Cheeks and midface
Restores volume position and softens the hollowing that accompanies age-related fat descent.
Sieveking/Medical Aesthetics/PDO Threads
PDO Threads in Nashville
Minimally Invasive · Dissolvable · Honestly Advised
PDO threads offer a precise, minimally invasive path to firmer, lifted skin for patients who want meaningful rejuvenation without surgery. Where the jawline, cheeks, or neck have begun to soften with age, a thread lift addresses that laxity directly — stimulating your own collagen to restore structure over time.
Firmer skin, naturally. An immediate, visible lift. No downtime.
A precise lift. A collagen response. No commitment to surgery.
PDO stands for polydioxanone, a biodegradable suture material with a long and well-established safety record in surgical medicine. In aesthetic practice, PDO threads are introduced beneath the skin through fine needles, where they create an immediate mechanical lift while simultaneously triggering a collagen-remodeling response in the surrounding tissue.
As the threads dissolve over several months, the collagen scaffold they stimulate remains — skin that appears lifted at the time of treatment and continues to improve in firmness and texture as new collagen matures. For patients beginning to see soft tissue descent but not yet ready for a surgical facelift, PDO threads represent a thoughtful, carefully calibrated option.
Treatment areas for PDO threads.
From the mid-face to the neck — and select areas of the body — threads address laxity where it shows.
Jawline and jowls
Reduces jowling and redefines the lower face contour for a cleaner, more youthful silhouette.
Neck laxity
Addresses early laxity and horizontal banding without incisions or general anesthesia.
Heavy brows
Provides a subtle lift to heavy or descending brows, opening the upper face.
Folds and marionette lines
Softens the deep nasolabial creases and marionette lines that pull the face downward.
Arms and abdomen
Thread protocols can also target mild skin laxity in body areas where texture and tone have loosened.
The approach
How a PDO thread lift works.
During your procedure, a trained provider places the threads in precise vectors beneath the skin surface. Barbed or cog threads anchor to tissue and reposition it upward, while smoother threads stimulate collagen production across a broader area. The placement pattern is mapped to your individual anatomy and the specific areas of concern identified during your consultation.
At Sieveking Plastic Surgery, PDO thread treatments are performed by Susie Cody, RN, CANS — a highly trained injector and former Galderma national trainer, with over 25 years of experience in advanced aesthetics behind her. That level of precision matters when thread placement determines both the safety and the natural quality of your result.
Threads and a surgical facelift occupy different points on the rejuvenation continuum. Threads suit mild to moderate laxity — meaningful improvement without anesthesia, incisions, or extended recovery — while a facelift performed by Dr. Sieveking repositions deeper structures and can last a decade or more. Some patients even use a thread lift as a bridge, sustaining facelift results between surgical procedures.
Why choose this treatment
Benefits of PDO threads.
An immediate lift you can see, a collagen response that keeps building, and a recovery measured in days.
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Immediate visible lift
Repositioning of tissue is apparent on the day of treatment, giving you a result you can see from the first appointment.
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Ongoing collagen stimulation
The biostimulatory effect builds over 2–3 months, continuing to improve skin quality as the threads gradually dissolve beneath the surface.
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Minimal downtime
Most patients return to their regular routines within a few days — a meaningful advantage over the recovery surgical alternatives require.
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Smoother skin texture
Beyond lifting, PDO threads improve the quality of the overlying skin, reducing fine lines and enhancing firmness across the treated area.
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Natural-looking results
Properly placed threads enhance your features without creating an operated appearance — aligned precisely with Dr. Sieveking’s philosophy of conservative, predictable outcomes.
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Complementary by design
Threads integrate well within a broader aesthetic or longevity plan, working alongside dermal fillers, collagen biostimulators, and RF microneedling skin tightening.
Most patients require a single session per treatment cycle, with a personalized plan developed at consultation to address your specific anatomy, your goals, and the pace you prefer.
From consultation through approximately 12 months of results.
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Consultation
The right intervention at the right time
Ideal candidates are in good general health with mild to moderate skin laxity in the face, neck, or body; patients with more significant tissue descent may be better served by a surgical facelift or neck lift. Your consultation with the Sieveking team clarifies which option aligns with your anatomy and goals, and maps a personalized placement plan. You will also receive a complete pre-care protocol — including avoiding blood-thinning medications and supplements such as aspirin, ibuprofen, and fish oil for at least a week beforehand if medically appropriate, since these increase bruising risk.
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Treatment
In-office, without an operating room
Most PDO thread procedures are completed in 45–90 minutes, depending on the number of areas treated, and are performed in-office at the Franklin facility — no general anesthesia and no operating room required. Topical numbing cream and local anesthetic are applied before the procedure, keeping most patients comfortable throughout; some pressure and mild discomfort at insertion points is normal. The lifting effect is visible immediately, on the day of treatment.
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Aftercare
The first days and weeks
Mild swelling, tenderness, and bruising at insertion points are normal on the day of treatment, and you may feel the threads beneath the skin initially. Swelling typically peaks around day 2 and begins to resolve; avoiding strenuous activity, facial massage, and sleeping on your side is recommended during the first week. Occasional dimpling or puckering at the skin surface in the first few days typically resolves as swelling subsides. By weeks 2–4, the initial result settles into a more refined appearance and tenderness along the thread tracts diminishes.
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Maintenance
Collagen that outlasts its threads
Over months 1–3, the collagen-stimulation phase progresses — many patients notice their skin continues to feel firmer and look more even as new collagen matures beneath the surface. Results from PDO threads typically last between approximately 12 months, varying by the number and type of threads used, your age, skin quality, and lifestyle factors such as sun exposure and overall health. Maintenance sessions can extend and build upon the outcome, planned individually with your provider.
Why Sieveking
Meet Dr. Sieveking
Why choose Sieveking Plastic Surgery for PDO threads.
Led by Susie Cody RN, CANS, a master injector and former Galderma national trainer; and Jennifer Hammond, licensed clinical aesthetician and laser specialist; under the medical direction of Dr. Sieveking.
Sieveking Plastic Surgery is the only practice in Middle Tennessee integrating world-class plastic surgery, advanced medical aesthetics, and clinical functional and longevity medicine under one board-certified physician at a single address. Dr. Nicholas Sieveking is Stanford-trained and fellowship-trained under the legendary Ivo Pitanguy in Brazil, with more than 25 years of experience and multiple Best Plastic Surgeon in Nashville recognitions.
PDO thread treatments here are performed by Susie Cody, RN, CANS, a former Galderma national trainer whose clinical precision is rarely found outside top-tier academic settings — and precision is the variable that determines both the safety and the natural quality of a thread result.
Because Dr. Sieveking also performs facelifts, a consultation with the Sieveking team gives you an honest reading of where you sit on the rejuvenation continuum. When you are ready, we invite you to schedule a consultation at 1200 Old Hillsboro Road in Franklin — a conversation that is educational, unhurried, and tailored entirely to you.
Investment
PDO threads cost in Franklin, TN.
The investment for PDO threads at Sieveking Plastic Surgery varies based on the number of threads used, the areas treated, and the complexity of your individual plan. Treatment protocols that address multiple zones or combine thread types require more time and material, which is reflected in the pricing — no two plans are quite alike.
Contact our Franklin office for a personalized consultation and a treatment recommendation specific to your anatomy and goals. Pricing is discussed transparently during that conversation, so you understand exactly what your plan includes — and what it will cost — before anything is scheduled.
Questions, answered.
The questions most prospective patients ask before booking a consultation.
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Most PDO thread procedures are completed in 45–90 minutes, depending on the number of areas treated. The procedure is performed in-office at Sieveking Plastic Surgery’s Franklin facility and does not require general anesthesia or an operating room — topical numbing cream and local anesthetic keep patients comfortable, and most return to their regular routines within a few days.
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Topical numbing cream and local anesthetic are applied before the procedure, making most patients comfortable throughout. Some pressure and mild discomfort at insertion points is normal, and you may feel the threads beneath the skin initially. Tenderness in the treated areas typically resolves within the first week, as swelling subsides and the tissue settles.
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The most common side effects include bruising, swelling, and tenderness at the insertion sites, all of which are temporary. Dimpling or puckering at the skin surface occasionally occurs in the first few days and typically resolves as swelling subsides. Serious complications are rare when threads are placed by a skilled, experienced provider — a central reason placement expertise matters.
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Results typically last between approximately 12 months. An immediate lifting effect is visible on the day of treatment, while the full aesthetic result develops gradually over 2–3 months as new collagen forms along the thread tracts. Individual longevity depends on the number and type of threads used, your skin quality, age, and lifestyle factors such as sun exposure and overall health; maintenance sessions can sustain and build upon your results.
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Yes. PDO threads complement a range of aesthetic treatments and are frequently combined with dermal fillers for volume restoration, collagen biostimulators for deeper structural support, and energy-based treatments such as RF microneedling and Ultherapy for additional skin tightening. Your provider will recommend a coordinated plan based on your priorities during your consultation.
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Ideal candidates are in good general health and have mild to moderate skin laxity in the face, neck, or body. Patients with more significant tissue descent may be better served by a surgical facelift or neck lift — both available at Sieveking Plastic Surgery. A consultation with the Sieveking team will determine which approach aligns with your anatomy and your goals.
More in Medical Aesthetics.
Lasers & Devices
Begin your journey
Schedule your PDO thread consultation at Sieveking Plastic Surgery in Franklin, TN.
Whether threads, a surgical lift, or a combination is right for you is a question best answered in person — and this is one of the few practices in Middle Tennessee equipped to answer it either way. We invite you to schedule a consultation at 1200 Old Hillsboro Road in Franklin, where the conversation is educational, unhurried, and tailored entirely to you — with surgery, aesthetics, and longevity medicine all under one roof.
1200 Old Hillsboro Road, B2 · Franklin, Tennessee
Mon–Thu 9–4:30 · Fri by appointment