PDO Threads vs Dermal Fillers
Comparing thread lifting with volume restoration for facial rejuvenation
Book ConsultationPDO threads and dermal fillers are both popular non-surgical facial rejuvenation treatments, but they address different concerns. PDO threads physically lift and reposition tissue while stimulating collagen production, whereas dermal fillers restore lost volume and enhance facial contours using hyaluronic acid. Understanding these distinct mechanisms will help you determine the best approach for your goals.
Absorbable threads that lift and stimulate collagen
Best For
- • Mild jowl lifting
- • Jawline definition
- • Collagen stimulation
- • Mid-face lift
- • Brow lifting
Not Suitable For
- • Volume restoration
- • Lip enhancement
- • Deep fold correction
- • Very lax skin
Duration
12-18 months
Results Visible
Immediate lift + progressive collagen over months
Starting Price
From £800
Downtime
Mild swelling 3-5 days, bruising possible
Hyaluronic acid gel for volume
Best For
- • Volume restoration
- • Lip enhancement
- • Cheek definition
- • Nasolabial folds
- • Under-eye hollows
Not Suitable For
- • Tissue lifting
- • Skin tightening
- • Collagen stimulation
Duration
6-18 months
Results Visible
Immediate
Starting Price
From £250 per area
Downtime
Mild swelling/bruising 3-7 days
Frequently Asked Questions
Can threads and fillers be combined?
Yes, PDO threads and dermal fillers are frequently combined for a comprehensive rejuvenation result. Threads provide the structural lift while fillers restore volume in areas such as the cheeks or lips. Dr Langdon can design a treatment plan that sequences both treatments appropriately during your consultation.
Which provides a more natural lift?
PDO threads provide a more natural lifting effect because they physically reposition the tissue rather than adding volume. Dermal fillers can create a lifted appearance through strategic volume placement, but the mechanism is fundamentally different. The most natural-looking result for your anatomy will be assessed during a clinical consultation.
Which lasts longer?
Both treatments have comparable longevity, lasting approximately twelve to eighteen months. PDO threads dissolve over six to eight months but continue to provide benefit through the collagen they stimulate. Dermal filler longevity varies by product and treatment area. Your practitioner will discuss expected duration for your specific treatment during consultation.
Which is better for jowls?
PDO threads are generally more effective for jowl correction as they physically lift sagging tissue back into position. Dermal fillers can help disguise jowling by restoring volume to the mid-face and jawline, creating a more balanced profile. The most suitable approach depends on the degree of laxity and volume loss, which will be assessed during your consultation.
Is one safer than the other?
Both PDO threads and dermal fillers have excellent safety profiles when performed by an experienced, qualified practitioner. Each carries its own specific risks — threads can occasionally cause dimpling or asymmetry, while fillers carry a small risk of vascular occlusion. Dr Langdon will discuss the safety considerations relevant to your chosen treatment during consultation.
Still Not Sure Which Treatment Is Right for You?
Book a consultation with Dr Langdon to discuss your concerns. She'll assess your face and recommend the most suitable treatment plan.
Book Your ConsultationWhich is right for you?
The best treatment depends on your individual concerns, skin type, and goals. Here are some general considerations:
- Choose PDO threads if your main concern is sagging or drooping tissue that needs physical repositioning, particularly mild jowls or mid-face descent
- Choose dermal fillers if you want to restore lost volume, enhance your lips, or soften deep folds and hollows
- Consider combining both if you have both tissue laxity and volume loss for a comprehensive rejuvenation result
- If you are unsure, a consultation will help clarify which approach addresses your specific concerns
This is general guidance only — treatment suitability is always confirmed during a clinical consultation.
Doctor-led approach
- Treatment suitability is assessed by a doctor during a clinical consultation
- Prescribing responsibility sits with Dr Selena Langdon (GMC 6159259)
- No same-day injectable treatments for new patients
- Read our full Consultation & Safety Standards
- CQC registered clinic — regulated and inspected
- Doctor-led clinical oversight by Dr Selena Langdon (GMC 6159259)
- Complaints process and patient rights
Reviewed by Dr Selena Langdon, Medical Director (GMC 6159259) — Last reviewed: February 2026
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