PDO Thread Product Image Banner to Advertise its highlights being versatile and how it increases collagenPDO Thread Image Banner to Advertise its highlights being versatile and how it increases collagen

PDO Threads

Skin Rejuvenation

PDO (Polydioxanone) Threads are a highly safe and minimally invasive cosmetic procedure aimed at lifting and tightening sagging skin tissues. But beyond addressing loose skin, at Nob Hill Aesthetics, our team uses PDO Threads to enhance collagen production, reduce wrinkles, and enhance skin texture!

Why are PDO Threads safe? Here at Nob Hill Aesthetics, we carry Collagen NovaThreads, a specialized line of PDO Threads which are the first FDA approved threads for PDO sutures. In addition, the actual thread material itself is biodegradable. As the threads are inserted in the skin via super thin needles, (clients consider the treatment very tolerable with the help of our pre treatment numbing!) the skin's natural healing process begins improving skin appearance!

With minimal downtime, a versatile list of thread options to address different areas, and long lasting results, PDO Threads are a great way to rejuvenate your skin! Under our skilled and experienced PDO Thread medical provider who has countless years of experience, our team at Nob Hill Aesthetics is proud to offer PDO Threads Treatments to rejuvenate and greatly increase collagen production.

Check out what our clients have to say about their experience with Dr. Bukov, our skilled PDO Threads provider below and book your consultation to reverse the clock on your skin's aging today!

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$500 per Treatment
Botox® Treatment Add On

PDO Threads Treatment Summary

  • PDO Thread Cost:

    Base Deal (per Session)

    • Regular Price: $500 per treatment

  • What PDO Threads Treat:

    1. Wrinkle Reduction

    2. Skin Texture Improvement

    3. Skin Tone Evening

    4. Acne Scarring

    5. Collagen Production

  • PDO Thread Treatable Areas:

    1. Gabella (area between eyebrows)

    2. Crows Feet (outer area of the corner of the eyes)

    3. Areas Around the Mouth

    4. Under Eyes

  • PDO Thread Procedure Time:

    Procedure Time - 15 minutes

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  • PDO Thread Treatment Series:

    Maintenance - every 6 to 18 months (depends on age, skin condition, and response to treatment)

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  • PDO Thread Recovery Time:

    Recovery Time: minimal down time

    A few restrictions listed in the FAQ that cover facials/massages, excessive facial strain, makeup, and pressure

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  • PDO Thread Side Effects:

    Common Side Effects: bruising, soreness, and swelling

    Rare Side Effects: skin puckering, insertion site infections, thread migration, nerve damage, or formation of granulomas.

    *if rare side effects appear call us at (415) 440-6800 or use the chat bot and we will respond right away

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  • PDO Thread Treatment Results:

    1. Renewed collagen production will take up to a few months for the full results to set in

    2. Rejuvenation results should start a few weeks after the treatment

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Our Reviews

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"I have been going here for almost 4 years and the quality of their work is outstanding. I have told all of my friends about Nob Hill, and now they all go as well. I am part of the Botox membership, which is one of the best deals in the city. The focus on preventative care and making sure you have a natural result is always the focus of their care. They support you as the patient in the pursuit of your goals and offer expert advice without bias or agenda. I am 40 years old and my skin easily looks a decade younger. I am a client for life here!"

Jessica S.

"I discovered Nob Hill (Aesthetics) during the pandemic for Botox injections & I've been with them ever since with no regrets. Dr. Bukov & his staff are wonderful."

Kristin N.

" Nurse Maddy is the best injector! She is highly skilled, extremely compassionate and patient. She took the time out of her busy schedule to listen to my needs/concerns, provide patient education and collaborate with me to come up with the best treatment. She is a master injector and very knowledgeable.

I love Nob Hill Aesthetics, everyone is so kind and sweet. I always leave with the biggest smile ever! Thank you Nob Hill Aesthetics Staff ❤️"

Mar T.

"The best place to get Botox, CoolSculpt or EmFace. Doctor Bukov is amazing. Highly recommend, friendly staff, clean office, and convenient parking in the building."

Alex C.

"Love the Nob Hill Botox club! Highly recommend"

Taylor L.

"Big fan here! Super nice staff, easy to get in, great Botox results. I feel well cared for here!"

Jennifer H.

"I was looking for a place that offers masseter botox for TMJ and I found this place on Yelp. They did not disappoint! The receptionists are very nice and welcoming. Wait times aren’t long, but you do have to make an appointment. My nurse injector, Maddie, is great and very attentive. Definitely recommend!"

Enza G.

"I’ve gone here for Botox and a BBL and my skin looks amazing! The nurses and doctors are great at listening to my skin issues and suggesting solutions without being pushy. I will definitely be back!"

Lacie U.

"Friendly, professional service, Botox membership prices are some of the best in the City. Recommend the service"

Wesley W.

"Been coming here for almost two years now. Was my first experience ever getting Botox. Staff is friendly and professional and listen to your needs and concerns! Definitely recommend to anyone!"

Alex J.

"This is the place I’ve been going to for years for Botox. I have also gotten the BBL and Halo treatment here. They are very professional and weigh your concerns very heavily. Highly recommend - especially for people who are new to Botox and laser treatments."

Lindsay E.

"I love that you see a doctor who looks at the structure of your face and then makes recommendations. The Botox club is also amazing they book me in ever 3 months and I hardly notice the debit from my account when it is broken down to 12 payments. They also have all the latest cosmetic devices and treatments so you are assured that you are receiving the latest medical treatments that are FDA approved and done by a licensed practitioners."

Danielle O.

Our PDO Thread Provider


    Konstantin Bukov, MD

    Over 10 years of experience in the aesthetics industry

    With his exceptional skill set, artistic vision, and unwavering dedication to your well-being, Dr. Bukov is committed to helping you achieve your aesthetic goals

Frequently Asked Questions

Nob Hill Aesthetics

Why Nob Hill Aesthetics?

While a quality product is essential, a skilled hand is critical. Dr. Bukov our PDO Thread provider has undergone extensive training and with many years of experience, he has mastered the art of performing the PDO Thread treatment specialized for collagen enhancement.

Can I get a consultation for PDO Threads without Coming in?

While we can give a rough assessment of whether or not PDO collagen threads are right for your conditions through pictures, an in-person consultation is recommended! Before you book a PDO Thread appointment, we will perform a consult which helps determine a personalized treatment plan tailored to your goals and needs! Contact us by calling (415) 440-6800 or use the chat bot to set up a consultation!


How much does My PDO Thread Appointment Cost?

The price of your PDO Thread treatment will cost $500 per session. The treatment is usually considered an add on to your Botox® treatment, but can also be completed standalone.

Treatment Details

How do PDO Threads work?

PDO (Polydioxanone) threads are a cosmetic treatment innovation used for skin lifting, tightening, and rejuvenation. They work through a few key mechanisms:

Immediate Mechanical Lift

  1. Lifting Effect: When PDO threads are inserted into the skin, they immediately lift and reposition the skin tissue. This is especially true for barbed or cogged threads, which hook onto the skin to provide support and lift sagging areas.
  2. Placement: The threads are placed strategically under the skin to target specific areas that need lifting, such as the cheeks, jowls, eyebrows, and neck.

Cellular Renewal through Collagen Stimulation

  1. Collagen Production: PDO threads stimulate the production of collagen, the protein responsible for the skin's strength and elasticity. The presence of these threads within the skin triggers the body's healing response, leading to increased collagen synthesis around the threads.
  2. Improved Skin Texture: Over time, the increase in collagen helps to improve the skin's texture, elasticity, and volume, leading to a more youthful and rejuvenated appearance.


  1. Increased Blood Flow: The threads encourage the formation of new blood vessels (neovascularization), which improves skin microcirculation. This enhances the skin's color and texture, contributing to a more radiant and healthy appearance.

Fat Tissue Contraction

  1. Skin Tightening: Some evidence suggests that PDO threads can cause fat tissue to contract, which further aids in the skin tightening process.


  1. Dissolving Threads: PDO threads are made from a biocompatible material that the body can fully absorb within 4 to 6 months after insertion. The threads break down into water and carbon dioxide, which are naturally expelled by the body.

Safety and Efficacy

  1. Material: PDO Thread is a safe material that has been used in medical sutures for many years, ensuring that the threads are unlikely to cause any adverse reactions when used for cosmetic purposes.
  2. Versatility: PDO threads can be used in various areas of the face and neck, and different types of threads (smooth, twisted, barbed) can be selected based on the specific needs and goals of the treatment.

Treatment Timeline Details

What can I expect Before my PDO Thread visit?

Before your PDO thread visit, which is aimed at lifting and rejuvenating the skin through the insertion of dissolvable threads, there are several preparatory steps and considerations to ensure a smooth process and optimal results. Here's what you can generally expect leading up to your appointment:

Initial Consultation

  1. Assessment: Your Nob Hill Aesthetics PDO Thread provider will assess your skin's condition, discuss your aesthetic goals, and determine if you're a suitable candidate for PDO thread treatment.
  2. Medical History: You'll be asked about your medical history, including any medications you're taking, allergies, and previous cosmetic treatments to ensure there are no contraindications.
  3. Treatment Plan: Your Nob Hill Aesthetics provider will explain the procedure, including the types of threads to be used, the areas to be treated, expected outcomes, and potential risks or side effects.
  4. Consent: Once all your questions are answered, and you decide to proceed, you will sign a PDO thread consent form.

Pre-Treatment Instructions

  1. Medications and Supplements: You may be advised to avoid certain medications (like aspirin or other blood thinners) and supplements that can increase bruising or bleeding risk for a specified period before the treatment.
  2. Skin Care Regimen: Instructions on pre-treatment skincare might be provided, including avoiding retinoids or other potentially irritating products.
  3. Avoiding Certain Activities: Recommendations might include avoiding alcohol, smoking, and extensive sun exposure before the procedure to promote better healing.

Pre-Treatment Preparation

  1. Skin Cleansing: The treatment area will be thoroughly cleaned to minimize the risk of infection.
  2. Marking: Your PDO Thread provider may mark your skin to guide the placement of the threads.
  3. Anesthesia: While PDO thread procedures are minimally invasive, local anesthesia or a topical numbing cream may be applied to the treatment areas to minimize discomfort during the procedure.

Day Before the Procedure

  1. Prepare for Downtime: Although PDO thread lifts typically have minimal downtime, it's wise to arrange your schedule to allow for rest and recovery if needed, especially if you experience swelling or bruising.

On the Day of the Procedure

  1. Eating and Drinking: Follow any specific instructions regarding eating or drinking before the procedure; however, these are generally less strict than for more invasive surgeries.
  2. Comfortable Clothing: Wear comfortable, loose-fitting clothing, especially tops that don't need to be pulled over your face.
  3. Arrive Without Makeup: It's usually recommended to arrive without makeup on the areas to be treated to reduce the risk of infection and to save time
What can I expect During my PDO Thread visit?

You can expect a series of steps from consultation to the actual procedure and immediate post-treatment care. Here's a detailed breakdown of what typically happens during such a visit:

The Procedure

  1. Insertion of Threads: Using a fine needle or a cannula, the PDO threads are inserted into the subdermal layer of your skin. The technique and pattern of insertion will depend on the treatment area and the desired rejuvenation effect.
  2. Adjustment: Once the threads are in place, your Nob Hill Aesthetic provider may slightly adjust them to achieve the desired effects.
  3. Thread Securing: The threads are then anchored in place, and the insertion points are closed, often without the need for sutures.

Immediate Post-Treatment

  1. Post-Procedure Care Instructions: You'll receive specific instructions on how to care for the treated area, including avoiding certain activities and how to manage any discomfort.
  • Observation: Depending on the extent of the procedure, you might be observed for a short period before being allowed to go home.
  • Mild Side Effects: It's normal to experience some swelling, bruising, or redness immediately after the procedure, which typically subsides within a few days.
When will I see my PDO Thread Rejuvenation results?

The timeline for seeing results from a PDO Thread Rejuvenation treatment can vary depending on the individual's skin condition, the area treated, and the type of threads used. However, there is a general timeline you can expect:

Immediate Results

  1. Initial Lift: Right after the procedure, you might notice an immediate small improvement in skin texture and lift due to the mechanical effects of the threads.
  2. Visibility of Results: Results may be obscured initially by swelling or bruising that can occur as a result of the treatment.

Short-Term Results

  1. First Few Weeks: As the swelling and bruising subside within the first few weeks, the initial tightening effects become more evident.
  2. Skin Texture: Some improvement in skin texture and fine lines can be observed as the PDO threads start to stimulate collagen production.

Optimal Results

  1. One to Three Months: The peak effects are typically seen 1-3 months after the procedure. By this time, the body's natural collagen production has been stimulated around the threads, leading to further tightening and more significant rejuvenation effects.
  2. Collagen Maturation: The full benefits of the induced collagen production and skin remodeling become more apparent, enhancing the skin's overall structure and appearance.

Long-Term Effects

  1. Six Months to Two Years: The longevity of PDO thread lift results can vary, but they generally last between 6 months and 2 years. The threads themselves dissolve within 6 months, but the collagen-induced lift can persist longer.
  2. Variability: Individual results can vary greatly depending on lifestyle factors, age, skin type, and how well one takes care of their skin post-procedure.

Maintenance and Follow-Up

  1. Touch-Up Treatments: Some people may choose to have additional threads placed in the future as the natural aging process continues or to enhance the initial results.
  2. Skincare and Lifestyle: Maintaining a healthy lifestyle and skincare regimen can help prolong the results. This includes using sunscreen, staying hydrated, eating a balanced diet, and avoiding smoking.
  3. Follow Up: If you have any concerns about your PDO Thread results, or encounter complications it is always best to follow up with your provider by calling our number: (415) 440-6800 or use the chat bot and we will respond right away!

Treatment Results

What can I expect after my PDO treatment?

Here's what you can generally expect after undergoing a PDO thread lift treatment:

Immediate Aftercare

  1. Mild Swelling and Bruising: It's common to experience some swelling and bruising at the injection sites. This usually subsides within a few days to a week.
  2. Slight Pain or Discomfort: Some tenderness or pain at the treated areas is normal, which can usually be managed with over-the-counter pain relievers as recommended by your nob hill aesthetics PDO provider

First Week

  1. Avoid Strenuous Activities: It's advised to avoid vigorous physical activities and exercises for the first 1-2 weeks to prevent any accidental displacement of the threads.
  2. Sleeping Position: Try to sleep on your back to avoid putting pressure on your face, which might affect the placement of the threads.
  3. Minimal Facial Movements: Limit excessive facial expressions and movements to allow the threads to integrate properly into your skin.

First Month

  1. Follow-Up Visits: You will have a scheduled follow-up with our team to check the progress and the integration of the threads.
  2. Continued Care: Continue to avoid any treatments that involve strong pressure on the face, such as certain types of massages or facials, to prevent displacing the threads.

Long-Term Results

  1. Collagen Stimulation: Over the next few months, the PDO threads will stimulate collagen production around the treated areas, leading to an improvement in skin texture and firmness.
  2. Visible Lifting Effect: While some immediate lifting may be noticeable, the full effect typically becomes more apparent after 1-2 months as the collagen remodeling process progresses.
  3. Duration of Results: The results from a PDO thread lift can last anywhere from 6 months to 2 years, depending on individual factors such as age, skin condition, and lifestyle.


Am I a good candidate for PDO Collagen Threads?

Determining whether you are a good candidate for PDO (Polydioxanone) Collagen Threads involves considering various factors related to your skin condition, overall health, and aesthetic goals. PDO threads are used for non-surgical face lifting, skin tightening, and collagen stimulation. Here are some criteria to help assess if you might be a good candidate:

Ideal Candidates

  1. Mild to Moderate Skin Laxity: Individuals with mild to moderate sagging of the skin, who are seeking to lift and tighten areas such as the cheeks, jowls, neck, and eyebrows.
  2. Aging Signs: Those experiencing early signs of aging, such as fine lines, wrinkles, and slight loss of facial volume, but not severe sagging that might require surgical intervention.
  3. Collagen Production: People looking to enhance skin texture, firmness, and collagen production, leading to more youthful and rejuvenated skin over time.
  4. Realistic Expectations: PDO threads offer subtle, natural-looking results rather than the dramatic changes seen with surgical facelifts.

Less Suitable Candidates

  1. Severe Skin Laxity: People with significant sagging and excess skin might not achieve optimal results with PDO threads alone and may be better candidates for surgical procedures.
  2. Active Skin Infections: Those with active skin infections, chronic skin conditions, or inflammation in the treatment area may need to wait until these issues are resolved.
  3. Certain Medical Conditions: Individuals with bleeding disorders, immune deficiencies, or those on certain medications that affect healing might not be suitable candidates.
  4. Dramatic Expectations: Those expecting the dramatic and immediate results of a surgical facelift might be disappointed with the subtler, more gradual improvements offered by PDO threads.

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