Historically thread contouring has been in practice for more than a century. Reason for less popularity due to the invasive nature and associated immediate discomfort associated with threads treatments. Large proportion of threads used up to recent time were non biodegradable and could result in visible asymmetry.

A new type of fully biodegradable (Polydioxanone (PDO) threads have been used by doctors for nearly two decades for surgical wound closure globally. PDO thread is safe with less discomfort and less invasive nature .We use expert nerve blocks to make the procedure nearly painless.

PDO thread once inserted are completely absorbed with only new collagen remains after 6 months. Threads are non-allergenic and discomfort after PDO insertion is mild to moderate lasting only 3-4 days requiring pain killers like Paracetamol 2 – 3 times a day after meals.Anti-inflammatory drugs (Ibuprofen) are not recommended because this category of drugs suppresses inflammation and can suppress collagen formation.

Generally bruising associated with the PDO thread insertion with our technique is minimal but clients on aspirin or other blood thinning medicine such as Plavix are prone to slightly more .Some degree of swelling can be expected lasting about 2-3 days.

All existing facial asymmetry may not be completely rectified. Fine facial contouring threads are not a replacement treatment for plastic surgery. Results are not guaranteed and no money refund guarantee is applicable.

Follow up review consultations are recommended after 7 days, 1 month and 3 months. However, in the event of any concerns whatsoever, please contact the consultant responsible for your treatment immediately.


More info

  • All medical history
  • Examination of the area to be treated
  • Photography
  • Prophylactic antibiotics: Oral Azithromycin 500 mg one hour before the procedure and for 2 additional days
  • Oral antihistamine to reduce swelling
  • Topical anaesthetic cream
  • Local anaesthetic injections (lignocaine) to numb the treatment areas. Your face will feel numb and your mouth may be asymmetrical for a few hours, similar to that of dental injections. Clients have to avoid chewing or drinking hot liquids until your facial sensation has fully returned
  • Consultant at MK Skin will insert of PDO Cog threads underneath your skin in the jawline and cheek areas resulting in ‘lifting’ of sagging connective tissue and fat tissue underneath the skin
  • Monofilament (PDO) threads are inserted by doctors at our clinic into the skin to stimulate skin tightening and rejuvenation
  • Application of anti-bacterial spray.
  • Ice packs
  • Do not wash your face on the same day after the procedure. Gentle cleansing is allowed from the next day
  • Do not open the mouth wide and do not have routine dental treatment for at least 4 weeks after the treatment
  • Avoid taking aspirin for 7 days after the treatment
  • Avoid extreme temperatures (sauna, etc.) for 7 days after the treatment
  • Avoid having other cosmetic treatment for 14 days after the treatment
  • Clients on Anti-coagulant medication: coumarin & heparin (aspirin?)
  • Hemophilia
  • Active acne or skin infection
  • Systemic infection
  • Porphyria
  • Keloid predisposition and Auto-immune diseases: scleroderma, sarcoidosis, amyloidosis, etc.
  • Pregnancy, IVF
  • Malignancy/Chemotherapy
  • Hepatitis B & C, HIV
  • History of bacterial endocarditis: Such cleints need antibiotic prophylaxis for this procedure
  • History of Herpes simplex labialis: give oral acyclovir prophylaxis (stress)
  • Dysmorphic syndrome (psychological)
  • Unrealistic patient expectations
  • Thread lifting can cause Swelling or/and bruising for a few days
  • Protrusion: if the thread was placed to superficially (can be removed)
  • Puncture of a blood vessel causing bruising or a hematoma. The use of cannulas to insert the deep cog threads helps to minimize this.
  • Facial nerve trauma is possible if sharp needles are used to place deep cog threads. Cannulas are used to avoid this complication.
  • Granuloma/foreign body reaction, if the plain threads are placed too superficially in the skin. The thread can be removed to mitigate the side effect
Note: Existing facial asymmetry can’t be 100% corrected.