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Smooth Threads

Serving Franklin, Brentwood, Cool Springs & Nashville

As you age, your skin’s structural layers weaken as your body produces less collagen and elastin, naturally leading to fine lines, a crepey texture, and a loss of facial firmness. At Franklin Skin and Laser in Franklin, TN, we offer smooth thread treatments to help patients rebuild their skin's foundation. This minimally invasive procedure stimulates collagen production and improves skin texture from the inside out, allowing you to achieve natural, long-lasting aesthetic goals.

What Are Smooth Threads?

Smooth threads are absorbable, medical-grade Polydioxanone (PDO) sutures placed beneath the skin to trigger a healing response. This treatment creates a temporary supportive mesh that stimulates natural collagen and elastin production, firming the tissue without adding volume or altering your facial contours.

At A Glance

  • Best For: Fine lines, crepey skin, moderate skin laxity, and smile lines.
  • Treatment Type: Minimally invasive biostimulator.
  • Downtime: 24 to 72 hours of mild swelling or bruising.
  • Pain Level: Mild discomfort managed with topical numbing.
  • Appointment Length: 45 to 60 minutes.
  • When Results Appear: Four to six weeks, as collagen production increases.
  • How Long Results Last: 6–12 months.
  • Number of Sessions: One to three, depending on skin concerns.
Franklin BBL Heroic model.

What Can Smooth Threads Be Used To Treat?

We use smooth PDO threads to address specific areas where the skin has become thin or lost its elasticity. Because they do not mechanically lift the tissue like barbed threads, they are an excellent option for smoothing and firming distinct facial zones:

  • Perioral Lines: The fine vertical lines that form around the mouth.
  • Accordion Lines: Vertical smile lines on the mid-to-lower cheeks.
  • Submental Laxity: Mildly loose or crepey skin under the chin and on the neck.
  • Under-Eye Crepiness: Thin, weakened tissue in the delicate infraorbital area.
  • Glabellar "11" Lines: Deep forehead furrows that require structural support.
  • Acne Scarring: Depressed facial scars that benefit from localized collagen stimulation.

How Do Smooth Threads Work?

When we place smooth threads into the treatment area, your skin tissue recognizes the PDO material as a foreign body, triggering a natural healing response. The body responds by surrounding each thread with fresh collagen and elastin. Over the course of four to six months, the threads dissolve completely into the body. The new structural proteins remain in their place. This natural treatment process leaves you with firmer, more resilient skin, rebuilding the facial structure that time has broken down.

What Are The Benefits Of Smooth Threads?

Smooth threads provide a structural improvement for your skin without requiring surgery or adding heavy volume to your face:

  • Biocompatible Material: PDO is a safe, absorbable material widely used in cardiovascular surgery. Your body easily metabolizes the threads.
  • Natural-Looking Results: Smooth threads improve skin firmness and smooth fine lines without altering your natural facial structure. You simply look like a refreshed version of yourself.
  • Targeted Treatment: We can place threads in highly specific areas, such as a single deep wrinkle or a broader area of crepey skin.
  • Progressive Improvement: The results build over time. Your skin will continue to improve as your body creates a new collagen matrix.
Franklin BBL Heroic model, smiling.

Am I A Candidate For Smooth Threads?

Good candidates

The ideal candidate is someone experiencing moderate skin laxity or a loss of skin thickness. If you notice a crepey texture or fine lines that remain visible when your face is at rest, you will likely benefit from smooth threads. They are an excellent option for patients seeking a natural improvement in skin quality and those looking to delay more invasive procedures.

Who is not a good fit?

Our team evaluates every patient to ensure a safe and effective treatment. We may recommend alternative options if you have:

  • Severe Sagging: Heavy jowling or significant loose skin requires a surgical lift or barbed PDO threads for noticeable results.
  • Active Skin Infections: Any active acne breakouts or skin irregularities in the treatment area must clear up before we proceed.
  • Bleeding Disorders: Patients taking blood-thinning medications have a higher risk of significant bruising and should discuss this during the consultation.

How Should I Prepare For Smooth Threads?

  1. Stop Blood Thinners: Avoid aspirin, ibuprofen, and fish oil for seven days prior to reduce the risk of bruising at the insertion sites.
  2. Take Arnica: Arnica supplements can be taken two days before your appointment to help minimize swelling.
  3. Stay Hydrated: Drink plenty of water in the days leading up to your treatment to ensure your skin is healthy and responsive.
  4. Avoid Alcohol: Refrain from consuming adult beverages for at least 24 hours before your procedure to keep systemic inflammation levels down.

What Is A Smooth Thread Appointment Like?

When you arrive at our Franklin, TN office, we start by applying a topical numbing cream to the treatment area. Our highly experienced providers will then map out the specific insertion points to address your unique skin concerns. During the procedure, you will feel a series of quick pinches or deep pressure. We insert the threads using a very fine needle or cannula. Many patients find the sensation unusual rather than painful, noting a slight tugging as the threads go beneath the skin. The local anesthetic ensures you remain comfortable during the 45-to-60-minute appointment. We follow strict medical safety protocols, placing every thread at the correct dermal depth to ensure a smooth, even surface.

Recovery After Smooth Threads

Immediate downtime

You will likely look slightly puffy immediately after the appointment. You may experience mild swelling, tenderness, or a feeling of tightness when moving your mouth. These temporary side effects typically peak within the first 24 hours.

Social downtime

Most patients feel comfortable returning to work and normal activities the following day. If we treat a larger area, you might develop small bruises. You can easily cover these with mineral makeup after the first 24 hours.

Exercise, makeup, sun, and skincare restrictions

  • Exercise: Pause vigorous workouts and heavy lifting for 48 hours to avoid increasing your swelling.
  • Skincare: Stop using Retin-A, strong exfoliating acids, or harsh scrubs for three days.
  • Sleep: Sleep on your back for the first few nights so you do not put physical pressure on your face.

Provider aftercare tips

Keep your head elevated with an extra pillow for the first two nights. Limit excessive facial expressions, such as wide smiling or aggressive chewing, for a few days to let the threads settle securely into the tissue.

When Will I
See Results?

  • Same Day: You may notice a false firming due to post-treatment swelling.
  • One Week: The swelling resolves, and your skin will look like it did before the appointment.
  • Four to Eight Weeks: As your body ramps up its healing process, you will see a visible improvement in skin texture and a reduction in fine lines.
  • Three Months: The new collagen matrix reaches its peak, providing the most noticeable results.

How Long Do Results Last?

The PDO threads remain in the skin for about six months before they dissolve naturally. The collagen they stimulate lasts much longer. Most patients enjoy their results for 12 to 18 months. Your genetics, lifestyle, and sun exposure habits will dictate how long the new collagen remains intact.

How Many Sessions Will I Need?

If we are treating a small area with fine lines, a single session may be enough. For larger areas or more noticeable skin laxity on the neck, we typically recommend a series of two to three sessions spaced six weeks apart. This approach builds a stronger, denser collagen framework for maximum skin rejuvenation.

Smooth Threads Vs. Other Options

Smooth Threads vs. Dermal Fillers

Fillers restore lost volume and enhance facial contours. Smooth threads improve skin quality and firmness without adding volume to the face.

Smooth Threads vs. Barbed Threads

Barbed threads grab the tissue to provide a physical lifting effect for sagging cheeks and jowls. Smooth threads stimulate collagen to improve texture and fine lines.

Smooth Threads vs. Microneedling

Both stimulate collagen. Smooth threads provide a physical support structure beneath the skin for more targeted firming in specific problem areas.

Can Smooth Threads Be Combined With Other Treatments?

Yes. We frequently combine smooth threads with BBL HEROic or Clear + Brilliant laser treatments. The laser targets surface concerns like pigment and pore size, while the threads rebuild the deep structural layers. They also pair exceptionally well with wrinkle relaxers like Botox or Xeomin to calm the muscles while the threads smooth the overlying skin.

Why Choose Franklin Skin and Laser For Smooth Threads?

The success of a thread treatment depends entirely on precise placement. At Franklin Skin and Laser, our team and our medical director, Dr. Steven Bengelsdorf, takes a clinical approach to aesthetic medicine, prioritizing treatments that support the long-term health and integrity of your skin. We ensure you fully understand the process and will always give you an honest assessment of what this minimally invasive solution can achieve for you.

Smooth Threads Frequently Asked Questions

How much do smooth threads cost?

The cost depends on the number of threads required and the specific areas you wish to treat. Fixing fine lines around the mouth takes fewer threads than a full neck rejuvenation. We avoid flat pricing models. During your consultation, our providers evaluate your unique skin concerns in person. We then provide a precise cost breakdown based on your custom treatment plan.

Can you feel the threads under your skin?

You might feel a mild tightness immediately following the procedure. Because the threads are very thin and placed deep beneath the skin, you will not feel or see them once your initial swelling goes down.

What happens if a thread breaks?

Smooth threads do not have the hooks or tension of lifting threads. There is no physical anchor to snap. If you feel a brief prickling sensation during your first week, it is just your tissue adjusting to the new filament.

Are smooth threads a replacement for Botox?

No, they serve different purposes. Wrinkle relaxers stop muscle movement to prevent creases. Smooth threads build collagen to firm the skin itself. We often recommend using both for a complete facial refresh.

Can PDO threads treat areas on the body?

Yes. We use smooth PDO threads to firm crepey skin on the body, including the skin above the knees or mild laxity on the abdomen.

Do PDO threads cause allergic reactions?

Allergies to PDO material are extremely rare. The medical field has used this same absorbable material for internal sutures for decades. Most mild reactions are standard swelling or bruising from the insertion process itself.

Schedule your Consultation today!

Experience the artistry of aesthetic innovation at Franklin Skin and Laser. Our team of skilled professionals is dedicated to helping you unlock your true beauty and embrace your confidence like never before. Whether you seek flawless skin, sculpted contours, or the removal of unwanted tattoos, we are here to exceed your expectations. Take the first step today and schedule a consultation with our experts. Let us craft a personalized plan tailored to your unique needs, so you can embark on a path to radiance. Contact us now to rewrite your beauty story with Franklin Skin and Laser.Â