The Art of the Thread: A Story of Structure and Renewal
Picture this: a patient, carefully prepared, her skin cleansed and comforted by a 10-minute application of the finest topical anesthetic. The goal is not a radical change, but a subtle, profound one—a restoration of what time has gently taken away. We are about to witness a transformation that is both immediate and ever-evolving, all through the precise placement of solid filler smooth PDO threads.
These are not just any threads. They are 29-gauge, 30-thread marvels from V Soft Lift, used exclusively in all advanced practitioner trainings. The secret to their ease of insertion lies not in the threads themselves, but in the plane we enter. This is the subdermal plane—a virtual space, a sweet spot between the dermis and the subcutaneous tissue. When you are here, the threads glide in effortlessly, as if the tissue itself welcomes them. If they resist, if they cause pain, you are too close to the epidermis. If they slide in too easily, you are too deep, lost in the fat, and the effect is diminished. The right plane is everything.
Immediate Structure, Long-Term Benefits
What do these threads accomplish? First, they provide immediate visible structure, a scaffold right beneath the skin. But the story does not end there. As the threads pass through the submental fat, they poke through it, causing a permanent reduction of that fat—a natural alternative to using oxycodolic acid. This is fat elimination without harsh chemicals. Over the following weeks, the body responds with neocollagenesis, revascularization, and skin tightening. The result is a glow, a texture, a tightness that older skin has not felt in a long time.
The technique is delivered in a starburst pattern, a method that Korean studies have shown to be one of the most effective ways to use solid filler PDO threads. Sometimes we use a hashtag pattern instead. The key is the number of threads: many practitioners use more because they are using the wrong thread. But these threads from V Soft Lift have a special polymer coating that slows their breakdown, extending the period of collagen production. Fewer threads, better results.
Conquering the Necklace Lines
Now, let us turn to the necklace lines—those pesky horizontal creases on the neck that patients long to soften. You cannot erase them entirely, but you can soften them remarkably. This is different from the stepladder technique, which we will save for another video. Here, we target the lines directly. Using the same smooth threads, we insert them carefully. The patient remains comfortable, thanks to the right plane and the excellent topical anesthetic. When you are in the right place, the patient will let you know by their comfort; when you are not, the pain is a clear signal.
Removing the threads requires a full 360-degree turn. A small loop at the end of each thread is held by a white pledget on the outside of the needle. By turning the needle a full circle, the thread engages the tissue. Then you pull it out, and all the threads come out together. This technique is for the necklace lines alone; the vertical turkey neck lines are best addressed with Botox to reduce the platysma muscle contraction. Here, we are building collagen directly in those horizontal lines.
Patience and the Final Result
After the procedure, we wait three to four weeks. Collagen production begins, and fat reduction starts immediately. The patient may experience some swelling, depending on how much fat was engaged. The body handles the rest, cleaning up the area with no further intervention. And the before-and-after photos speak for themselves: the neck region tightens beautifully, especially when combined with lifting threads in other areas. But even alone, this technique delivers a remarkable tightening.
This is the power of solid filler smooth PDO threads—a blend of immediate structure and long-term renewal, a dance between the practitioner's hand and the body's own healing wisdom. Every pattern, every placement has a purpose. And the key is always the same: be in the right plane, and the transformation will follow.