Conveniently located to serve the areas of Los Gatos, Mountain View, Palo Alto and San Jose, CA

NovaThread Is a Non-Surgical Procedure that Lifts Your Look


Gravity is here to stay. It keeps us grounded, but it can also be a real downer when it comes to the aging process. As we get older, the effects of gravity pull down on our features, giving us a tired expression even when we are wide awake. In the cosmetic surgery industry, injectables such as BOTOX Cosmetic and facial fillers can non-surgically enhance the upper and mid-face. But what about the lower 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.

To benefit from Dr. Bitter’s unparalleled expertise and dedication, schedule an appointment at your earliest convenience. He proudly serves the Los Gatos vicinity with vision and vigor. We can’t wait to connect with you.


NovaThreads are ultrathin devices threaded with a polydioxanone (PDO) fiber.[1] 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.

In terms of cosmetic use, NovaThreads strategically place PDO sutures under the skin along the jawline, chin, and neck. The threads are arranged to reflect your ideal, youthful dimensions. With the PDO sutures in place, the underlying tissue of the lower face lifts of its own accord. It is like a facelift from within, yet without the need for extensive surgery or downtime.

NovaThreads frame the face and guide its features where you want them to go. Gravity has had its way for far too long; now it is your turn to determine your own destiny. Contact our Los Gatos office and learn how NovaThreads can pull together your aesthetics in a brilliant bow.

Benefits of NovaThread 

The fine musculature and soft tissue lining your face work in harmony to provide your profile its signature shape. NovaThreads empower you to restore that shape as you see fit. The benefits of this breakthrough procedure include its convenience and its effectiveness. Your face will dictate its own direction by adhering to the gentle nudge of Dr. Bitter’s PDO threads.

In addition to the immediate physical perk NovaThreads provide, it also ushers a host of psychological benefits into your life. When you look great, you often feel wonderful. Your strong, sleek jawline conveys your vitality. Every time you smile and wink, you will feel the rewards of NovaThread and project them to the world at large.

NovaThreads Treatment

  • Lifts sagging skin in the lower face
  • Enhances the vermilion border (the red border of the lips)
  • Reduces sagging in the submental region (the area beneath the chin)
  • Smooths chin lines
  • Corrects a turkey neck (vertical muscle banding of the neck)
  • Minimizes neck wrinkles
  • Enhances cheek volume
  • Lifts, repositions, and increases support for the facial tissues
  • Redefines or recreates the V-shape of a beautiful, youthful face

To experience the many benefits of NovaThreads for yourself, call (408) 358-5757. One of our friendly, knowledgeable associates will be happy to discuss NovaThreads with you and explain how transformative this non-surgical procedure truly is. 

Eligible Candidates

If you are a man or woman in the Los Gatos region of California, consider the vibrant possibilities afforded by NovaThreads. The absorbable sutures are easily tolerated, but Dr. Bitter wants to make sure you are a perfect candidate for this non-surgical procedure. Contact our office and schedule a consultation, during which the doctor will assess your eligibility.

If an alternative procedure works better for your anatomy and goals, Dr. Bitter will explain your options during a comprehensive consultation.

Private Consultation in Los Gatos, California

Dr. Bitter has won piles of awards, taught scores of medical professionals, and racked up accolades too numerous to list. But one of his greatest skills is also his most understated: he is a great listener. When you meet with Dr. Bitter, he wants to hear all about you. Be prepared to share your medical history and future goals.

In an effort to open the lines of communication with our California community and beyond, we regularly update our blog. It is packed with useful information and insights, so pursue our posts at your leisure. If any questions arise, feel free to bring them with you to your consultation with Dr. Bitter. As an educator, he is always eager to share his vast knowledge with curious clientele. 


During your individual consultation, Dr. Bitter and his associates will provide you with detailed instructions to prepare you for the NovaThreads procedure. These directions will be tailored to your unique anatomy and aesthetic preferences, so please follow them closely.

In general, please avoid sun exposure in the weeks leading up to your treatment. You may also be advised to quit smoking and stop taking certain blood thinners like aspirin and ibuprofen. Optimal circulation is essential to a successful NovaThreads procedure and ensuing recovery.

NovaThreads Procedure

For the NovaThreads cosmetic treatment, Dr. Bitter inserts a needle into the connective tissue beneath the skin in a direction that is parallel to the surface skin. Then he gently 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.

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.[2]

The entire NovaThread procedure takes less than 15 minutes, and anesthesia or numbing cream may be used if desired. To learn more about your NovaThread options, please contact the offices of Dr. Bitter in Los Gatos, California. 

Rapid Recovery

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.

Remarkable NovaThreads Results

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.

Results from treatment with NovaThreads are instantly noticeable and improve over time. As your minor swelling subsides, your amazing results will emerge.

Dr. Bitter values treatment with NovaThreads because absorption of the PDO suture leaves no scar tissue, and the results look entirely natural and symmetrical. 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 can ensure symmetrical results and striking balance.

To get a glimpse of your future satisfaction, please visit our glowing reviews page. Dr. Bitter is humbled by his patients’ kind words and he is committed to providing 5-star service to our Los Gatos community.

The Bitter Edge

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 while happily sharing 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.


How much does a NovaThread procedure cost in Los Gatos?

The cost of NovaThreads depends on several factors. Which type of PDO threads do you require? How extensive is the treatment area? How many visits are recommended? Dr. Bitter will help answer these questions and provide transparent pricing at each step in the NovaThreads process. He is also proud to offer occasional specials, so check back often to save money on your aesthetic improvements

Are NovaThreads safe?

NovaThreads are delicate. They should only be inserted by a respected medical practitioner. Dr. Patrick Bitter, Jr. is a board-certified surgeon and a leading voice in comprehensive cosmetic care. You can trust your health in his steady, skilled hands. 


  1. Karimi, K., Reivitis, A. (2017). Lifting the Lower Face With an Absorbable Polydioxanone (PDO) Thread. Journal of Drugs in Dermatology. 16(9):932-934. PMID: 28915290 
  2. Suh, D. H., Jang, H. W., Lee, S. J., Lee, W. S., Ryu, H. J. (2015). Outcomes of polydioxanone knotless thread lifting for facial rejuvenation. Dermatologic Surgery. 41(6):720-725. doi:10.1097/DSS.0000000000000368