermal fillers, neurotoxins, RF Microneedling, or PRP and PRF to combine lift with volume, texture, and collagen stimulation. Dr. Mikki sequences them at consultation rather than treating them as a package.

What is Non-Surgical Rhinoplasty (the nose thread lift)?

Non-Surgical Rhinoplasty uses dissolvable PDO Threads placed under the skin along the nose bridge and tip to lift the tip, straighten the bridge, and refine nose shape without surgery or filler. It has its own page, with its own candidacy and recovery detail.

Who is a good candidate for PDO Threads?

PDO Threads suit mild to moderate skin laxity in someone who wants lift and tightening without the downtime of surgery. Greater laxity is usually better served by a laser or RF treatment, and Dr. Mikki will tell you which applies to you before anything is scheduled.

Are PDO Threads right for you?

Dr. Mikki looks at the area you want lifted and tells you what threads will and will not do for it.

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