Noninvasive Midface Augmentation Using Fillers and PDO Threads

Noninvasive midface augmentation and reshaping encompass using PDO threads, dermal filler, and Juvederm Voluma (a type of filler) to reshape and contour the midface. The aim is to achieve a natural aesthetic look quickly, safely, and effectively in an outpatient setting.

Who is a Good Candidate for Midface Augmentation Using Fillers?

If you’re considering altering the size and shape of your midface, this nonsurgical treatment might be suitable. Especially those with a flat or inadequate midface shape can improve their face’s harmony. Additionally, if congenital disabilities or injuries impact your midface, this method can significantly improve without the pain, discomfort, and recovery linked with surgical procedures.

Duration of Results

Generally, the effects from a Juvederm Voluma procedure will remain evident in the midface for about 1 to 1.5 years. Retreatments are often done every 12-18 months to preserve the preferred shape.

Procedure Overview

Initial consultations are crucial. Treatment objectives are set here, any anomalies or asymmetry are noted, and the best nonsurgical midface augmentation technique is planned. The process usually lasts around 30 minutes, with Juvederm Voluma injected to improve shape, profile, projection, and symmetry.

Comfort Levels

Most people find the procedure only mildly uncomfortable, and serious bruising is rare. When mild bruising occurs, it usually fades within a week. Post-treatment, the region can feel tender for several days.

When to Expect Results

Changes are noticeable almost immediately after the nonsurgical augmentation. Any associated swelling typically subsides within a week.

Side Effects and Risks

Most side effects are mild, often relating to the injection site, such as redness or mild swelling. These usually dissipate within a few hours or days. During clinical trials of dermal fillers, significant adverse reactions were rare. Mild redness, tenderness, or swelling at the injection site were the most commonly reported, but these usually resolve within a few days.

Post-Treatment Life

In many cases, the procedure wraps up in under an hour, with many feeling fine to resume their usual activities immediately. Makeup can be applied shortly after.

What are PDO Threads, and How Do They Work?

PDO threads come with tiny cogs. These threads are gently placed in the midface using a cannula. The skin is lifted along the threads’ line, securing it in an elevated position. The threads dissolve over several months, but the lift remains longer.

Duration of PDO Thread Results

Typically, the effects of a PDO thread treatment can last up to 18 months.

Procedure Comfort and Downtime

The process begins with a numbing cream. A blunt-tip cannula inserts the threads under the skin. Some might feel a pulling sensation during this. After the lift, some tenderness, bruising, and swelling are expected but usually resolve within a week. Vigorous activity should be avoided for at least three weeks.

PDO Thread Safety

PDO or Polydioxanone thread is FDA and CE-approved. This absorbable material dissolves in the body over 6-12 months and is safely metabolized.

Pre and Post-Treatment Recommendations


  • Consider Traumeel or similar for several days beforehand to reduce bruising.
  • Vitamin K cream can be applied as a preventive measure.
  • Take Vitamin C to boost collagen production.
  • Avoid aspirin, caffeine, tobacco, and other stimulants.


  • Expect some bruising, swelling, or small lumps, which should dissipate in two weeks.
  • Cold compresses can help.
  • Gentle washing is okay after several hours, but avoid wide mouth movements or strenuous facial expressions for a few days.
  • Sleep face-up and avoid pressure on the treated area.
  • Avoid massaging the treated region for a month.
  • Light makeup can be applied, but don’t go heavy.

Always ensure a qualified professional conducts these procedures for optimal results and safety.

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