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In the cosmetic surgery industry, injectables such as BOTOX Cosmetic and facial fillers can non-surgically enhance the upper and mid-face.

Until now, non-surgical options for the jawline and neck have been limited. Esteemed board-certified dermatologist Dr. Patrick Bitter, Jr., uses NovaThreads to non-surgically enhance and lift the soft tissues of the lower face, jawline, and neck with no downtime.


NovaThreads are needles loaded with a polydioxanone (PDO) thread. A PDO thread is a synthetic suture that the body can completely and safely absorb. PDO sutures are so safe that they are even used in open-heart surgery.


  • Lift sagging skin in the lower face
  • Enhance the vermilion border (the red border of the lips)
  • Reduce sagging in the submental region (the area beneath the chin)
  • Smooth chin lines
  • Correct a turkey neck (vertical muscle banding of the neck)
  • Minimize neck wrinkles
  • Enhance cheek volume
  • Lift, reposition, and increase support for the facial tissues
  • Redefine or recreate the V-shape of a beautiful, youthful face


For this cosmetic treatment, Dr. Bitter inserts the needle into the connective tissue beneath the skin in a direction that is parallel to the surface skin. Then he pulls the needle out, causing the PDO suture to remain in the facial tissues. He may use multiple NovaThreads depending on the area and focus of treatment. The “lift” effect pulls the skin in an upward direction, following the same direction as the needle entry point. Once inserted into the skin, the PDO thread will remain beneath the skin, causing the skin to create new collagen and repair itself around the PDO suture.

NovaThreads Techniques

Dr. Bitter employs several different techniques using NovaThreads to enhance the lower face, jawline, and neck area. These techniques allow Dr. Bitter to use his expertise and artistic eye to yield the most desirable, youthful, and natural aesthetic results.

  • NuMesh Technique: Dr. Bitter uses NovaThreads to create a mesh or scaffold of PDO threads under the skin so that skin tightening occurs from within.
  • NuLift Technique: Dr. Bitter uses PDO sutures with barbs that grip underneath the skin so that he can manipulate them in one or two directions to instantly reposition or lift the skin.

The entire procedure does not exceed 15 minutes, and anesthesia or numbing cream may be used if desired. NovaThreads are well-tolerated and produce instant results with minimal discomfort. This procedure is commonly referred to as a “lunchtime procedure,” the implication being that patients can receive treatment on their lunch break and then go back to work or daily activities immediately afterward.


Results from treatment with NovaThreads are instantly noticeable and improve over time.

Controlled healing will continue for four to six months until the PDO threads are completely absorbed. The skin structure will hold its improved shape for an additional 12 to 15 months, though this length of time may vary depending on the treatment area.

Dr. Bitter values treatment with NovaThreads because absorption of the PDO suture leaves no scar tissue, and the results look entirely natural and symmetric. NovaThreads are uncontested for non-surgical enhancement of the neck and jawline. They are also impressive for lip enhancement because inserting NovaThreads on each side of the lip is guaranteed to produce symmetrical results.

Dr. Patrick Bitter, Jr., is a well-known and well-respected board-certified dermatologist who uses the safest and most effective treatments to delay aging and enhance your appearance. If you would like to learn more about NovaThreads and how they could rejuvenate your face and neck, schedule your consultation with Dr. Bitter. He will answer all of your questions and share his expertise and opinion on whether NovaThreads are right for you. To book your appointment with Dr. Bitter, call (408) 358-5757 or fill out our online contact form today.