Non-Surgical Skin Rejuvenation
with Natural, Long-Lasting Results
Natural Skin Rejuvenation
That Begins From Within.
Looking refreshed doesn't always require surgery. Smooth PDO Threads stimulate your body's natural collagen production to improve skin firmness, texture, and overall quality with gradual, natural-looking results.
At Marielaina Perrone, DDS, every Smooth PDO Thread treatment is thoughtfully personalized to your facial anatomy, skin condition, and aesthetic goals. Helping you achieve healthier, more youthful-looking skin while preserving the natural features that make you uniquely you.
"The most beautiful rejuvenation doesn't look treated. It simply helps you look healthy, rested, and naturally confident."
— Marielaina Perrone, DDS
Naturally Beautiful Results
For more than 20 years, patients throughout Henderson, Green Valley, Las Vegas, Summerlin, Anthem, Seven Hills, and surrounding Southern Nevada have trusted Marielaina Perrone, DDS for personalized facial aesthetic treatments that combine advanced techniques with an artistic understanding of facial harmony, balance, and natural beauty.
Where Can Smooth PDO Threads Help?
Click a glowing point to explore common treatment areas.
Forehead
Smooth PDO Threads can be placed beneath the skin to support collagen production, improve skin texture, and soften early signs of aging across the forehead.
Left Brow
Treatment around the brow can help improve skin quality and firmness while maintaining a natural, refreshed appearance.
Right Brow
Treatment around the brow can help improve skin quality and firmness while maintaining a natural, refreshed appearance.
Left Crow’s Feet
Smooth threads may improve fine lines and crepey texture around the outer eye by stimulating gradual collagen renewal.
Right Crow’s Feet
Smooth threads may improve fine lines and crepey texture around the outer eye by stimulating gradual collagen renewal.
Left Cheek
Cheek treatment focuses on improving firmness, elasticity, and overall skin quality rather than adding volume like dermal filler.
Right Cheek
Cheek treatment focuses on improving firmness, elasticity, and overall skin quality rather than adding volume like dermal filler.
Left Nasolabial Fold
Smooth PDO Threads may help soften early lines beside the nose by encouraging collagen support within the skin.
Right Nasolabial Fold
Smooth PDO Threads may help soften early lines beside the nose by encouraging collagen support within the skin.
Left Marionette Line
Treatment can improve skin texture and mild laxity around the lower corners of the mouth for a smoother transition into the chin and jawline.
Right Marionette Line
Treatment can improve skin texture and mild laxity around the lower corners of the mouth for a smoother transition into the chin and jawline.
Left Jawline and Jowl
Smooth threads can support collagen remodeling along the lower face, helping improve mild laxity and skin firmness around the jawline.
Right Jawline and Jowl
Smooth threads can support collagen remodeling along the lower face, helping improve mild laxity and skin firmness around the jawline.
Neck
The neck is a common treatment area for improving crepey texture, fine lines, and mild skin laxity through gradual collagen stimulation.
Smooth PDO Threads are designed to improve skin quality by stimulating natural collagen production. Treatment areas and results vary based on skin condition, anatomy, and individual goals.
What Are Smooth PDO Threads?
Smooth PDO Threads are absorbable medical-grade threads placed just beneath the skin to stimulate your body's natural collagen production. As the threads gradually dissolve, new collagen continues to strengthen and support the skin, improving firmness, texture, elasticity, and overall skin quality over time.
Unlike surgical procedures, Smooth PDO Threads work with your body's natural healing response to create subtle, long-lasting rejuvenation with minimal downtime.
How Smooth PDO Threads Naturally
Rejuvenate Your Skin
Smooth PDO Threads may be an excellent option for patients looking to:
- Improve skin firmness and elasticity
- Stimulate natural collagen production
- Reduce fine lines and early wrinkles
- Improve acne scarring and skin texture
- Address mild skin laxity
- Rejuvenate aging skin without surgery
- Achieve gradual, natural-looking improvements
- Enjoy little downtime and a comfortable recovery
Every treatment plan is customized to your skin condition, facial anatomy, and long-term aesthetic goals.

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.
Common Areas Treated With Smooth PDO Threads
Smooth PDO Threads can improve skin quality in several areas of the face and neck, including:
- Forehead and brow
- Crow's feet
- Cheeks
- Nasolabial folds
- Marionette lines
- Jawline and jowls
- Neck
- Décolletage
Treatment recommendations are always personalized to support balanced, natural-looking facial rejuvenation.
Where Advanced Science Meets Natural Rejuvenation
Beautiful results begin beneath the surface. Smooth PDO Threads stimulate your body's own collagen production, allowing improvements to develop gradually rather than appearing sudden or artificial.
Marielaina Perrone, DDS combines advanced knowledge of facial anatomy with an artistic approach to facial aesthetics, carefully evaluating skin quality, facial balance, and your individual goals before designing every treatment plan.
The objective isn't to change how you look. It's to help your skin look healthier, firmer, and naturally refreshed while preserving the features that make you uniquely you.
"Healthy skin isn't about looking younger. It's about helping your natural beauty shine with confidence."
— Marielaina Perrone, DDS
Healthy Skin. Natural Confidence. Beautifully You.
Discover how Smooth PDO Threads can stimulate your body's natural collagen production and help restore firmer, healthier, more youthful-looking skin—without surgery or lengthy downtime.
Schedule your personalized consultation with Marielaina Perrone, DDS and experience facial rejuvenation guided by science, artistry, and a philosophy of natural-looking results.
Call (702) 458-2929