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Thread Lift Training

Specializing in certification training for PDO Thread Lift as well as designed to enable the practitioner to integrate thread face lifting into their practice.

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PDO Thread Lift Certification Course - Level I

thread lift training

PDO Thread Lift results similar to Face Lift

PDO Thread Face Lifting has been regarded by Plastic Surgeons as a significant advancement in Facial Rejuvenation and the Nonsurgical Facelift because of the extraordinary results achieved from the technology involved. The technique itself is ideal for the aesthetic practitioner (Physician, Nurse Practitioner, PA, check applicable state laws) because of the relative simplicity in learning the technique, the excellent safety profile, and the significant revenue associated with the technique itself.

Empire remains the most sought after educational organization for Thread Lift Training and has already certified thousands of practitioners. Our thread lift courses are not only taught by Top Physician instructors (which is the only responsible way to train on threads, beware of non-physician instructors!), but also we are not supported or backed by any ONE thread lift supplier like most other trainers. The advantage to this kind of non-biased training is that the practitioner will not only be able to decide for himself which thread product is the best or suitable for his practice, but, can also learn the benefits of each of the thread products over the other. There is no one product which can do everything (in spite of what may be said) and the Empire course will teach you how to choose the best thread for the procedure and the individual patient.

Curriculum developed in coordination with nationally sought after speaker and educator, Azza Halim, MD. Dr. Halim is a Master Injector and in Expert in PDO threads/Combination therapies. She is a Board Certified Anesthesiologist/Critical Care, Antiaging Integrative Medicine, Aesthetics, and Wellness.

thread lift training


PDO Thread Lift - Level I

The thread lift procedure has rapidly become one of the most sought after procedures by patients and, is the third most popular aesthetic workshop for physicians and nurses after Botulinum Toxin/Fillers, and PRP. Using threads as an alternative to a facelift has become one of THE most lucrative aesthetic procedures, relative to the investment in time and in product. The average fee for a thread procedure starts at a minimum of $400, practitioners can charge upwards of $3,000 depending on the area and complexity of the case.

The Empire PDO Thread training is divided into two programs, level 1 and level 2, and a preceptorship for more advanced procedures and body contouring with threads. Practitioners can begin using these techniques immediately upon completion of the level 1. The level 1 program will teach you everything you need to know to master the Smooth (mesh) Thread procedures. Level 2 Thread training provides comprehensive training on the more advanced, barbed (cog) and twisted techniques. All of which can readily be integrated in an outpatient, medical aesthetic practitioner’s office.

During all Thread Lift classes, we highlight FDA Cleared PDO Sutures, FDA approved threads, and products still undergoing the FDA approval process, however, in common use now. The products utilized in the Empire courses represent the “latest and greatest” and form the foundation for learning a “standard of care” for this revolutionary treatment for skin tightening and lifting in transforming the V-shaping of the face.

Your Instructors: Our renowned Physician only faculty have an established reputation in the Aesthetics community and are sought after speakers and KOLs (key opinion leaders). For the Thread Lift training, the instructors are qualified, board certified Surgeons or other board-certified physicians specializing in the procedures. Only physician experts will be giving the lecture and supervising your training. Not only credentialed and experienced, the instructors we have chosen for our Thread Lift Courses are experts in the injection techniques and are dynamic instructors. At Empire, we adhere to the belief that your training is only as good as your instructor’s credentials and skills.

thread lift training

Students learn thread lift protocols and technique

Recommended Preparation:

Advanced Facial Anatomy Cadaver Workshop for Aesthetics (LIVE OR VIDEO PROGRAM): A requirement for all non-core (other than Plastic Surgeons and Dermatologists) attendees who wish to participate in any Facial Aesthetic Hands On Course. This valuable program will serve to help practitioners avoid complications while performing Aesthetic injections and procedures. Learn from “the best” how to avoid poor outcomes, complications, as well as legal and malpractice issues.

Empire strongly urges participants to complete either the live Facial Cadaver Workshop* OR the Video ON Demand* program which will satisfy the requirement. The Video ON Demand* program can be viewed at any time from your "MyMembersPortal.com".

Graduates will receive a Certificate indicating their completion of this Advanced Facial Cadaver Course and a written statement on each Certificate earned in Aesthetics. Certificates should be submitted to your malpractice carrier.

The program is approved for 9 AMA PRA Category 1 Credits™

Dr. Ramtin Kassir - Facial Anatomy Training

rosalind franklin university
columbia university

THREAD LIFT             

  1. Practice and Perform and administer PDO Thread Lift procedures competently, safely, and effectively for their patient personalizing and tailoring these services to the individual patient, needs of the patient, and desired outcomes for the patient. Each participant will understand and learn how to avoid risks, pitfalls, complications, and adverse events to patients to increase overall care and patient results.
  2. Apply generally accepted protocols and latest literature concerning the selection, placement, and volume of PDO sutures for optimal results for patients. Learn the proper guidelines for the placement of PDO sutures for aesthetic patient indications for correction as well as administration issues (i.e. patient intake forms, informed consents) and the corrective measures for follow up including possible complications or adverse events associated with the procedure.
  3. Identify the mechanism of action of PDO sutures and basic facial anatomy, differences between the product characteristics and areas of injection, managing expectations, administration of the medical device and post treatment care for follow up after the PDO Thread Lift procedure.
  4. Assess who is a candidate for the PDO Thread Lift procedure, patient benefits, and anatomical areas that PDO sutures are acceptable for treatment. Increase patient awareness and offer enhanced patient care in relation to the PDO Thread Lift procedure and their desires aesthetically.

Additional Features of PDO Threads for Aesthetic uses:

  • No incision, needed, the sutures do not need to be knotted down for the patient.
  • Safe procedure requiring on 30 minutes.
  • Small amount of local anesthesia needed. .
  • No swelling or bruising typically.
  • Quick recovery time
  • Immediate results to face, neck, and body areas.
  • Neocollagenesis and retraction of skin tissues where placed.
  • Excellent results up to 16 months.
Thread Lifting provides immediate results

Thread Lifting provides immediate results

Dr. Azza Halim

What are PDO Threads?

PDO stands for polydioxanone which is a suture similar to surgical stitches. These threads, when placed beneath the skin will stimulate collagen synthesis which will plump the skin like a dermal filler. In some ways, PDO threads are similar to certain dermal fillers in their desired effect. In addition, threads work by “grabbing” on to, and attaching to the skin, lifting loose skin in the direction the surgeon has precisely inserted the thread. “Thread lifting” has two main functions; to increase collagen synthesis, similar to a dermal filler, and to “lift” sagging skin by direct physical and mechanical means. The “mesh” of threads shapes the face by lifting and supporting sagging structures. These threads are absorbable in 4-6 months but will hold for an additional 8-12 months.
There are many different kinds of threads with different shapes, some with barbs, twists, some that are smooth, and others that are meshed. During all levels of training, attendees will gain a thorough understanding of each of the different products and how to use them.

Certification Training: This thread lift training program is comprehensive, combining both detailed didactic presentations with thorough Hands-On training for all qualifying, licensed practitioners. As with all hands on training, the instruction is supervised and students must pass a proficiency exam in order to receive their Certification in the Thread Lift Procedure.

The program is designed to enable the practitioner to integrate thread face lifting into their practice immediately upon completion. You will learn the theory involved in the technique, followed by a complete discussion and tutorial on the technique itself including suture options and materials used. Vendors for Aesthetics and more specifically for the FDA Cleared Thread Lift Sutures, will be onsite to answer specific questions concerning the various thread options, their associated costs, as well as other materials and supplies to get you started.

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The didactic presentations: You will receive training in the anatomy covering the entry points, anchoring points, landmarks, danger zones, and relevant structures that will be integral in the technique. You will learn specific protocols and a step by step method for the indicated anatomical areas to safely perform this technique.

Thread Lift Training on many body areas

Thread Lift Training on many body areas

thread lift training

The morning sessions: This PDO thread lift class will cover technique, protocols, patient selection criteria, indications, contraindications, how to prevent side effects, complications, how to treat complications, performing a focused history and physical exam, cosmetic consultation, and photography considerations. All materials and supplies needed will be provided and all attendees will have the opportunity to discuss purchasing the products from our approved suppliers and vendors.

The afternoon sessions: Students will learn thread lift techniques andperform hands on thread lift training with volunteer patients. In addition to the dedicated hands sessions,a live demonstration of a complete facial thread lift procedure using the smooth “mesh” PDO threads and will be performed on site for attendees to watch and learn including a pre-operative assessment of the patient. This is more than justthe “see one, do one, teach one”, you will leave this class with sufficient practice and hands on exposure to gain a good level of confidence.


The EZ-Lip Fill, EZ-Neck MeshEZ-Cheek Mesh with PDO smooth (mesh) sutures are 3 effective and simple to learn procedures:

  • Vermillion Border (Lip Definition) Filler: The procedure is very simple and takes less than (5) minutes to place the smooth PDO threads.  The results are immediate, and the effects are symmetrical which is important when working on lips. The effects last up to 6 months.
  • Neck Filler – Both Smooth & Twisted Threads are used for this Lift: The procedure typically consists of the placement of up to (10) smooth PDO threads for the correction or reduction of skin laxity for the submental region, chin and jaw area, and laxity of the neck.  The smooth PDO threads give support and volume to the area that can create smoothing and eliminate contrast across the areas.  The procedure takes less than (10) minutes and is not contraindicated with other types of treatments such as botulinum toxin.
  • Cheek Augmentation (Mesh): The procedure consists of creating a matrix under the skin that allows for volume across a larger area such as the cheeks.  It requires as many as (10) smooth PDO threads for correction and will give greater support of the checks and will improve skin texture where the threads are built up under the skin (neo collagen formation).  There is also no need for anesthesia for most patients. The Smooth PDO Threads allow for volume and support of tissues, besides the facial areas mentioned above it can be used in body part areas giving support to tissues and volume for such areas as the arms, décolleté, and other small body areas of correction. All attendees will be able to perform these thread lift procedures where indicated using the smooth (mesh) PDO sutures.
Thread lift gives dramatic results to Naso Labial Folds

Thread lift gives dramatic results to Naso Labial Folds

Threads pull skin posteriorly like a Face Lift

Threads pull skin posteriorly like a Face Lift

Empire Medical Training also offers a level 2 thread lift program that is more advanced and used Barbed PDO Threads. This course has several prerequisites that are listed and include completing the level 1 program, and having experience. The procedure has excellent lifting effects as the suture is placed into deeper structures with the ability to attach to tissue and physically lift lower tissues similar to a facelift. 

THREAD LIFT             

A PDO thread lift procedure can help lift the sagging parts of the face to create a more youthful look in your patients.
PDO (polydioxanone) is the material used in surgical stitches. Physicians started to use PDO threads because they discovered the use for cosmetic enhancement for sagging skin and for how well the threads stimulate collagen synthesis. When PDO threads are introduced into the skin, the thread acts as a "scaffold" which helps to "hold" the skin against the effects of gravity. The threads can also shape the face by lifting and support sagging structures, providing the "mesh". PDO smooth (mesh) threads are absorbable over a 4-6 month period but the beneficial effects continue beyond 1 year.
The procedure itself is a nonsurgical technique because there is no incision or traditional cutting of the skin. Tiny entry holes are made into the areas where the invisible threads are inserted. The procedure takes approx. 10-20 minutes depending on how many areas of the face will be treated.
There are a variety of names used to describe the Thread procedures, such as the Feather Lift ™, Silk Lift ™, APTOS™, Contour lift™, and the former Lifestyle ™.
There are two different types of threads used for the Thread Face Lift:

  1. Suspension, Smooth Threads- These threads need to be attached to a firm surface such as the scalp or face.
  2. Barbed Threads (Free Floating Cogged) – This variety of thread does not need to be attached or supported to a separate structure in order to maintain a lift. These threads support themselves. The tiny cogs within the thread actually attach to the skin itself. The number of threads used depends on the area being treated, i.e. full face 18-20 threads, checks 2-3 each.


Thread Lifts are used on Arms, legs, abdomen, and many areas

Thread Lifts are used on Arms, legs, abdomen, and many areas

Threads are used in many different areas of the face and body

Threads are used in many different areas of the face and body

What areas of the body and face can be treated with PDO Smooth (Mesh) Thread Lift Sutures?

Indications for use:

  • Forehead Lines (vertical/horizontal)
  • Lips (vermillion border and plumping)
  • Flaccid Tissue (eyebrows)
  • Lower Eyelid
  • Cheeks (Skin furrows and wrinkles)
  • Neck Area (Furrows and wrinkles)
  • Nasolabial Folds (smile lines)
  • Corner Commissure (marionette)
  • Jowls (pre jowl sulcus)
  • Cleavage (wrinkles of breast)

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Notice to all participants: Empire has trained over 100,000 health care professionals, safely and effectively over the past 21 years. This is due in part to our strict guidelines and protocols regarding hands on training. By participating in an Empire event, you agree to follow the supervision and direction of the Physician instructor at all times during the training. IF the instructor believes the attendee is not following direction or, believes the attendee does not yet possess the technical ability to perform a technique, the attendee will not perform a procedure. The attendee will be offered additional training, personal time with our instructor, and permitted to repeat the training at any time.

Course Completion/ Certification: Upon successful completion of the program, you will receive a completion certificate and procedure certification. Attendees may pursue an additional board certification through the American Academy of Procedural Medicine if so desired. Contact the AAOPM for additional information. Call 888-998-1297.

Course Completion/ Certification: By completion of the course, attendees will thoroughly understand how to perform the thread lift technique through complete didactic course presentations given by two highly skilled and trained board certified surgeons and through comprehensive hands on training.

thread lift techniques


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Medical Education Resources (MER) and Empire Medical Training, Inc. MER is accredited by the ACCME to provide continuing medical education for physicians. Click Here for More Information

Thread Lift Training I - Agenda

9:00am–9:30amPhysician Introduction, Brief history and definition of PDO Thread Sutures including product characteristics, mechanism of action, potential uses, indications for treatment, and patient considerations.
9:30am-10:30amReview the various types of PDO sutures commercially available and their potential use in various facial and body part areas. Differentiate the types of FDA Cleared threads in relation to dimensions, gauge, and length for the appropriate usein the application of PDO sutures medically and aesthetically. Advantages and disadvantages of using PDO Thread Lift sutures for correction compared to other conventional treatment options for the most common aesthetic conditions including“standard of care” considerations for enhanced patient care.
10:45am-11:15amCombination or stand-alone treatments using the various types of threads including relative and absolute contraindications for treatment. Review guidelines for who is a “good candidate for treatment”, risks and possible complications, adverseevents, limitations associated with the procedure, and setting patient expectations.
11:15am-12:15pmReview of Facial anatomy in relation to vascular, muscular, and neural structures preceding the PDO Thread Lift training for depth, insertion, and placement. Evaluate and assess the aging process associated with patient presentation and planningconsiderations for the procedure. Final appraisal of the patient and selection of the various types of PDO Thread sutures – planning for the procedure. Review standard of care for “clean room” procedures, keeping a sterile field, and anesthesiaoptions (considerations) for patients depending upon facial or body part area.
1:00pm-1:30pmReview generally accepted sample protocols for the placement of smooth (mono) PDO sutures for the correction of tissue density, tissue volume, or scaffolding of the tissue area creating a “mesh” effect. Placement considerations concerningnumber of threads, gauge of thread, and physical placement of threads are discussed for the common facial and body part areas including actual technique strategies that may be utilized to support tissue structures.
1:30pm-2:00pmLive demonstration by Physician Instructor for placement of the Smooth (mono) PDO Thread Suture. Questions and Answers.
2:00pm-5:00pmSupervised Hands-On Training for attendees on volunteer patients utilizing Smooth (mono) PDO threads utilizing the various types of PDO (mono) sutures for a variety of facial and possible body indications (dependent on volunteer indicationsfor treatment).

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