Dr. Ladie Arana-Domondon is an expert in PDO Thread Lifts and is the physician you can trust. Voted the Best Doctor of South Sound in 2014, 2017, 2018, and 2019, “2017 Most Loved Injector” by RealSelf Magazine readers, and voted #2 “Best Doctor of Western Washington”. Concordia Star Medical Aesthetics now offers PDO Thread lifts as an effective skin tightening option, giving you a youthful appearance without the surgery of a traditional facelift. For an immediate, natural-looking face lift without surgery, contact our office today to set up a consultation.


A PDO Thread Lift treatment lifts and tightens sagging skin tissue by introducing Polydioxanone (PDO) threads into the deeper layers of skin. Three effects to the skin are produced by this introduction:

  • Skin Tightening – by contracting fat tissue
  • Instant Skin Lifting – by mechanical effects
  • Cellular Renewal – collagen stimulation and neovascularization improves skin texture, fine lines and elasticity


Are you looking to improve the appearance of sagging skin? Would you prefer a non-surgical solution? If so, a PDO thread lift treatment is right for you if you:

  • Want to attain an immediate lift and are
  • Willing to undergo some injections
  • Unwilling to tolerate a long downtime of facelift surgery
  • Want to look refreshed and lifted – naturally


This treatment is very versatile and improves both skin sagging and texture. In particular, it benefits the cheeks and lower face but can be applied to almost any area of the face, including:

  • Wrinkles around the mouth
  • Jowls
  • Undereye
  • Cheeks
  • Neck
  • Nasolabial Folds
  • Eyebrows
  • Jaw Line
  • Naso Jugal Folds
  • Crow’s Feet (Wrinkles around the eyes)

Each treatment is designed to meet your goals of skin lifting, rejuvenation, volumizing, even reducing fat or a combination. Your lifestyle needs (e.g. amount of downtime, swelling) are also a consideration is creating the correct treatment for you.


You will experience an immediate lift to the treated area. It will take about 1 week for the final result which may be a bit looser than the day of the procedure. There is little downtime, but mild swelling and soreness is normal after the procedure.

As with other injection treatments, alcohol, supplements (such as Omega Fish oils, Vitamin E ) and some Chinese medicines (gingko) should be avoided 1-2 days before and after treatment. Do not participate in heavy exercise, steam rooms, saunas as well. Dental treatment (excessive opening and closing of the mouth) should be avoided for 2 weeks following treatment.

To help swelling subside and avoid putting pressure on your face it is recommended that you sleep on your back. Such pressure might cause misalignment of the threads. If you have concerns discuss taping the threads after the procedure.

1-2 months after the procedure you will notice better skin texture with firmer and smoother skin. Each procedure is tailored to the patient and their goals whether they be skin lifting, rejuvenation or both.

For long-lasting results, up to 3 years, it is recommended that a repeat procedure be performed 6-9 months after the first procedure.

How Invasive Is The Procedure?

This is a minimally invasive procedure using numbing and infusion of local anesthesia with minimal discomfort. Needles are used to insert the threads into various layers of the skin, becoming an anchor that lifts the skin upwards. The standard time for a procedure is 15-20 minutes and the threads self-dissolve in about 6 months.

Is It Safe?

This treatment is extremely safe. Since threads are inserted with needles instead of surgery and are absorbed instead of removed, side effects associated with other procedures, such as infection and thread breakage, are minimized. As with any procedure, your doctor’s training is extremely important in ensuring a good outcome.

Side effects that are commonly seen with the treatment can include:
  • Bruising (may or may not occur)
  • Swelling (3 – 5 days)
  • Soreness (3 – 5 days)
  • Tightness (mild – up to two weeks)
  • Mild dimpling of skin (may or may not occur – resolves in a few days)
More serious side effects can occur even though it is rare. This can include:
  • Infection
  • Nerve damage
  • Nodules
  • Salivary duct damage

Most side effects are manageable and may require removal of threads.

An important and critical part of determining the right treatment for you is to discuss your concerns about the treatment.