PDO Thread Mid-Face Lift for Carmichael Patients

The mid-face is often the first area where aging becomes visible. The malar fat pads that create youthful cheek fullness begin descending in the late 30s and 40s, driven by gravity and the weakening of the retaining ligaments that hold them in place. As these fat pads slide downward, they create deeper nasolabial folds, flatten the cheekbone area, and contribute to a tired, hollow appearance in the upper cheek region. PDO barbed threads address this directly by mechanically lifting the descended cheek tissue back toward its original position. Threads are inserted at the cheekbone level and directed upward toward the temporal region, where they are anchored. When tensioned, they physically reposition the fat pads, immediately reducing nasolabial fold depth and restoring the youthful convexity of the cheek. For Carmichael patients, this non-surgical approach provides meaningful rejuvenation of the area that most dramatically affects overall facial youthfulness.

At A Touch Above MedSpa (approximately 55 minutes from Carmichael), your mid-face thread lift begins with detailed assessment of your cheek position, nasolabial fold depth, and skin quality. Markings are placed on the face while you are seated upright to ensure accurate lift vectors. Local anesthesia is administered to the mid-face and temporal anchor area. Typically 3-5 barbed PDO threads are placed per side. Each thread is inserted through a small needle point at the mid-cheek and advanced superiorly toward the temporal area. As the cannula is withdrawn, the barbs deploy and engage the cheek tissue. Gentle upward tension is applied to each thread, progressively building the lift. The provider adjusts tension on each thread to create a smooth, even elevation without dimpling or uneven contours.

One of the most powerful combinations in non-surgical facial rejuvenation is mid-face PDO threads paired with cheek filler. Threads provide the lifting that filler cannot achieve, while filler adds the volume that threads do not provide. Together, they address both the descent and the deflation that characterize mid-face aging. The typical protocol involves placing threads first to establish the lifted tissue position, then adding cheek filler 2-4 weeks later once the threads have settled. The filler is placed on top of the newly repositioned tissue, creating volume where the cheek has deflated while the threads maintain the lifted position. This combination produces results that neither treatment achieves alone and approaches the improvement level of surgical mid-face lifting for appropriate candidates.