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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.

What are NovaThreads?

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.

NovaThreads can do the following:

  • 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.

(408) 358-5757

Schedule Your Consultation

Los Gatos

Advanced Aesthetic Dermatology
14651 S Bascom Ave Ste 200
Los Gatos, CA 95032


Santa Monica

1301 20th Street Ste 440
Santa Monica, CA 90404


Speaking Schedule

Dec. 2018
A4M Body Contouring Aesthetic Module

Las Vegas, NV

Nov. 2018
Faculty at Sciton Summit

Washington DC

Nov 2018
Master the BBL Fotofacial Preceptorship, Sciton BLBC Tour

Washington DC

Nov. 9 2018
Global Aesthetic Awards.

Nomination for Dermatologist of the Year!
Beverly Hills, CA

October 2018
Master the BBL Fotofacial Preceptorship

Austin, Texas

Sept. 2018
Sciton European Summit


Sept 2018
Master the BBL Fotofacial Preceptorship


August  23-26, 2018
Aesthetic Extender Symposium

Boca Raton, Florida

August 2018
5CC 5 Continent Congress

with Sciton and Dr. Michael Gold
Barcelona, Spain

July 27, 2018
Breakthroughs in Aesthetic Medicine

July 5-8, 2018
Aesthetic Show
Las Vegas

June 6-10, 2018
Vegas Cosmetic Surgery Speaking Engagement

Las Vegas

May 2018
AM+D Symposium

with Dr. Phil Werschler
Coeur d’Alene, Idaho

March 22-25, 2018
Los Angeles Multi-Speciality Cosmetic Academy
Los Angeles. CA

February 22-25, 2018
California Society of Facial Plastic Surgery
Skin Aging, Facial Plastic & Aesthetic Surgery
Lake Tahoe, CA

January 19 – 21, 2018
Advanced Aesthetics & Cosmetic Dermatology 2018

Marina Del Rey, CA

December 13 – 16, 2017
American Academy Anti Aging A4M Annual World Congress

Las Vegas, Nevada

November 18, 2017
Dr. Bitter Teaches at the Ultimate Aesthetic Training Workshop

Dr. Bitter teaches his Top 10 things you may not know IPL can do and his exclusive 3 keys to success with fillers.
Beverly Hills, CA

November 12, 2017
Sciton Summit 2017

Advanced Forever Young BBL Treatments – The Future Today & Introduction to ForeverClear BBL – Acne Treatments with BBL
Dallas, TX

November 3 – 5, 2017
19th Annual Scientific Meeting

The Keys to Success w/ Fillers & Combining IPL & Laser/RF Treatments & 12 new uses of IPL
Newport Beach, CA

Bright Lights Big City – The BBL Tour 2017
Master the BBL FotoFacial®
One-Day Master Course with Dr. Patrick Bitter, Jr.

September 5 – 7th, 2017
Moscow, Russia

Saturday, September 9, 2017
Toronto, Canada

Saturday, September 23, 2017
Washington, D.C.

Saturday, October 21, 2017
Minneapolis, MN

Friday, November 10, 2017
Dallas, TX

October 16, 2017
Forever Clear Webinar
5pm – 6pm

October 12 – 14, 2017
Aesthetic Extender Symposium

Hollywood, FL

September 14 – 16, 2017
A4m Aesthetic Fellowship Module: Aesthetic Treatments utilizing laser, light & Energy

Chicago, IL

August 31 – September 3, 2017
8th 5 Continental Congress

Topics Included:  Techniques for eliminating bothersome lines with filler.
Three Keys to Success with Fillers and Optimizing Patients Outcomes
Barcelona, Spain

June/July 2017
Faculty Lecturer at The Aesthetic Show
Speaking on the Advanced Injectables and Techniques with host Dr. Andrew Ordon.

Dr. Bitter is a sought after speaker and a nationally renowned expert and lecturer on many topics including FotoFacial®, BBL, skin rejuvenation, and the new ManUp!™ and LoveTyte™. If you are interested in attending one of his training’s or conferences, call 408-358-5757 or email

To learn more about world renowned dermatologist Dr. Patrick Bitter Jr’s online training courses, contact him at (408) 358-5757 or opt in to our training notifications here.

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