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For patients trying to avoid plastic surgery, PDO thread lifting is an option that can be done in an hour in Kutis Medical Aesthetics. Facial balancing is one of the expertise of Dr Richmond Ramirez as he understands the anatomy of the face and obtained training from experts in this procedure. Pain is minimal and has virtually no downtime, except for possibility of bruising. Facial improvements and skin improvements continuously happen as the thread dissolve under the skin and stimulates collagen growth. That is why this procedure would last for 12 - 18 months. Yearly maintenance involves touch-ups with additional threads and other modalities such as Morpheus RF microneedling.