About Thread Lifts
At Pacific Skin and Cosmetic Dermatology San Francisco & Marin, we are proud to offer our patients polydioxanone (PDO) thread lifts as an alternative to traditional surgical facelifts. PDO thread lifts can address mild to moderate skin laxity and hollowness that is the result of genetics, aging, and environmental factors. To perform this innovative and minimally invasive procedure, board-certified dermatologist Tracy Evans threads surgical-grade PDO fibers through the sagging or thinning tissue, which can then be lifted by gently tugging and positioning the fibers. PDO threads are safe and have long been used in heart surgeries due to their ability to help rebuild tissue, boost collagen, and be absorbed by the body. Schedule your consultation with Dr. Evans if a thread lift sounds like the right step for your cosmetic goals.
"Dr. Evans has performed Mohs surgery on my face twice and I could not be happier with the results. For the past couple decades, I have spent almost every Summer in the South of France because I have family and friends there. Of course it is a sunny place with lots of gorgeous beaches and other outdoor activities. I guess I got a little too much sun exposure on these trips, especially since I have fair skin and blue eyes. When I first found out I had a basal cell spot on my face I was very upset, but Dr Evans and her staff are absolutely amazing!!! I had never had any surgery on my face and I was worried about it, but I truly felt I had the kind of empathy and care that you would get from a family member or a great friend, from Dr. Evans and everyone else on her team. Dr. Evans did such a great job on both surgeries and they have healed so well, so much so that no one even notices that I have had two surgeries on my face. I have been going to her office for years now with regular skin checks and I have to say I am extremely impressed with the entire staff. In addition to the Mohs surgery, and after I had basal cell a second time, I decided to get Fraxel Laser done at Dr. Evans office. A lot of people do this for cosmetic reasons, but I did it because I found out that Fraxel can help reduce the chance of getting basal cell in the future. As a guy, I did not see myself spending thousands of $’s on laser for my face the first time, but after I got the 2nd basal cell on my face I decided it was worth the money if it reduced the chance of more basal cell in the future. I was very pleased with the Fraxel procedures and I have not had another basal cell issue since I had it, so I am very happy with the decision. The Fraxel laser procedure also evened out the toning on my face, so that was great as well. I highly recommend the Fraxel Laser to anyone who wants to potentially reduce the chance of basal cell, and I also have been taking Nicotinamide (a special form of vitamin B) which can also potentially reduce future basal cell issues, and I use a DNA enzyme repair cream at night which reduces the chance of basal cell. As I said before, I have not had basal cell since I had the Fraxel and I think taking Nicotinamide and using the DNA enzyme repair cream all have helped. After all this I realize how important skin care is and I am grateful that I got such great care. Most of my friends never go to a dermatologist and have an ignorance is bliss attitude, but with Dr. Evans and her amazing team, I am much more aware of how important it is to get regular checks and what can be done to maintain my skin going forward. My skin looks great and people think I look much younger than my actual age. One final point: I also have a couple friends that have HMO insurance that also have had basal cell. They have had surgeries at their HMO and I can tell you the care and the results they received are not even close to the care and outstanding results I have had with Dr. Evans. In some cases, the HMO made my friends wait a long time before they could even get the Mohs surgery and they also made mistakes, and their results in terms of scarring and healing were not the best. There is no way I would trust an HMO to do this surgery. At this point, I would only trust Dr. Evans with something this important. Thanks to Dr. Evans, Clarence, Shantelle, Kirstie, Danielle, Leslie, and the entire team! You all have helped me in a difficult situation more than once and I got through it as if nothing ever happened because of your amazing care and skills!"- E.R. / Yelp / Sep 25, 2021
"I want to write this review for Dr Evans’ staff and specifically for Krystal and Ava. I have been treated there 4 times this year. Each time I go I feel like my health and happiness is the most important thing in the world to both medical and administrative staff. I am not just the next person in their busy day that needs treatment and a means for the practice to make money. I am made to feel the same way as when I fly first class or stay in a world class hotel. The entire experience from the time I walk in the door until I walk out again is unlike anything I have experienced at any doctor or dentist or any medical facility. They are professional and compassionate with a great "bedside" manner. I am cared for as a patient and valued as a human each visit."- S.G. / Yelp / Sep 01, 2021
"Dear Tracy Evans M.D. Thank you_Thank you_Thank you. For your amazing expertise and talents. I could not be happier with my care. Everyone on your staff is so competent and awesome. So grateful, Deb Protheroe"- D.P. / Google / Jul 11, 2021
"Excellent, thorough medical care for the skin. I appreciate the fact that Dr Evans monitors my skin every 6 months for medical issues and catches anything amiss early. Knowledgeable staff to help with skin care products after medical needs met. Beautiful relaxing spa like waiting area."- B.F. / Google / Jun 11, 2021
"I was in desperate need of a quick remedy to extract my pores and hydrate my face. Mallory recommended the hydrafacial treatment for me. The whole treatment was quick, only taking about 30 minutes, and very affordable with NO down time! Mallory was an absolute gem! Prior to the treatment, she explained the process and made sure I was comfortable. I would highly recommend Dr. Evans team at Pacific Skin Dermatology. Can’t wait for my next treatment!"- K.K. / Yelp / May 30, 2021
The best candidates for PDO thread lifts have mild to moderate sagging of the skin and want a firmer appearance without undergoing surgery. Thread lifts are optimal for you if you are noticing the first signs of aging. They can be performed to address sagging and lines anywhere on the face, including smoker's lines, nasolabial folds, moderate jowling, and even the neck. Ask Dr. Evans or someone on her professional team about the benefits of adding a dermal injectable to your PDO thread lift procedure.
PDO threads come in three forms: lift, twist, and smooth threads. Lift threads are used to gently lift the skin with extremely fine traction. Twist threads are used as fillers and are able to add volume to areas, like hollow cheeks. Smooth threads are designed to address tiny, fine lines, such as smoker's lines or Crow's feet.
Dr. Evans will discuss which kind of thread lift is best for you at your consultation so you are ready to go on the day of your appointment. Thread lifts are performed in our office with local anesthesia. You will be awake throughout the procedure, but the anesthesia will prevent any discomfort. Dr. Evans will mark the spots on your face where the threads will enter and exit and then use a very fine needle to carefully insert them into the tissue. Once they are in place, she will gently pull on the threads to create the lifted effect. Thread lift procedures usually last around one hour but can be shorter or longer, depending on the number of areas you have treated.
What to Expect
The results of a lifting procedure done with lift threads are typically visible as soon as the procedure is complete. Twist and smooth thread results can take 2 – 3 months to fully appear as these threads are actually working to transform the tissue from the inside out. Following your thread lift, your skin will be lifted and smoother for a refreshed, younger look. The puncture points of the threads will take a week or two to heal so you will have a bit of soreness and/or redness during this time. Otherwise, there really is no downtime after a thread lift. Ultimately, your thread lift results can last for a year or more, depending on the aggressiveness of your aging and your skin care regimen.
Frequently Asked Questions
How much does a thread lift cost?
At your consultation with Dr. Evans, she will decide which type of threads to use and how many areas will be treated based on your cosmetic goals. The cost of your thread lift will depend on these choices made during your consultation. We can also talk about payment method options or possible financing.
How are thread lifts better than facelifts?
For patients with early signs of aging or mild to moderate lines and wrinkles, thread lifts can provide the desired outcome without surgery. Surgical facelifts are designed to address significant or later signs of aging and require incisions and the actual removal of excess skin and tissue. One procedure is not "better" than the other, but a thread lift is a much gentler way to lift and contour before the need for surgery develops.
Will I have scarring?
PDO thread lifts do not typically produce any scarring. The punctures created to insert the threads are very tiny and heal up virtually invisible. To ensure that your needle punctures heal correctly, we will give you a lot of important instructions for your skin's aftercare.
Can thread lifts be combined with injectable fillers?
Yes. In fact, it is very common for our patients to have dermal fillers or wrinkle relaxers at the same time they have their thread lift. These treatments can beautifully enhance your results, particularly if you have more advanced signs of aging. Be sure to talk to Dr. Evans at your consultation if you are interested in incorporating injections at the time of your thread lift.
How natural will my results look?
When performed by an experienced doctor or medical professional, thread lift results look very natural. It is really important to make sure that you choose to have your thread lift done by an established, reputable doctor, like Dr. Evans. At Pacific Skin and Cosmetic Dermatology San Francisco & Marin, our number one goal is natural-looking results that meet your cosmetic goals.
subtle, natural-looking lift
Thread lifts are minimally invasive procedures that are able to provide long-lasting, beautiful results. If you are noticing the first signs of aging or perhaps have lines and wrinkles due to smoking, excessive squinting, or frowning, a thread lift can refresh and firm up your appearance. Contact Pacific Skin and Cosmetic Dermatology in San Francisco, CA to set up your consultation with Dr. Tracy Evans and see if a PDO thread lift will work for you.