Neogenesis Cog Thread 360 Bi-Directional 20ea/Pack
The Neogenesis Cog Thread 360 Bi-Directional is a PDO lifting thread with bi-directional 9D (360°) barbs in 40° increments — thorned threads for literally lifting saggy skin. Designed for heavy tissues with a high degree of ptosis, it works in the lower layers of the hypodermis. Supplied 20ea per pack with a Blunt Needle and U/W-type Cannula.
About the Cog Thread 360 Bi-Directional
The Cog Thread 360 carries bi-directional 9D (360°) barbs arranged in 40° increments, giving powerful fixation through its spike shape. Inserted into the lower layers of the hypodermis, it is suited to heavy tissues with a high degree of ptosis, producing powerful neocollagenesis and a clear oval of the face. As a PDO thread, it stimulates new collagen formation as the material is absorbed.
Material & structure
Absorbable PDO thread.
Made of polydioxanone (PDO), an absorbable surgical material; the PDO raw material is classified by the US FDA as a Class II medical-device material.
9D (360°) bi-directional barbs.
Bi-directional 9D (360°) barbs in 40° increments grip tissue in both directions for powerful fixation through the spike shape.
For heavy ptosis.
Inserted into the lower layers of the hypodermis, it is designed for heavy tissues with a high degree of ptosis, producing powerful neocollagenesis.
Areas of application

Application areas: lower hypodermis — cheeks and jaw for heavy ptosis. Actual treatment plan is determined by the practitioner.
Model guide & application areas
Each model differs by needle gauge and length for a specific area and depth. Select per the indication and the practitioner’s plan.
Use & packaging
Focus & uses
Specifications
Frequently asked questions
What is the Cog Thread 360 Bi-Directional?
A PDO lifting thread with bi-directional 9D (360°) barbs in 40° increments for heavy tissue ptosis, working in the lower hypodermis, supplied 20ea per pack.
What does bi-directional mean?
The barbs grip in both directions along the thread, providing powerful two-way fixation of heavy, sagging tissue.
Where is it applied?
The lower layers of the hypodermis — cheeks and jaw — for heavy degrees of ptosis, by a licensed practitioner.
How long does the effect last?
As a PDO thread, the material is absorbed over about 6 months while new collagen helps maintain the result; duration varies.
Is it FDA approved?
NEO Thread is CE Class III and KFDA certified. The PDO raw material is FDA-classified as a Class II medical-device material — a material classification, not product approval.
What needle does it use?
A Blunt Needle with a U/W-type Cannula, depending on the model.
Who should perform the procedure?
A trained, licensed practitioner; thread lifting is a medical procedure.
Related NEO Threads
Safety information
This is a sterile, single-use absorbable thread for thread-lifting procedures. Thread lifting is a medical procedure to be performed only by trained, licensed practitioners. NEO Thread products are CE (Medical Device Class III) and KFDA certified; the PDO raw material is classified by the US FDA as a Class II medical-device material. Individual results vary and depend on technique, the patient and the model used. Use aseptic technique; mark insertion points and use local anesthetic per protocol. Bruising, swelling and discomfort may occur for 3–7 days, especially with improper technique. Patients should avoid sauna, swimming pools and excessive physical activity for about 2 weeks. Check dimensions and expiry date before use. Refer to the manufacturer’s instructions for use.
NEO Thread and NEOGENESIS are trademarks of their respective owner. For licensed healthcare professionals only. Last reviewed: June 2026.
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