PDO Thread Lift (MINT Threads)

Gotham Plastic Surgery offers PDO thread lifting using MINT (Minimally Invasive Nonsurgical Thread) threads — a next-generation barbed absorbable suture system that Dr. Philip Miller considers superior to standard PDO threads. Procedures are performed under local anaesthesia in under 30 minutes with zero downtime. Treatable areas include the mid-face, cheeks, jowls, eyebrows, neck, and jawline. Results are visible immediately and last approximately six to twelve months as the threads dissolve and stimulate collagen production.

PDO thread lifting at Gotham Plastic Surgery uses MINT (Minimally Invasive Nonsurgical Thread) threads, which Dr. Philip Miller has selected over standard PDO barbed sutures for their distinctive helical monofilament design — a spiral configuration that distributes lifting force more evenly along the thread, reduces the risk of palpable suture ridging, and creates a larger surface area for collagen stimulation compared to linear barbed thread designs. The procedure is performed entirely under local anaesthesia in the treatment room, requiring no sedation, no surgical incisions, and no recovery period. Treatment time is typically under 30 minutes for a standard cheek and jowl lifting protocol. The threads are introduced through small needle entry points placed in discreet locations at the hairline or within natural skin folds, guided beneath the skin in the subcutaneous plane, and then advanced in the appropriate vector to mechanically reposition and elevate the overlying soft tissue. Treatable zones include the mid-face and cheek fat pad (lifting sagging cheeks and restoring malar convexity), the jowl and lower face (reducing jowl prominence along the jawline), the eyebrow (lateral brow elevation for a refreshed periorbital appearance), the neck (tightening superficial platysmal laxity), and the jawline (defining the mandibular border). Results are visible immediately as a direct mechanical effect of tissue repositioning. Over the following weeks and months, the absorbable polydioxanone suture material stimulates a fibrogenic response — new collagen deposition around the thread tracks — which provides ongoing skin tightening and firmness as the thread itself gradually dissolves over approximately six months. Total result duration is typically six to twelve months, after which repeat treatment can be performed. Thread lifting at the practice is offered both as a standalone procedure and as a complement to injectable neuromodulators and dermal fillers as part of a comprehensive non-surgical rejuvenation plan. It is particularly well-suited to patients who want a meaningful but temporary improvement in lower face and neck contour without committing to surgical facelift recovery.