PDO Thread Lifting

Non-surgical face and body lifting using PDO (polydioxanone) and PLLA (polylactic acid) absorbable threads, performing mechanical tissue repositioning and long-term collagen stimulation simultaneously. The Anchor Plus 18G/19G threads used at Arendarska Care are barbed or cogged threads that physically grip and lift facial tissue — providing an immediately visible repositioning effect with a duration of 2–3 years minimum. Mono and screw PLLA threads offer a regenerative alternative at a lower entry price (from 2,500 Kč), stimulating collagen without significant mechanical lift. Sessions are 30–60 minutes with local anaesthetic; minimal recovery time.

Thread lifting at Arendarska Care uses two classes of absorbable sutures inserted under local anaesthesia through tiny entry points — without incisions, general anaesthesia, or stitches: **Anchor Plus 18G/19G threads (14,000–20,000 Kč)** are barbed or cogged PDO threads inserted via blunt cannula or sharp needle through small entry points. The bidirectional barbs engage with the subcutaneous fat and SMAS layer, and once the thread is tensioned and anchored, it physically repositions sagging tissue — elevating the midface, jowls, brow, or neck. The thread itself — polydioxanone, a synthetic absorbable material used in surgical sutures — gradually hydrolyses over 6–8 months, but the collagen scaffold it stimulates around the barbs persists for 2–3 years or longer, maintaining much of the mechanical lift even after the material is resorbed. The procedure takes 30–60 minutes under local anaesthetic (cream and/or injectable). Patients are advised to minimise facial expressions, chewing of hard foods, and vigorous exercise for 2–3 weeks post-treatment. Mild swelling and bruising at entry points are common and resolve within 1–2 weeks. The lift effect is visible immediately; the full result, including collagen-formation support, develops over 6–8 weeks. **PLLA mono/screw threads (from 2,500 Kč)** are smooth or spiral-wound polylactic acid threads that do not have barbs and therefore produce minimal mechanical lift. Their primary role is biostimulation: the PLLA material triggers fibroblast activity and new collagen deposition in the thread's path over 2–3 months, improving skin quality, firmness, and texture. Mono threads are often used in a grid or fan pattern across the cheeks, forehead, or neck. This is a more accessible entry point and can be combined with barbed thread lifting for comprehensive rejuvenation. Contraindications: active infection at the treatment site, autoimmune conditions, pregnancy, blood-thinning medication, tendency to keloid scarring, and ongoing isotretinoin use.