Smooth PDO Threads in Henderson, NV: The Natural Way to Lift, Tighten, and Rejuvenate Aging Skin
Aging is a natural part of life, but that doesn’t mean you have to accept sagging skin, loss of firmness, or diminished facial definition. Today’s aesthetic treatments allow patients to refresh their appearance without surgery, lengthy recovery, or dramatic changes.
Among the most exciting advances in facial rejuvenation are Smooth PDO thread treatments. These innovative collagen-stimulating threads naturally tighten the skin, improve texture, and restore youthful firmness by working with your body’s own healing process.
At her Henderson, Nevada practice, Marielaina Perrone, DDS, offers Smooth PDO thread treatments as part of a comprehensive facial rejuvenation approach designed to help patients look refreshed—not overdone.
What Are Smooth PDO Threads?
Smooth PDO (polydioxanone) threads are tiny, absorbable medical-grade sutures placed beneath the skin to stimulate the body’s natural production of collagen and elastin.
Unlike lifting PDO threads that mechanically reposition tissue, Smooth PDO threads primarily improve skin quality by encouraging gradual collagen remodeling.
As collagen production increases, patients notice:
- Firmer skin
- Improved elasticity
- Softer fine lines
- Better skin texture
- Increased hydration
- Healthier skin tone
The result is subtle, natural rejuvenation that develops over several months.
Why Collagen Matters
Beginning in our mid-20s, collagen production naturally declines by approximately one percent each year.
Over time this contributes to:
- Fine wrinkles
- Skin laxity
- Crepey skin
- Loss of firmness
- Dull complexion
- Reduced facial definition
Smooth PDO threads help reverse many of these visible signs of aging by encouraging the body to produce fresh collagen where it’s needed most.
How Smooth PDO Threads Work
Once placed beneath the skin, PDO threads create tiny areas of controlled stimulation.
Your body responds by increasing:
- Collagen production
- Elastin formation
- Blood circulation
- Cellular renewal
Even after the threads dissolve naturally over several months, the newly formed collagen continues supporting healthier, firmer skin.
This ongoing improvement is one reason patients appreciate PDO treatments.
Areas That Can Be Treated
Smooth PDO threads are remarkably versatile.
Common treatment areas include:
Face
- Forehead
- Crow’s feet
- Cheeks
- Smile lines
- Jawline
- Chin
- Marionette lines
- Neck
Body
- Neck
- Décolletage
- Abdomen
- Upper arms
- Knees
- Buttocks
- Cellulite-prone areas
Treatment recommendations vary depending on your anatomy and goals.
What Happens During Treatment?
Consultation
Every treatment begins with a comprehensive facial evaluation.
Dr. Perrone carefully assesses:
- Skin quality
- Facial balance
- Areas of collagen loss
- Skin thickness
- Desired outcome
Your treatment plan is customized specifically for your needs.
Comfortable Procedure
After cleansing the skin, local anesthetic is applied for comfort.
Using very fine needles or cannulas, Smooth PDO threads are placed beneath the skin.
Most treatments require approximately 30 to 60 minutes.
Patients typically return home immediately afterward.
Recovery
Recovery is generally minimal.
Most patients experience:
- Mild swelling
- Minor bruising
- Temporary tenderness
These effects usually resolve within several days.
Most normal daily activities may be resumed quickly.
When Will I See Results?
Unlike dermal fillers, Smooth PDO threads rely on collagen regeneration.
Patients often notice:
Immediately
- Mild improvement
- Better skin support
Four to Eight Weeks
- Firmer skin
- Better texture
- Improved elasticity
Three to Six Months
- Maximum collagen production
- Healthier skin quality
- Long-lasting rejuvenation
The improvements continue developing naturally.
Are Smooth PDO Threads Right for Your Skin Goals?
Smooth PDO threads are not designed to create dramatic surgical lifting or replace lost facial volume. Their role is more subtle: supporting gradual skin rejuvenation and collagen remodeling. Select each question to decide whether this approach fits your goals.
1. What Would You Like to Improve?Start with the concern—not the treatment
Facial aging does not happen in only one way. Fine lines, texture changes, loss of firmness, volume loss, and skin laxity are different concerns and may require different solutions. Smooth PDO threads may be considered when the goal is gradual improvement in skin quality rather than significant lifting or replacement of lost volume.
✓ Fine lines and early textural changes
✓ Mild loss of firmness
✓ Crepey or aging skin appearance
✓ Desire for gradual, subtle rejuvenation
“Successful facial rejuvenation begins by understanding what bothers the patient—not by choosing a treatment first.”
— Marielaina Perrone, DDS
2. What Exactly Are Smooth PDO Threads?Understanding what the treatment can—and cannot—do
Smooth PDO threads are absorbable polydioxanone sutures placed beneath the skin. Unlike barbed lifting threads, smooth threads are not primarily intended to mechanically reposition sagging tissue. They are placed to create a controlled tissue response as the material gradually dissolves, with collagen formation and remodeling occurring around the treated area.
✓ They are not dermal fillers
✓ They do not work like Botox®
✓ They are not a surgical facelift
✓ Improvement develops gradually rather than instantly
3. Smooth PDO Threads, Botox, or Juvederm?Different treatments solve different problems
These treatments are not interchangeable. Botox® is used to temporarily reduce targeted muscle activity. Hyaluronic acid fillers such as Juvederm® are used to add or restore volume in selected areas. Smooth PDO threads take a different approach by encouraging a tissue-healing and collagen response.
✓ Botox®: targets selected muscle movement
✓ Juvederm®: restores or adds volume
✓ Smooth PDO Threads: focus on gradual tissue remodeling and skin quality
“The question should not be which treatment is better. The question is which treatment addresses the change we are trying to improve.”
— Marielaina Perrone, DDS
4. When Will You See a Difference?Think gradual improvement—not overnight transformation
Because smooth PDO thread treatment relies partly on the body’s tissue response, results develop over time and vary among patients. Early changes may be subtle, with additional improvement appearing as collagen remodeling progresses over the following weeks and months.
✓ Immediately after: temporary swelling, tenderness, bruising, or redness can occur
✓ Following weeks: the treatment area settles as the tissue response develops
✓ Following months: collagen remodeling may contribute to gradual improvement
✓ Longer term: results and longevity vary by patient, treatment area, and plan
5. Who May Be a Good Candidate?Matching expectations to realistic outcomes
Smooth PDO threads may appeal to patients experiencing early skin changes who want a minimally invasive approach and understand that improvement is generally subtle and progressive. A consultation is necessary to evaluate skin condition, medical history, medications, anatomy, and treatment goals.
✓ Early or mild signs of skin aging
✓ Interest in collagen-focused rejuvenation
✓ Preference for subtle rather than dramatic change
✓ Realistic expectations about results and longevity
6. What Should a Good Result Look Like?Refreshed skin without looking overtreated
The goal of smooth PDO thread treatment is not to create a different face. When appropriately selected and performed, the desired change is subtle—skin that appears refreshed, smoother, firmer, or healthier without an obvious sign that a cosmetic treatment was performed.
✓ Subtle improvement in skin quality
✓ Softer appearance of selected fine lines
✓ Improved appearance of firmness or texture in appropriate cases
✓ Natural facial expression remains unchanged
“The goal isn’t to make someone look different. It’s to help the skin look naturally refreshed while preserving what makes the face individual.”
— Marielaina Perrone, DDS
7. Can Smooth PDO Threads Be Part of a Larger Plan?Facial aging rarely has only one cause
Muscle movement, volume loss, skin quality, pigmentation, texture, and laxity are separate components of facial aging. For appropriate patients, smooth PDO threads may therefore be considered as one part of a broader rejuvenation strategy rather than expected to correct every concern by themselves.
✓ Botox® for selected dynamic expression lines
✓ Dermal fillers for selected volume concerns
✓ Skin treatments chosen for texture, tone, or surface concerns
✓ Professional skincare and sun protection for ongoing maintenance
8. Are Smooth PDO Threads Worth Considering for You?The answer depends on the result you actually want
Smooth PDO threads may be worth considering when your goal is gradual skin rejuvenation rather than dramatic lifting, muscle relaxation, or volume replacement. They are less likely to satisfy someone expecting an immediate or surgical-level transformation. The decision should follow an evaluation of your anatomy, health history, skin condition, and expectations.
✓ You prefer subtle improvement
✓ You understand results develop gradually
✓ Your primary concern involves skin quality rather than major volume loss
✓ You have realistic expectations about nonsurgical treatment
“Good aesthetic treatment isn’t about doing everything possible. It’s about choosing what makes sense for that person, at that moment.”
— Marielaina Perrone, DDS
A Personalized Approach to Facial Rejuvenation
Smooth PDO threads are not appropriate for every patient or every aesthetic concern. Treatment recommendations should follow an in-person assessment of skin quality, facial anatomy, medical history, medications, goals, risks, and available alternatives. Results, recovery, and longevity vary.
Benefits of Smooth PDO Threads
Natural-Looking Results
Rather than changing your appearance, Smooth PDO threads simply help your skin behave like younger skin.
Friends often notice you look refreshed without realizing you’ve had treatment.
Stimulates Your Own Collagen
Instead of adding artificial volume, PDO threads encourage your body to rebuild its own structural support.
This creates a very natural outcome.
Minimally Invasive
No surgery.
No general anesthesia.
Minimal downtime.
Gradual Improvement
Because results develop slowly, the rejuvenation appears natural and subtle.
Patients rarely experience the dramatic “overdone” appearance associated with more aggressive procedures.
Long-Lasting Benefits
Although PDO threads dissolve naturally, the collagen they stimulate may continue improving skin quality for many months afterward.
Who Is a Good Candidate?
Smooth PDO threads work especially well for patients experiencing:
- Mild skin laxity
- Fine wrinkles
- Early aging
- Crepey skin
- Volume loss
- Preventative anti-aging treatment
Patients in their 30s through 60s often experience excellent results.
Combining PDO Threads with Botox and Juvederm
One of the greatest advantages of modern facial aesthetics is the ability to combine treatments strategically.
Each treatment addresses a different aspect of facial aging.
Botox Cosmetic
Botox relaxes muscles responsible for dynamic wrinkles such as:
- Forehead lines
- Crow’s feet
- Frown lines
Juvederm Dermal Fillers
Juvederm restores volume lost through aging.
Ideal treatment areas include:
- Lips
- Cheeks
- Nasolabial folds
- Marionette lines
- Chin
- Jawline
Smooth PDO Threads
PDO threads improve:
- Skin firmness
- Elasticity
- Texture
- Collagen production
Together, these treatments create comprehensive facial rejuvenation while maintaining natural facial expression.
Why Combination Therapy Often Produces Better Results
Rather than relying on one treatment alone, combination therapy addresses multiple causes of facial aging simultaneously.
This comprehensive approach allows for:
- Better facial balance
- Softer wrinkles
- Improved skin quality
- Enhanced facial contours
- Longer-lasting rejuvenation
Every treatment plan is individualized.
Dr. Perrone’s Philosophy
“Beautiful facial rejuvenation should never make you look like someone else—it should help you look like the healthiest, most refreshed version of yourself. Smooth PDO threads are one of my favorite treatments because they stimulate your own collagen, creating gradual, natural improvements that age beautifully over time.”
— Marielaina Perrone, DDS
Why Patients Choose Marielaina Perrone, DDS
Dr. Marielaina Perrone believes facial aesthetics should complement—not overpower—your natural beauty.
Patients appreciate her:
- Conservative treatment philosophy
- Artistic eye for facial harmony
- Personalized consultations
- Advanced continuing education
- Gentle approach
- Natural-looking outcomes
Every recommendation is tailored to the individual rather than following trends or one-size-fits-all treatment plans.
Frequently Asked Questions
Are Smooth PDO threads painful?
Most patients experience very little discomfort. Local anesthetic keeps treatment comfortable, and any post-procedure soreness is usually mild.
How long do Smooth PDO thread results last?
While the threads dissolve over several months, the collagen they stimulate may continue providing improvement for 12 to 18 months or longer, depending on your skin and lifestyle.
Are PDO threads safe?
Yes. Polydioxanone has been used safely in medicine for decades as an absorbable surgical suture material.
Can PDO threads replace a facelift?
Smooth PDO threads are ideal for mild to moderate skin laxity. Patients with significant sagging may benefit more from surgical consultation.
Can PDO threads be combined with Botox and fillers?
Absolutely. Many patients achieve the most comprehensive and natural-looking rejuvenation by combining Smooth PDO threads with Botox Cosmetic and Juvederm dermal fillers.
Is there downtime?
Downtime is minimal. Mild bruising or swelling may occur but typically resolves within several days.
Experience Natural Facial Rejuvenation in Henderson, NV
If you’re looking for a non-surgical way to improve skin firmness, stimulate collagen, and achieve a refreshed appearance, Smooth PDO thread treatments may be an excellent solution.
At Marielaina Perrone, DDS, every facial aesthetic treatment begins with listening to your goals and developing a personalized plan that enhances your natural beauty while preserving facial harmony.
Schedule your consultation today to discover how Smooth PDO threads can help you look refreshed, confident, and naturally youthful.
Medically Reviewed By
Marielaina Perrone, DDS
Doctor of Dental Surgery
Facial Aesthetics, Cosmetic & Family Dentist
Henderson, Nevada
Dr. Marielaina Perrone has provided comprehensive cosmetic dentistry and facial aesthetic treatments since 1999. Through extensive continuing education in Botox®, dermal fillers, PDO thread therapy, and facial rejuvenation, she offers evidence-based treatments focused on natural-looking, patient-centered results.
Updated: July 2026
About the Author
Marielaina Perrone, DDS is an award-winning cosmetic dentist and facial aesthetics provider serving Henderson, Las Vegas, Green
Valley, Anthem, Seven Hills, Inspirada, and surrounding Southern Nevada communities. She combines advanced dental knowledge with a deep understanding of facial anatomy to create balanced, natural-looking aesthetic outcomes. Her philosophy centers on minimally invasive treatments that restore confidence while preserving each patient’s unique beauty.