Smooth PDO Threads in Henderson, NV: A Natural Approach to Skin Rejuvenation
Looking Refreshed Without Looking Different
Many people want to address the early signs of aging without surgery or dramatic changes to their appearance.
Rather than seeking an overly tight or artificial look, today’s patients often want subtle improvements that help them look healthier, more rested, and naturally rejuvenated.
Smooth PDO threads have become one of the most exciting advances in non-surgical facial aesthetics because they work with your body’s own collagen-building process to improve skin quality over time.
At her Henderson, Nevada practice, Dr. Marielaina Perrone, DDS, combines her advanced knowledge of facial anatomy with artistic precision to help patients achieve natural-looking facial rejuvenation that complements, not changes their appearance.
What Are Smooth PDO Threads?
Smooth PDO (polydioxanone) threads are medical-grade absorbable sutures that are carefully placed beneath the skin.
Unlike lifting PDO threads that mechanically reposition tissue, smooth PDO threads primarily stimulate your body’s natural collagen production.
As the threads dissolve over several months, new collagen develops around the treatment area, helping improve:
- Skin firmness
- Elasticity
- Texture
- Overall skin quality
The result is gradual, natural-looking rejuvenation that continues developing long after the procedure.
Why Collagen Matters
Collagen is the structural protein responsible for keeping skin firm, smooth, and resilient. Beginning in our twenties, natural collagen production gradually declines.
Over time, this contributes to:
- Fine lines
- Thinning skin
- Loss of elasticity
- Mild skin laxity
- Early facial aging
Smooth PDO threads encourage your body to rebuild collagen naturally, helping restore healthier, firmer skin without surgery.
Benefits of Smooth PDO Threads
Natural-Looking Rejuvenation
The goal isn’t to make you look like someone else.
It’s to help you look like a more refreshed version of yourself.
Because collagen develops gradually, improvements appear subtle and natural rather than sudden or dramatic.
Stimulates Your Body’s Own Collagen
Unlike treatments that simply add volume, smooth PDO threads encourage your skin to improve itself.
As new collagen forms, patients often notice:
- Firmer skin
- Better elasticity
- Improved texture
- Smoother appearance
This regenerative process continues for several months following treatment.
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.
Minimal Downtime
Smooth PDO thread treatment is performed in the office using local anesthetic.
Most patients return to normal daily activities shortly afterward.
Some temporary swelling or bruising may occur, but recovery is generally much quicker than surgical facial rejuvenation.
Versatile Treatment
Smooth PDO threads can improve several areas of the face and neck, including:
- Cheeks
- Jawline
- Neck
- Around the mouth
- Under the eyes
- Fine lines around the lips
Treatment is customized according to each patient’s anatomy and aesthetic goals.
Long-Lasting Improvement
Although the threads gradually dissolve, the collagen they stimulate continues supporting the skin.
Many patients enjoy improvement for approximately 12 to 18 months, with maintenance treatments helping extend results.
Combining PDO Threads With Other Treatments
One of the greatest advantages of smooth PDO threads is their ability to complement other facial aesthetic procedures.
Depending on your goals, Dr. Perrone may recommend combining PDO threads with:
- Botox® Cosmetic
- Juvéderm® dermal fillers
- Professional skincare treatments
- Cosmetic smile enhancement
- Comprehensive facial rejuvenation
By treating multiple aspects of facial aging together, patients often achieve more balanced, harmonious results than with any single treatment alone.
Who Is a Good Candidate?
Smooth PDO threads are often ideal for patients who:
- Notice mild to moderate skin laxity
- Want firmer skin without surgery
- Prefer gradual, natural improvement
- Wish to stimulate collagen production
- Want little downtime
- Are seeking preventive or early facial rejuvenation
A personalized consultation helps determine whether PDO threads are the most appropriate treatment for your concerns.
Precision Matters
Successful facial aesthetics require far more than simply placing threads beneath the skin.
They require a thorough understanding of:
- Facial anatomy
- Muscle movement
- Skin quality
- Facial symmetry
- Overall facial harmony
As both a cosmetic dentist and facial aesthetics provider, Dr. Perrone approaches every treatment with an artistic eye that considers how the entire face works together.
Her goal is always subtle enhancement that preserves your natural expressions and individuality.
Advanced Technology for Greater Comfort
Patient safety and precision remain central to every aesthetic procedure.
Dr. Perrone incorporates AccuVein® technology during many injectable and facial aesthetic treatments to visualize superficial veins beneath the skin.
This advanced technology helps:
- Improve treatment precision
- Minimize bruising
- Reduce swelling
- Enhance patient comfort
- Support predictable aesthetic outcomes
It’s one more example of her commitment to combining advanced technology with personalized care.
Why Choose Marielaina Perrone, DDS?
Patients throughout Henderson and the Las Vegas area choose Dr. Perrone because she combines advanced facial aesthetic training with more than 25 years of clinical experience treating the smile and surrounding facial structures.
Her approach emphasizes:
- Natural-looking results
- Conservative treatment
- Facial harmony
- Personalized care
- Advanced technology
- Long-term patient relationships
Rather than chasing trends, she develops individualized treatment plans designed to help patients look refreshed, confident, and authentically themselves.
Naturally Beautiful Results Begin With Thoughtful Care
Facial rejuvenation doesn’t have to involve surgery or dramatic changes.
Smooth PDO threads offer a minimally invasive way to stimulate your body’s natural collagen production, improve skin quality, and create subtle, youthful improvements that develop gradually over time.
If you’re interested in exploring non-surgical facial rejuvenation, schedule a personalized consultation with Marielaina Perrone, DDS, in Henderson, NV.
Because the most beautiful aesthetic results are the ones that simply look like you—rested, confident, and naturally refreshed.
Frequently Asked Questions About Smooth PDO Threads
What are Smooth PDO threads?
Smooth PDO (polydioxanone) threads are absorbable medical-grade sutures placed beneath the skin to stimulate your body’s natural collagen production. Unlike lifting threads, they are designed primarily to improve skin quality, firmness, and elasticity rather than reposition facial tissues.
How do Smooth PDO threads work?
After the threads are placed beneath the skin, they trigger your body’s natural healing response, encouraging new collagen and elastin production. Although the threads dissolve over several months, the collagen they stimulate continues to improve skin texture and firmness long after the threads are gone.
Who is a good candidate for Smooth PDO threads?
Smooth PDO threads are often ideal for adults with mild to moderate skin laxity who want natural-looking facial rejuvenation without surgery. They are especially beneficial for patients noticing early signs of aging, fine lines, thinning skin, or decreased skin firmness.
What areas can Smooth PDO threads treat?
Smooth PDO threads can improve several areas of the face and neck, including:
- Cheeks
- Jawline
- Neck
- Around the mouth
- Fine lines around the lips
- Under-eye area
During your consultation, Dr. Perrone will recommend the treatment areas that best support your facial anatomy and aesthetic goals.
How long do Smooth PDO thread results last?
While the PDO threads are naturally absorbed by the body within several months, the collagen they stimulate can continue improving skin quality for approximately 12 to 18 months. Periodic maintenance treatments may help prolong and enhance your results.
Can Smooth PDO threads be combined with Botox® or Juvéderm®?
Yes. Smooth PDO threads often complement other facial aesthetic treatments, including Botox® Cosmetic and Juvéderm® dermal fillers. Combining treatments allows Dr. Perrone to address skin quality, wrinkles, facial volume, and overall facial harmony with a personalized, comprehensive treatment plan.
Why choose Marielaina Perrone, DDS, for Smooth PDO threads in Henderson, NV?
Dr. Marielaina Perrone combines more than 25 years of clinical experience with advanced training in facial aesthetics, cosmetic dentistry, and smile design. Her comprehensive understanding of facial anatomy allows her to create natural-looking results that enhance the entire face—not just individual features. She also incorporates advanced technologies such as AccuVein® to improve treatment precision, minimize bruising, and maximize patient comfort.
Clinically Reviewed By
Marielaina Perrone, DDS
Cosmetic Dentist & Facial Aesthetics Provider • Henderson, Nevada
Dr. Marielaina Perrone has more than 25 years of experience helping patients achieve healthy, naturally beautiful smiles through advanced
cosmetic and restorative dentistry. She has also completed extensive advanced training in facial aesthetics, including Smooth PDO threads, Botox® Cosmetic, Juvéderm® dermal fillers, and comprehensive facial rejuvenation techniques.
Her unique background in cosmetic dentistry provides an exceptional understanding of facial anatomy, smile design, muscle dynamics, and facial balance. Dr. Perrone develops personalized treatment plans that emphasize subtle, natural-looking enhancement while preserving each patient’s unique features and expressions.
Committed to evidence-based care and continuing education, Dr. Perrone incorporates advanced technologies—including AccuVein® vein visualization—to enhance treatment precision, patient comfort, and aesthetic outcomes.
This article has been clinically reviewed by Dr. Marielaina Perrone, DDS, to ensure its accuracy and consistency with current evidence-based principles in facial aesthetics and minimally invasive skin rejuvenation.
Updated: July 2026