Athena Plastic Surgery

Avron Lipshitz, MD - Stuart & West Palm Beach, FL

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Beginner’s Guide to PDO Thread Lift: What You Need to Know

PDO thread lift

Understanding the “Lunchtime Facelift”: PDO Thread Lift Basics

A PDO thread lift is a minimally invasive cosmetic procedure that uses dissolvable sutures to lift and tighten sagging skin without surgery. For those considering this treatment, here’s what you need to know:

PDO Thread Lift at a Glance:
– What it is: A non-surgical procedure using dissolvable threads inserted under the skin
– How it works: Threads provide immediate lifting + stimulate collagen production
– Best for: Mild to moderate skin laxity in people aged 35-55
– Treatment areas: Face (cheeks, jawline, brows), neck, and some body areas
– Results last: 12-18 months (threads dissolve in about 6 months)
– Recovery time: Minimal (24-48 hours before returning to normal activities)
– Cost range: $500-$5,000 depending on treatment area and number of threads

As we age, our skin naturally loses collagen and elasticity, leading to sagging and wrinkles. While traditional facelifts have been the gold standard for addressing these concerns, many people aren’t ready for surgery or the extended downtime it requires.

Enter the PDO thread lift – often called the “lunchtime facelift” because it can be completed in under an hour with minimal recovery time. This innovative procedure uses polydioxanone (PDO) threads, which have been safely used in surgical sutures since the 1980s.

The treatment works in two ways: first, the threads physically lift sagging tissue for an immediate improvement; second, they trigger the body’s healing response, stimulating new collagen production that continues to improve skin texture and firmness over time.

Patient Gallery Athena Plastic Surgery

I’m Dr. Avron Lipschitz, a Board-Certified Plastic Surgeon with over 15 years of experience performing advanced aesthetic procedures including PDO thread lifts at Athena Plastic Surgery. As an international trainer and key opinion leader in minimally invasive facial rejuvenation, I’ve helped thousands of patients achieve natural-looking results with PDO thread lift techniques custom to their unique facial anatomy and aesthetic goals.

PDO Thread Lift Mechanism showing immediate lift and long-term collagen stimulation timeline over 6 months - PDO thread lift infographic

PDO thread lift terms to learn:
– collagen lifting threads
– threading cosmetic procedure
– cat eye thread lift

What Is a PDO Thread Lift?

A PDO thread lift is a remarkable cosmetic procedure that uses special medical-grade threads made from polydioxanone (PDO) – a safe, biodegradable material that surgeons have trusted in medical procedures since the 1980s. These threads are incredibly fine (thinner than a human hair) yet strong enough to gently lift and reposition facial tissues that have begun to sag with age.

You might have heard the nickname “lunchtime facelift” – and it’s well-earned! Most PDO thread lift procedures wrap up in under an hour, letting you return to your normal routine with minimal downtime. This is worlds apart from traditional surgical facelifts that can keep you at home recovering for weeks.

“We’re essentially repurposing something that’s been trusted in medicine for decades,” explains Dr. Avron of Athena Plastic Surgery. “What makes PDO threads so for facial rejuvenation is how we’ve adapted this proven material to create beautiful results without the recovery time of surgery.”

When these specialized threads are placed beneath your skin, they create an immediate scaffolding effect that physically lifts sagging tissue. But what makes a PDO thread lift truly special is its dual approach – you get both an instant lift and long-term benefits as your body responds to the threads.

How Do PDO Threads Work?

The science behind how PDO thread lifts transform your appearance involves two fascinating processes:

First, there’s the immediate mechanical lift. Your provider carefully places threads along your natural facial contours and then gently adjusts them to reposition tissues that have begun to sag. This gives you that “just lifted” look that you’ll notice as soon as you look in the mirror after your procedure.

But the real magic happens in the weeks that follow. Your body recognizes these threads as “foreign” visitors, triggering a healing response called fibroblast activation. This biological process stimulates your cells to produce fresh collagen around the threads.

“I like to explain it to my patients as setting up a construction project in your skin,” says Dr. Avron. “The threads act as scaffolding that not only physically supports your tissues but also signals your body to build its own natural support structure through neocollagenesis – essentially creating new collagen where you need it most.”

This collagen-building cascade continues for months after your procedure. The PDO threads themselves naturally dissolve through hydrolysis after about six months, but the collagen they’ve helped your body generate can maintain your refreshed appearance for 12-18 months or sometimes longer.

Key Differences From Surgical Facelift

While both PDO thread lifts and surgical facelifts aim to turn back the clock on aging, they differ significantly in approach, invasiveness, and recovery:

A PDO thread lift requires only local anesthesia, making the experience more comfortable and reducing risks. Instead of surgical incisions, your provider creates tiny entry points that heal quickly without noticeable scarring. The entire procedure typically takes just 30-45 minutes – truly a “lunchtime” option – and most people return to work within 24-48 hours.

In contrast, a surgical facelift usually requires general anesthesia, creates actual incisions around the ears and hairline, takes 3-5 hours to perform, and needs 2-3 weeks of recovery before you can return to work. While surgical results typically last longer (7-10 years versus 1-3 years for threads), they come with higher risks and a significantly higher price tag ($7,000-$15,000+ versus $500-$5,000 for thread lifts).

“A surgical facelift remains the gold standard for addressing severe skin laxity and advanced signs of aging,” notes Dr. Avron. “However, for patients with mild to moderate concerns who aren’t ready for surgery, PDO thread lifts offer an excellent middle-ground solution that can deliver beautiful, natural-looking results without the downtime or commitment of surgery.”

Thread Materials, Designs & Treatment Areas

When it comes to PDO thread lifts, not all threads are created equal. The beauty of this treatment lies in its versatility – different materials and designs can be customized to address your specific concerns and target various areas of the face and body.

PDO vs. Other Thread Materials

While PDO threads dominate the market, there are actually several thread materials available, each with unique properties and benefits.

PDO (Polydioxanone) threads are the most widely used and for good reason. These threads dissolve naturally in about 6 months but continue stimulating collagen for 12-16 months afterward. With an extensive safety record dating back to the 1980s, PDO threads offer reliable tissue repositioning and skin revitalization. Think of them as the trusted veterans of the thread lift world.

PLA (Polylactic Acid) threads pack a stronger punch than their PDO cousins. They take longer to dissolve – about 12 months – and trigger more robust collagen production. If you’re dealing with more noticeable skin laxity, PLA threads might be your answer.

PCA (Polycaprolactone) threads are the marathon runners of the bunch, lasting 12-15 months before dissolving. They stimulate the most collagen of all thread types and work well for severe sagging. While incredibly effective, they’re less commonly used than PDO or PLA.

“At Athena Plastic Surgery, we primarily use PDO threads due to their well-established safety profile and reliable results,” explains Dr. Avron. “The extensive history of PDO in surgical applications gives us confidence in their biocompatibility and predictable absorption patterns.”

Matching Thread Type to Goal

The design of the thread is just as important as the material – each serves a specific purpose in a PDO thread lift:

PDO Mono Threads (smooth) are the fine artists of the thread world. These thin, smooth threads create a delicate mesh-like scaffold under the skin, primarily improving skin texture and quality. They work wonders for fine lines, crepey skin around the neck, under-eye area, and mouth lines. Think of them as the foundation builders – they don’t lift dramatically but improve the overall canvas.

PDO Cog Threads (barbed) are the heavy lifters. Featuring tiny barbs or “micro-extensions” that anchor into tissue, these threads excel at repositioning sagging skin. If you’re concerned about jowls, nasolabial folds, or mid-face descent, cog threads offer the strongest lifting capacity. They’re particularly effective along the jawline, cheeks, and eyebrows.

PDO Screw Threads (twisted) bring volume back to depleted areas. Created by intertwining two or more threads in a helical pattern, these threads add fullness while providing moderate lift. They’re ideal for hollow cheeks, thin lips, and volume loss in the mid-face, lips, and temples.

A 45-year-old patient from Stuart, FL shared her experience: “I was amazed at how Dr. Avron customized my treatment. He used cog threads along my jawline for lifting and mono threads on my neck for skin tightening. The combination gave me exactly what I wanted—definition without looking ‘done.'”

Popular Zones Treated With a PDO Thread Lift

The versatility of PDO thread lifts makes them suitable for numerous areas beyond just the face:

On the face, these threads work magic for restoring volume and lifting sagging cheeks, defining the jawline, softening smile lines (nasolabial folds), reducing the appearance of marionette lines for a less downturned mouth, and creating subtle brow lifts for that coveted “cat eye” effect.

The neck – often the first area to show aging – responds beautifully to PDO threads. They can smooth vertical neck bands, tighten loose skin under the chin, and improve those horizontal “necklace lines” that appear with age.

Even the body has become territory for these innovative threads. Emerging applications include tightening mild skin laxity on upper arms, improving crepey skin texture on the abdomen, addressing sagging skin above the knees, and providing subtle lifting effects for the buttocks.

“One of the most satisfying applications is the ‘cat eye thread lift,'” notes Dr. Avron. “By strategically placing cog threads at the outer brow, we can create a subtle almond-shaped eye appearance that looks completely natural.”

What makes PDO thread lifts truly remarkable is how they can restore that youthful V-shape to the face – lifting and defining the jawline while supporting the mid-face – all without the downtime of traditional surgery. Whether you’re looking for subtle rejuvenation or a more noticeable lift, there’s likely a thread type and placement strategy that can help achieve your goals.

Candidate Suitability, Procedure & Recovery

When patients visit us at Athena Plastic Surgery asking about a PDO thread lift, one of the first things we discuss is whether they’re an ideal candidate. Not everyone will benefit from this innovative procedure, and being honest about this helps set realistic expectations from the start.

Ideal Candidates

The sweet spot for PDO thread lifts typically falls between ages 35-55, though we’ve seen great results in patients both younger and older. What matters most isn’t your age on paper, but rather the condition of your skin.

“I always tell my patients that the perfect candidate is someone who’s noticed some sagging but doesn’t yet need a surgical facelift,” explains Dr. Avron. “They’re the ones who say, ‘I just want to look refreshed, not different.'”

You’re likely a good fit for a PDO thread lift if you have mild to moderate skin laxity with good underlying elasticity. Your skin should still have some “bounce back” quality when pinched. Patients who maintain good overall health and have realistic expectations about the subtle improvements this procedure delivers are typically the most satisfied with their results.

Many of our happiest patients are those who want to address early signs of aging but aren’t ready for surgery – whether due to concerns about downtime, cost, or simply feeling that surgery seems too extreme for their current needs.

Who Should Avoid PDO Thread Lifts

Not everyone is an ideal candidate, and we’re straightforward about this during consultations. You should probably consider alternatives if you have severe skin laxity (the kind that you can easily pinch an inch or more), as you might need the more dramatic results that only surgery can provide.

Other factors that might make you unsuitable include active skin infections, blood clotting disorders, or autoimmune conditions affecting skin healing. If you’re pregnant or breastfeeding, we’ll recommend waiting. Those with a history of keloid scarring should also proceed with caution.

Perhaps most importantly, patients with unrealistic expectations about what a thread lift can achieve might be disappointed. As Dr. Sam Naficy, a respected colleague in the field, notes: “It’s better for someone in their early 40s with mild signs of aging and decent skin elasticity.” We couldn’t agree more.

Pre-Procedure Checklist for a PDO Thread Lift

Proper preparation can significantly improve both your safety and results. When patients schedule their PDO thread lift at Athena Plastic Surgery, we provide detailed guidance on how to prepare in the days leading up to treatment.

About a week before your procedure, we’ll ask you to stop taking blood thinners (with your physician’s approval), including aspirin, ibuprofen, omega-3 supplements, and vitamin E. Even green tea extract can increase bruising risk, so we recommend pausing that as well.

You’ll also need to temporarily discontinue certain skincare treatments two weeks prior, including retinoids, chemical peels, and laser treatments, as these can sensitize your skin.

“I always emphasize the importance of stopping smoking at least two weeks before the procedure,” Dr. Avron notes. “Many patients don’t realize how significantly smoking impairs healing and can affect their results.”

Other helpful preparations include avoiding alcohol for 48 hours before treatment and staying well-hydrated. Some patients find taking arnica montana (if approved by their doctor) helps reduce bruising potential.

Your consultation is where we really personalize your approach. Bring a list of all medications and supplements you’re taking, and come prepared to discuss your specific concerns and goals. This helps us create a treatment plan custom to your unique facial anatomy.

More info about How Do PDO Threads Work

Step-by-Step PDO Thread Lift Procedure

Many patients tell us they feel more comfortable knowing exactly what to expect during their PDO thread lift. The entire procedure typically takes 30-45 minutes from start to finish, and we break it down into simple steps.

We begin with thorough cleansing and disinfection of your face, followed by taking before photos for comparison. Dr. Avron then carefully marks the entry points and thread vectors – essentially mapping out the path each thread will take beneath your skin to create the optimal lifting effect.

Next comes the comfort measures. We apply a topical anesthetic and then administer small injections of local anesthetic at the entry points. We give this time to take effect, ensuring you’re comfortably numb before proceeding.

The actual thread insertion takes about 20-30 minutes. Using a thin needle, Dr. Avron creates tiny entry points, then inserts a cannula (a blunt-tipped hollow needle) along the predetermined paths in the subcutaneous layer. The threads are carefully fed through these cannulas into position.

“The technique is really an art form,” explains Dr. Avron. “It’s about understanding the underlying facial anatomy and knowing exactly where to place each thread for natural-looking results.”

Once the threads are in place, Dr. Avron gently pulls them to achieve the desired lift, anchors them securely, and trims any excess material. Throughout this process, he’s checking for symmetry and ensuring the results look completely natural.

One patient from West Palm Beach shared: “I was nervous about pain, but it was much more comfortable than I expected. I felt some pressure and tugging, but the local anesthetic kept me comfortable throughout. Before I knew it, Dr. Avron was showing me the results in the mirror!”

PDO Thread Lift Recovery & Aftercare

The minimal downtime is one of the most appealing aspects of a PDO thread lift. Most of our patients return to work and most normal activities within 24-48 hours, which is why the nickname “lunchtime facelift” has stuck.

During the first 24 hours after your procedure, you’ll want to apply cold compresses to reduce swelling (20 minutes on, 20 minutes off) and sleep with your head liftd on pillows. Most patients experience only mild discomfort that’s easily managed with over-the-counter pain relievers, though we may prescribe something stronger if needed.

For the first week, you’ll need to be mindful of your facial movements. Think of it as giving those newly placed threads time to settle in. Avoid extreme facial expressions, skip using straws, and definitely don’t smoke or purse your lips. Strenuous exercise, saunas, and hot showers are also off-limits temporarily, as these increase blood flow to the face.

“The first 48 hours are the most critical,” advises Dr. Avron. “This is when the threads are settling into position and beginning to anchor. Following aftercare instructions during this period significantly impacts your final results.”

By the second week, you’ll gradually return to your normal activities as we direct. Most bruising and swelling resolves within a few days, though some patients experience mild sensations of tightness or tenderness that can last a bit longer. These are normal parts of the healing process and typically resolve on their own.

Throughout your recovery, our team at Athena Plastic Surgery remains available to answer questions and address concerns. We schedule follow-up appointments to monitor your healing and ensure you’re getting the beautiful results you expect from your PDO thread lift.

Benefits, Longevity, Costs & Combination Options

When it comes to facial rejuvenation, a PDO thread lift offers that perfect middle ground many patients are looking for—noticeable improvement without the commitment of surgery. Let’s explore what makes this treatment so appealing to so many of my patients at Athena Plastic Surgery.

Key Benefits of PDO Thread Lifts

The beauty of a PDO thread lift is that you’ll walk out of our office with immediate visible improvement. That instant gratification factor is something my patients absolutely love! But what’s even more exciting is how your results continue to improve over the following months as your body responds by producing fresh collagen.

Unlike more invasive procedures, there’s no need for general anesthesia or surgical incisions. The entire treatment typically takes less than an hour—truly earning its “lunchtime facelift” nickname. Many of my patients appreciate that they can return to most of their normal activities within just 24-48 hours, with only minor swelling and bruising that’s easily concealable with makeup.

“The best compliments my patients receive after a PDO thread lift aren’t ‘Wow, you look different!’ but rather ‘You look so refreshed—did you change your haircut?'” I often tell my patients. That’s because the results preserve your natural facial expressions and animation while subtly lifting and tightening in all the right places.

What I particularly love as a surgeon is the versatility these threads offer. We can target specific concerns—whether that’s a softening jawline, drooping cheeks, or neck laxity—and often treat multiple areas in a single session.

Longevity of PDO Thread Lift Results

“How long will it last?” This is probably the most common question I hear about PDO thread lifts. The journey of your results follows a predictable timeline:

Right after your procedure, you’ll see an immediate lifting effect, though there might be some swelling that resolves within the first week. During the first few months, the magic really happens as your body ramps up collagen production around the threads, improving both skin texture and firmness.

Most patients experience peak results around 3-6 months post-procedure. While the PDO threads themselves dissolve completely by about 6-9 months, the collagen framework they’ve helped your body build continues to provide benefits.

The scientific literature generally reports visible improvements lasting up to one year, but in my clinical experience at Athena Plastic Surgery, many patients—especially those with good skin elasticity who follow proper skincare routines—enjoy results for 1-3 years.

Factors that can extend your results include younger age (30s-40s), maintaining stable weight, following a good skincare regimen, avoiding smoking, and protecting your skin from sun damage. For patients seeking additional information on the science behind thread lift longevity, I often recommend reviewing the scientific research on longevity.

Costs of PDO Thread Lifts

Investing in your appearance is personal, and I believe in complete transparency about costs. The price of a PDO thread lift varies based on several factors, including your geographic location, the provider’s expertise, number of threads used, areas treated, and thread types selected.

Here at Athena Plastic Surgery in Stuart, Florida, our PDO thread lift treatments typically range from $1,500-$2,500 for single-area treatments (like just the jawline), $2,500-$4,000 for multi-area facial treatments, and $3,000-$5,000 for comprehensive face and neck treatments.

While these procedures aren’t covered by insurance since they’re cosmetic, we offer several financing options to help make treatments more accessible. Some of my patients have also successfully used their HSA or FSA funds, depending on their specific plan guidelines.

I always remind patients that while cost is certainly a consideration, expertise and experience should be the primary factors in choosing your provider. The investment in proper technique and safety pays dividends in both results and peace of mind.

Combining PDO Thread Lifts with Other Treatments

One of the most exciting aspects of PDO thread lifts is how beautifully they complement other aesthetic treatments. Think of facial rejuvenation as a symphony—threads provide the structure, while other treatments add harmony in different ways.

Neuromodulators like Botox® or Dysport® work wonderfully when administered about 1-2 weeks before a thread lift. By relaxing the muscles that contribute to sagging, they improve and extend your thread lift results, particularly in areas like the forehead and around the eyes.

Dermal fillers are the perfect partners for adding volume where threads provide lift. I typically recommend scheduling filler treatments either two weeks before or after your thread lift, focusing on areas like the temples, tear troughs, and cheeks.

For patients concerned about skin texture, treatments like laser resurfacing or RF microneedling can address fine lines and pigmentation issues while your threads work on laxity. These are best scheduled 3-4 weeks apart from your thread lift.

For more comprehensive rejuvenation, deeper tissue-tightening treatments like Ultherapy or HIFU can set a fantastic foundation when scheduled 1-2 months before your thread lift.

“I think of facial rejuvenation as a house,” I often tell my patients. “The foundation needs to be solid, the framework needs to be strong, and then we add the finishing touches. When we combine treatments thoughtfully, we’re addressing each of these elements for the most natural, comprehensive results.”

For patients interested in learning more about how threads stimulate collagen production, I recommend reading more about Collagen Lifting Threads on our website.

Risks, Side Effects & How to Maximize Results

Let’s be honest – while PDO thread lifts offer impressive benefits with minimal downtime, they’re still a medical procedure. Understanding the potential risks helps you make an informed decision and ensures you know what to expect.

Potential Risks and Side Effects

If you’re considering a PDO thread lift, you should know that studies show about 15-20% of patients experience minor complications. That might sound concerning, but take a deep breath – most of these issues are temporary and easily managed.

After your procedure, you’ll likely experience some swelling and bruising – this is completely normal and typically fades within a week. Many of my patients describe a feeling of tightness, almost like their skin is being gently pulled. This sensation gradually improves as the threads settle and integrate with your tissues.

“Most patients tell me they’re surprised by how comfortable the recovery is,” says Dr. Avron. “One patient from Palm City mentioned she only needed regular Tylenol for the first day, and by day three, she was comfortable enough to attend her daughter’s recital.”

Beyond these expected effects, less common complications include visible or palpable threads (you can feel them under your skin), thread migration (where threads shift slightly from their original position), or small dimples or puckering in the skin. These occur in about 1-5% of cases and often resolve with gentle massage or time.

Truly rare complications include infection, prolonged inflammation, or thread breakage. Serious events like nerve injury are extremely uncommon when the procedure is performed by qualified medical professionals.

Scientific research on complication rates

Minimizing Risks Through Provider Selection

The truth is, your choice of provider makes all the difference between a successful PDO thread lift and a disappointing experience. This isn’t the time to hunt for bargains or try an inexperienced practitioner.

Board certification matters tremendously. A board-certified plastic surgeon, dermatologist, or facial plastic surgeon brings deep understanding of facial anatomy – knowing precisely where to place threads for both safety and optimal results.

Experience counts too. At your consultation, don’t be shy about asking your provider how many thread lifts they’ve performed. Request before and after photos of their actual patients, not stock images.

“I’ve spent years perfecting my thread lift technique,” explains Dr. Avron. “My Johns Hopkins training provided an exceptional foundation in facial anatomy, which is absolutely crucial for safe, effective thread placement.”

The consultation itself reveals a lot about your provider’s approach. A thorough evaluation should include a detailed discussion of your goals, a careful examination of your facial structure, and a customized treatment plan – not a one-size-fits-all recommendation.

Finally, quality providers offer attentive follow-up care. Your journey doesn’t end when you walk out the door after your procedure. Proper monitoring ensures any potential issues are caught and addressed early.

Red-Flag Symptoms After a PDO Thread Lift

While some discomfort is expected after your PDO thread lift, certain symptoms warrant immediate attention. Think of these as your “call the doctor now” signals:

Severe or increasing pain that isn’t responding to your prescribed medications could indicate a problem. Discomfort should gradually improve, not worsen, after the first 48 hours.

Significant asymmetry that becomes more pronounced rather than resolving might suggest thread displacement. Some initial asymmetry is normal due to swelling, but this should improve, not worsen, over time.

Signs of infection include fever, increasing redness, warmth, or pus around the entry points. Infections are rare but require prompt treatment.

If you notice thread material visible or protruding through your skin (extrusion), contact your provider immediately. This can usually be addressed with a simple in-office procedure.

Sudden or worsening swelling after the initial recovery period or any unusual skin changes like blanching, discoloration, or numbness also warrant prompt attention.

“I always tell my patients – when in doubt, reach out,” says Dr. Avron. “I’d much rather reassure you that something is normal than miss an opportunity to address a genuine concern early.”

Pro Tips to Extend Your PDO Thread Lift

Think of your PDO thread lift as an investment in your appearance. With proper care, you can maximize both the quality and longevity of your results.

Sun protection isn’t just good advice – it’s essential. UV exposure breaks down collagen – the very thing your thread lift is working to build. Make applying broad-spectrum SPF 30+ as automatic as brushing your teeth. Add wide-brimmed hats and sunglasses for extra protection, especially during Florida’s intense sunshine.

Your skincare routine deserves an upgrade too. Once you’re fully healed (typically after 2-3 weeks), introducing retinoids can help support the collagen-building effects of your threads. Vitamin C serums provide antioxidant protection, while peptide-rich products further improve firmness. Dr. Avron can recommend professional-grade products custom to your specific needs.

What you put inside your body matters just as much as what you put on it. Staying well-hydrated keeps your skin plump and healthy, while a diet rich in collagen-supporting nutrients (think vitamin C, protein, and zinc) provides the building blocks your skin needs. Try to limit sugar and processed foods, which can accelerate collagen breakdown through a process called glycation.

Maintaining a stable weight is surprisingly important for your thread lift results. Significant weight fluctuations can affect facial volume and potentially impact how your threads hold tissues in place.

“One of my patients from Jupiter credits her amazing two-year results to her consistent skincare routine and the fact that she scheduled maintenance treatments before her results fully diminished,” shares Dr. Avron. “Proactive maintenance is always more effective than waiting until all your improvements have faded.”

Consider complementary treatments like radiofrequency or ultrasound therapy between thread lift sessions to further stimulate collagen and extend your results. Many patients find that regular “collagen-boosting” treatments like microneedling or PRP (platelet-rich plasma) help maintain their youthful appearance for longer.

With thoughtful aftercare and the right professional guidance, your PDO thread lift can provide beautiful, natural-looking rejuvenation that keeps people guessing about your secret to looking so refreshed.

Frequently Asked Questions about PDO Thread Lift

Does a PDO Thread Lift hurt?

One of the most common questions I hear from patients considering a PDO thread lift is about pain during the procedure. The good news is that discomfort is typically minimal.

Before placing any threads, we apply a topical numbing cream and then inject local anesthesia to the treatment areas. This means you’ll be awake but comfortable throughout the procedure. Most patients describe feeling pressure, tugging, or a strange “pulling” sensation rather than actual pain.

“I was honestly nervous about how it would feel,” shares Maria, a 48-year-old patient from Stuart. “But after the initial pinch of the anesthetic injections, I just felt some strange pressure. Dr. Avron kept checking on my comfort level, and before I knew it, we were finished. It was so much easier than I expected!”

After your treatment, you might experience mild tenderness or a feeling of tightness for a few days. This is completely normal and typically responds well to over-the-counter pain relievers like Tylenol. The sensation is often described as similar to the soreness after a dental procedure—noticeable but not significantly disruptive to your daily activities.

How long before I see final results?

The journey to your final PDO thread lift results unfolds in stages, which is part of what makes this treatment so appealing for those wanting natural-looking improvement.

Right after your procedure, you’ll notice an immediate lifting effect—think of this as the “mechanical” phase where the threads physically lift your tissues. However, this initial result might be partially masked by some swelling, which is perfectly normal.

As the first week passes and swelling subsides, you’ll begin to see your true initial results. But the magic of a PDO thread lift really happens over the following months:

“I tell my patients to think of their thread lift results like a fine wine—they get better with time,” explains Dr. Avron. “While you’ll walk out of our office looking better than when you walked in, the real change happens gradually as your body builds new collagen.”

Between 1-3 months after your procedure, the biological phase kicks in as your body produces fresh collagen around the threads. Your skin texture improves, fine lines soften, and the lifted contours begin to look more natural.

Most patients reach their peak results around 3-6 months post-procedure, when collagen remodeling reaches its maximum effect. This gradual improvement timeline means friends and family are more likely to comment that you look “well-rested” or “refreshed” rather than asking what procedure you’ve had done.

Can I repeat a PDO Thread Lift after results fade?

Absolutely! One of the benefits of a PDO thread lift is that it can be repeated when results begin to diminish, typically after 12-18 months. In fact, many patients find that subsequent treatments produce even better results because they build upon the collagen foundation established by the initial procedure.

At Athena Plastic Surgery, we view thread lifts as part of a long-term rejuvenation strategy rather than a one-time fix. Dr. Avron typically recommends waiting until the previous threads have fully dissolved (about 6-9 months) before placing new ones, though this timeline can vary based on individual factors.

“I’ve had patients maintain their youthful appearance for years with strategic retreatment,” Dr. Avron notes. “Each time we perform a thread lift, we have the opportunity to assess how your tissues responded previously and refine our approach accordingly.”

Your follow-up treatments might use different thread types, placement patterns, or quantities based on how your skin responded to the initial procedure. Many of our Stuart and Palm Beach patients opt for annual maintenance sessions using fewer threads to preserve their results before significant laxity returns.

Some patients also choose to alternate between thread lifts and complementary treatments like Ultherapy or radiofrequency procedures for comprehensive rejuvenation. During your consultation at Athena Plastic Surgery, we’ll help you develop a personalized treatment plan that addresses your unique aging pattern and aesthetic goals.

Consistent skincare, sun protection, and healthy lifestyle choices significantly extend the longevity of your PDO thread lift results between treatments. Think of your at-home routine as maintaining the foundation while periodic thread lift treatments rebuild and reinforce it.

Conclusion

The PDO thread lift represents an exciting middle ground in facial rejuvenation—more effective than topical treatments yet less invasive than surgery. This innovative approach has transformed how we think about facial rejuvenation, offering a compelling option for those not quite ready for surgery but wanting more than what creams and serums can provide.

Throughout my years of practice at Athena Plastic Surgery, I’ve seen how thread lifts can restore confidence and refresh appearances with remarkable efficiency. The beauty of this procedure lies in its balance—meaningful results without the extended recovery or permanence of surgical intervention.

Success with a PDO thread lift comes down to several key factors working in harmony. Proper candidate selection is absolutely crucial—those with mild to moderate skin laxity typically see the most satisfying outcomes. Equally important are realistic expectations about what the procedure can and cannot accomplish. A thread lift will refresh and refresh, but it won’t deliver the dramatic change of a surgical facelift.

Your choice of provider makes all the difference in your results. Expert provider selection should focus on finding a board-certified physician with specialized training in thread lift techniques. At Athena Plastic Surgery, we pride ourselves on staying at the forefront of thread lift innovations and techniques.

Every face tells a unique story, which is why we believe in a customized approach to thread lifts. The type of threads used and their precise placement should be custom to your specific facial anatomy and aesthetic goals. Following your procedure, diligent aftercare becomes essential—those who carefully follow post-procedure instructions invariably achieve better, longer-lasting results.

For truly comprehensive rejuvenation, many of our patients benefit from complementary treatments like strategic filler placement or skin resurfacing alongside their thread lift. And thinking beyond the initial procedure, a thoughtful maintenance planning approach ensures sustained improvement over time.

Decision tree for choosing between PDO thread lift and other facial rejuvenation options - PDO thread lift infographic

At Athena Plastic Surgery, my Johns Hopkins training provides the foundation for every PDO thread lift procedure I perform. Our philosophy blends technical precision with an artistic vision—we aim to improve your natural beauty rather than change your fundamental appearance. Whether you’re noticing early jowling, mid-face descent, or neck laxity, we’re here to help you determine if a thread lift aligns with your rejuvenation goals.

The journey to looking refreshed and revitalized doesn’t have to involve major surgery or lengthy recovery. For many of my patients, the “lunchtime facelift” has provided just the right amount of lift and restoration at just the right time in their lives.

Ready to learn more about how a PDO thread lift can refresh your appearance with minimal downtime? Contact Athena Plastic Surgery today to schedule your personalized consultation.

More info about PDO Threadlifting

Athena Plastic Surgery is led by Dr. Avron H. Lipschitz, MD .
Dr. Lipschitz is a board-certified plastic surgeon serving Stuart, the Treasure Coast, and Palm Beach communities. His training includes plastic and reconstructive surgery fellowship training at Johns Hopkins, and he is certified by the American Board of Plastic Surgery.

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Athena Plastic Surgery

Avron Lipschitz MD
Plastic Surgery Johns Hopkins Fellowship Trained
Double Board Certified by the American Board of Plastic Surgery and America Board of Surgery
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Member of the American Society for Aesthetic Plastic Surgery
EXCELLENT
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Based on 319 reviews
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Carolyn Geller profile picture
Carolyn Geller
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Had a very good experience with my consultation at Dr. Lipshitz’s practice. The doctor made me feel comfortable, took his time to explain the procedure I was exploring and fully answered all of my questions.
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Korina paronett profile picture
Korina paronett
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Friendly professional staff..prompt and knowledgeable..I will recommend Athena dermatology to everyone!
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Kathleen Hurlburt profile picture
Kathleen Hurlburt
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All aspects of Athena has been an excellent experience
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monique filipiak profile picture
monique filipiak
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I wanted to try a new Glp weight loss product. Brandi was helpful, professional and answered all my questions.
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Channe Coles profile picture
Channe Coles
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This place really has superb service and highly skilled staff from top to bottom. Beautiful office and very welcoming. I would highly recommend.
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Michael G profile picture
Michael G
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Nice practice with a knowledgeable doctor and the staff is awesome.
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Elizabeth Osborn profile picture
Elizabeth Osborn
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+1
I had such a wonderful experience getting lip filler! Dr. Lipschitz took the time to explain everything thoroughly and made sure I felt comfortable throughout the entire process. He was incredibly kind, patient, and really listened to what I wanted. I was hoping for a natural-looking result, and my lips turned out exactly how I envisioned them, beautiful and subtle without looking overdone. I’m so happy with my results and would absolutely recommend him!
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Mark Hirst profile picture
Mark Hirst
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This facility must clearly be rated as one of the top rated plastic surgery centers in Florida. Doctor Lipschitz is world renown and accomplished with a history from Cape Town to the Palm Beaches. The amazing facility in Port St Lucie can accommodate most procedures in house in a state of the art surgery OR that I have personally experienced with excellent results and all in-house. Aesthetics are comparable to the best high end spas and medical receptions anywhere in the world. I have always been extremely happy with the friendly services and fair pricing received over the years. Thank you Doctor Avy !!
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Cornelis Pameijer profile picture
Cornelis Pameijer
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I had a few skin lesions removed of which one required a free skin graft on my forehead. The end result is very nice. Staff and doctor were professional and very pleasant and accommodating. I do recommend without reservations.
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Barbra Pineiro profile picture
Barbra Pineiro
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Dr. Lipschitz is a wonderful surgeon. He is not only kind and easy to speak with, but his skills are impeccable. I have been seeing him for years, ever since he quickly corrected a problem area on my face which a host of doctors said could not be corrected. His skills are unmatched!
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Susan Novak profile picture
Susan Novak
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Great customer service. Professional, relaxed atmosphere.
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Wendy West profile picture
Wendy West
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Dr. Lipschitz is the BEST! Office staff is helpful and kind. A caring and welcoming office really stands out!
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Joyce Armstrong profile picture
Joyce Armstrong
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Dr. Lipshitz makes you really feel comfortable. You know that he and his office are concerned for your well being. My procedure went as I expected. Everything was explained before hand. Dr. Avron is the best.
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Ali Navarro-Jalice profile picture
Ali Navarro-Jalice
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From my very first consultation to every follow-up appointment, my experience with Dr. L (Avron) and his patient coordinator, Terri, has been nothing short of exceptional. Tatiana, his nursing assistant, is also truly amazing. Terri was kind, patient, responsive, and made me feel supported every step of the way. She was the primary factor that promulgated my consideration of Dr. L. Plastic surgery can be overwhelming, but Terri always took the time to answer my questions, ease my concerns, and made me feel like I was her top priority. She is an incredible asset to the practice. This was my fourth plastic surgery procedure, and all of my previous surgeries were performed by well-known surgeons in Miami. I can honestly say that none of them compare to Dr. L. He is just the best in every way and words can’t adequately describe my satiation with his artistry and his medical expertise. Dr. L is, without question, the best plastic surgeon I have ever had. His skills are extraordinary, but what truly sets him apart is who he is as a person. He is humble, compassionate, honest, and genuinely cares about his patients. He never made me feel rushed, took the time to explain everything thoroughly, and his attention to detail is remarkable. Not only is he an incredibly talented surgeon, but he also has a bedside manner that is rare to find. He made me feel safe, confident, and completely cared for throughout the entire process. My results have exceeded my expectations, and even during recovery, I knew I had made the right choice. If you’re considering plastic surgery, I cannot recommend Dr. L and his team highly enough. After four procedures with different surgeons, I can confidently say that I wouldn’t trust anyone else. Dr. L is simply the best, and Terri and Tatiani makes the entire experience even more exceptional. Thank you all for your kindness, professionalism, and for changing my life. I am beyond grateful.
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Robert Mergupis profile picture
Robert Mergupis
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Made my wife feeling very comfortable again, thank you Doc!
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Robert Kunkle profile picture
Robert Kunkle
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Always 100% professional. Would not go elsewhere.
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Anita Russo profile picture
Anita Russo
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I had a few facial procedures done approximately 3 months ago and am very satisfied. I wanted a natural, refreshed look which is exactly what I received. Terri, the surgery coordinator, was kind and an extremely warm person. No amount of questions were too many. She helped make the process seamless.She always got back to me in a timely manner. Dr. L is a warm, caring surgeon. From start to finish and after surgery, he was always available, even providing his cellphone for any questions or concerns. He is a perfectionist which I truly appreciate. I stayed overnight in the surgery suite with a nurse which was most convenient as I was there for next morning appointment to have drains removed, etc. A nice touch was a delicious smoothie early evening and breakfast the next morning. After the surgery, I had lymphatic massages for a few weeks with Meredith, which really helped the healing process. She too, was a sweetheart. I would highly recommend this practice which I believe was a 10 out of 10!
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Chantal C profile picture
Chantal C
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I’m not one to always leave reviews but I felt compelled in this particular instance. As someone who works in the healthcare field, I came in particular, detail-oriented, and with a very long list of questions. Dr. Lipschitz never made me feel like a burden for it. He took his time at every visit, answered everything thoroughly, and he and Terri stayed responsive and available from consult all the way through recovery. His knowledge and skill are evident — and I genuinely believe his expertise has made my recovery smoother than I expected. So far I am very happy with my results. Dr. Schwartz was wonderful as well. The entire staff — Olivia, Meredith, and everyone in between — played a big part in making this a positive experience. Every interaction felt warm, professional, and reassuring. The whole experience exceeded my expectations and I'm grateful to this entire team. I wouldn't hesitate to recommend them.
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Smooth Jazz profile picture
Smooth Jazz
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Very professional, informative and transparent
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Ariana Stefanopoulos profile picture
Ariana Stefanopoulos
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Very clean environment and the staff was so friendly and helpful !
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Helen Kleinfeld profile picture
Helen Kleinfeld
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Courteous staff, excellent facility!
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Rebecca Sechrist profile picture
Rebecca Sechrist
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Love the mobile unit! Does a great job visiting mom at the assisted living. Very convenient.
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Laura Garcia Bartenfelder profile picture
Laura Garcia Bartenfelder
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Best plastic surgeon, great work, very professional and great manner - I would never go anywhere else. Amazing meticulous work!
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Diane F. profile picture
Diane F.
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Wonderful, professional and extremely accommodating. Procedure went smoothly...comfort is their big priority. Follow up care was top notch.
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Lauren Eskenazi profile picture
Lauren Eskenazi
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I highly recommend Dr Lipschitz! I came in for help with a facial injury and he was extremely caring, helpful and thorough. The office staff was also very friendly and got me in right away. I would not hesitate to come here again.
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rich barker profile picture
rich barker
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Olivia, Kim, Were efficient over the phone making the appointment, In a timely fashion didn’t have to wait. Meredith an employee that wasn’t there was great at setting me up With Athena plastic surgery. Amanda spoke to me before I spoke to Dr made sure I was comfortable and got all the information for Dr.Dr.Lipschitz was great at counseling explaining a strategy for surgery He wasn’t rushed made sure I understood everything although he was busy..Offices were immaculate, exceptionally Clean all of the staff was very helpful. To say the least, Dr. Lipschitz is extremely qualified.
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judith kaplan profile picture
judith kaplan
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I walked in without an appointment because I had a wound on my elbow. Lucky me I was well taken care of with a smile.
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Ann Naylor profile picture
Ann Naylor
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Highly recommended! I’ve been coming here since 2018 Recently my essential routine’s are Meredith Spink esthetician. She’s great. A variety of services. The entire The Dr.Lipschitz team is incredible.
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meryl abbondanza profile picture
meryl abbondanza
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The best doctor and team. Everyone is so caring and supportive. i highly recommend them
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Donna Borges profile picture
Donna Borges
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Dr L and Terri were very professional and made me feel comfortable on my vist
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Tad Allison profile picture
Tad Allison
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I had cancer removed from my nose. Haven’t completed total recovery/healing.
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Harli England profile picture
Harli England
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such a lovely business! very informative and helpful through my friend and i’s consultations!
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Sharon Burke profile picture
Sharon Burke
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Herbert has been a patient for awhile. The staff and Dr are caring and extremely experienced. Herbert is pleased with his care.
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Mariana Munevar profile picture
Mariana Munevar
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Warm welcoming customer service. Staff were attentive and caring. If you are looking for honest and Caring processionals, Athena is highly recommended!
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steve minkler profile picture
steve minkler
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I am in the process of working through some significant skin issues and am so grateful to be under the care of Dr. Lipschitz. I have been very impressed with his professionalism and that of his front office and clinical staff as well. In addition, everyone I have come into contact with there is so caring and friendly. I could not be more pleased with the services of Dr. Lipschitz and Athena Plastic Surgery.
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Lori Riordan profile picture
Lori Riordan
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I feel very blessed to have found Dr. Lipschitz after researching doctors that do reconstructive surgery after having a stoma and coloscopy. His team is very supportive and professional. He has an extensive knowledge of the human body and is always available to answer any questions or concerns you may have. I highly recommend him for any type of plastic surgery or reconstructive procedures. In a world where doctors are so busy he proves to be accessible, accommodating and supportive of his patients.
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Alice O'Shea profile picture
Alice O'Shea
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Athena Plastic Surgery and Dr. Avron Lipschitz were recommended by several of my personal doctors. I am so happy I took professional advice for whom to use for my face lift and arm surgery. I had a face lift on Jan 20, 2026, and my arms done on Feb26,2026. Both surgeries were done perfectly. I had no complications and the results are amazing. My son says I look 30 years younger. The amazing thing is those who did not know me before surgery can not tell I had a face lift. They compliment me on how youthful I look, or my makeup, but no one believes I am 70, or can tell I had a facelift. The sign of a perfect face lift is others can not tell you had one. My mouth does not stretch clear across my face or my skin is not pulled or puckered. But my frown lines that made me look like I had a hinged puppet mouth are completely gone. My neck looks like it did when I was on my 20s. Dr. Lipschitz and his entire staff are so caring and provide the most wonderful services and bedside manner. I am so glad I decided to follow my doctors recommendations and went with the very best. If you would like to talk to a person who had surgery. Have Terri give me your number and name and you can talk to a real patient.
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Azucena Calderon profile picture
Azucena Calderon
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had a great experience at Athena Plastic Surgery. The doctor was very professional, honest, and took the time to explain everything clearly. I really appreciated that they showed me the product before the treatment, which made me feel confident and safe. The staff was kind, and the whole process felt clean and well organized. I’m very happy with my visit and would definitely recommend this place to anyone looking for quality and transparency.
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Gail St Jacques profile picture
Gail St Jacques
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I’m not even sure where to begin. Dr Lipshitz did a deep planing + facelift on me. To say he is an artist and perfectionist is just the beginning. He is compassionate, calming, and reassuring from consultation through where I am in recovery (which is 6 days out).. He and his entire team treat you like family,. I googled and reviewed more surgeons that I can say and my decision to go with Athena Plastic Surgery was the right choice. I would also like to give a special shout out to Terri, the patient liaison. She is more than my go to girl, she has become a friend. She explains and communicates every minutia detail. She and the Dr both gave me their private numbers and said to text or call any time 24/7. Please if you are looking for someone who is leading edge on all procedures at least talk to them, they will not disappoint.
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JP Greco profile picture
JP Greco
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I have been a patient of of athenoplastic surgery and Dr. Avi lipshitz for 9 years. Over the last 9 years he has basically changed my whole life. Always very professional. And caring complete makeover but didn't change the way I looked. Just kept me looking the same youthful self
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Drenda Carter profile picture
Drenda Carter
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The visit was smooth and easy the ladies were very kind and attentive to my mothers needs
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Trina profile picture
Trina
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I’ve had 3 different surgeries recently, and the level of care, and also what Avron did is just amazing. He is very clear on what he is doing, and aftercare is AMAZING. I recently also started some Botox treatments and Meredith is fantastic. All the staff is great and friendly. I HIGHLY recommend Athena for your cosmetic needs!!!!!
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Alan Lulay profile picture
Alan Lulay
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Excellent highly recommend.
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GOOD OLD DAZE profile picture
GOOD OLD DAZE
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Gotta say Dr. Lipschtiz is the man… your in good hands… he works miracles and I’m happy with my nose… I had a dog bite scar that split my nose and for many years had to walk around like Frankenstein… it wasn’t a cool scar… After surgery I felt like I finally got rid of the monster… it was a big relief… I am eternally grateful and will sing him praises and give this man his flowers for life… so that’s my 2 cents if your on the fence… its well worth it!!!!
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martha smith profile picture
martha smith
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I am a 76-year-old woman who never had any surgeries before but wanted a full-face lift in my final years on this planet. I interviewed several plastic surgeons and the only one I felt 110% safe and confident with was Dr Lipschitz. He explained ALL to me from the beginning to the end of the procedure. He was there 24/7 after the surgery and beyond. If I needed anything or had any issues he was there. I felt safe and confident that I would be just fine and I was. He helped me calm down and heal in a caring manner. He never complained or felt I was a bother to him. I am so pleased with my results, and I promise you that you will not be disappointed with this dr or his caring staff. This dr is a true masterpiece with his hands and skills to make me look young again at my age. If you don't use this dr you will regret it.
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Angela Garrido profile picture
Angela Garrido
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In being a first timer on January 7, 2026 with Athena Plastic Surgery. My orthopedic Dr as well as my surgeon. He recommended Dr. Lipschitz for help with a non healing incision that was touched by a therapist to soon after surgery. Dr. Lipschitz, is a caring, passionate, and knowledgeable in his field. Today, February 11, the incision is much better than my actual first visit. I am so grateful for his expertise in getting me back on a healing track. Athena has a great staff Brandi, Rachel, Olivia, front desk personnel (don’t want to butcher the spelling of her name - lol) were the main ones I dealt with. I had no bas experiences during my time. I didn’t get a couple of returned calls; however it was not that serious to penalize them. I definitely recommend Athena for beauty enhancements with Dr. Lipschitz. Thank you so much for your service. 100000/10
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Kim Bezer profile picture
Kim Bezer
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I have gone to Meredith for Botox about 3 times. She does an excellent job of pinpointing exactly where I need it and….she is fun!! Sometimes it can be a little intimidating getting self improvement services done but Meredith was so kind and natural. If you are thinking about Botox I highly recommend going to Meredith. And make sure to book a morning appt. She will get your day started with a laugh and a positive outlook! Thank you, Meredith.😀
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Greta Eve profile picture
Greta Eve
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Dr. Lipschitz is extremely talented and knowledgeable. I am so thrilled with my septorhinoplasty results and I can breathe so much better.
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Greta Eve profile picture
Greta Eve
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I cannot say enough good things about Athena Plastic Surgery and Doctor Lipschitz, as well as his team. If you go here for anything, you will be in good hands. I can’t believe we have one of the very best plastic surgeons in the whole world, right here in Stuart, Florida.
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Kimberly Breen profile picture
Kimberly Breen
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I am so pleased with my experience with Dr. Lipschitz and his team! I’m a teacher and new to the area. One of my child’s parents referred him to me. It wasn’t necessarily an easy case. I had been in a good deal of pain and felt very self conscious. I was so pleased, he listened to me, discussed my options and I was on the books! I felt like I was in good hands and I was! I had gone to other surgeons who ran through a countlessly given speech…I was just another patient. I am very happy with Dr. Lipschitz’s work and I wouldn’t hesitate to recommend him.


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