Pdo thread lift complications

Pdo thread lift complications


  • PDO Thread Lift In Midtown Manhattan with Dr. Tabasum Mir
  • Thread Lift with Anchoring Threads
  • 16 Thread Lift
  • How to Fix PDO Thread Lift Puckering Complications
  • Benefits of PDO Thread Lift
  • PDO Thread Lift In Midtown Manhattan with Dr. Tabasum Mir

    A thread lift is not a substitute for a facelift. It provides modest and subtle changes rather than dramatic results, and also helps people buy time before a face and neck lift may be needed. Fast Facts A thread lift requires specialist training, a thorough understanding of the muscles and tissue composition under the skin, and experience with the techniques that will deliver the best results.

    All thread lifts are performed with surgical sutures. The procedure takes around an hour to complete. There will be some level of discomfort, swelling and bruising around the area after the procedure. This will gradually subside. After the lift, threads take a few weeks to settle into place and integrate properly with the skin. The biggest advantage of a thread lift is the absence of visible scars and the very short downtime from routine activities.

    There are two main types — anchoring and non-anchoring threads. For a more information about those differences, read our article on the differences between anchoring and PDO thread. This article focuses on anchoring threads. It is common to combine a thread lift with other non-invasive procedures such as anti-wrinkle injections, laser treatments and facial peels that help improve skin texture.

    Liposuction can be performed at the same time, to improve the contours of the face. Reasons for choosing to have a thread lift People opt to have a thread lift to reduce signs of premature ageing, especially sagging skin on the face and neck. You are a good candidate for the procedure if: You are in your 30s or 40s. People of 50 and over can be candidates as long as their skin has not become too lax. You want to improve your looks by enhancing and highlighting features lost to premature ageing, improving sagging or loose skin on your face and neck.

    The changes that have occurred in your face and neck are not serious enough to warrant a face or neck lift. You are not expecting dramatic changes, but subtle ones. You do not have the time or the need to undergo a facelift at this time, but can afford to spend a few days recovering from procedure. Select a practitioner with experience and special training in thread lift techniques. Some complications associated with having a thread lift include threads being visible under the skin or skin irritation from the placement of the barbs.

    At the risk of sounding like a broken record, it is of paramount importance that you choose an experienced practitioner to perform the procedure. What type of thread lift? Thread lifts were previously performed with permanent sutures.

    They are now mostly done with dissolvable sutures that disappear over a few months. What to expect A thread lift is classified as a non-invasive procedure and is usually performed on an outpatient basis under local anaesthesia. Light sedation is sometimes given on request. The thread lift procedure involves making small incisions in key locations, most often in the hairline, and inserting a threaded needle under the skin to anchor both ends to lift and suspend the skin.

    Several variations of the threading technique exist, as a preference of the surgeon or to meet specific patient needs. Once the individual situation has been assessed, generally between 2 and 20 threads will be used. Thread lifting is a relatively new procedure. Although early thread lifts were performed using permanent threads, surgeons today use dissolvable barbed threads. The barbs are embedded in the skin to promote fibrosis, the formation of new collagen bundles.

    The newly formed collagen acts as a type of scaffolding to hold up the skin, making it firm in the process. Skin tends to lose firmness and elasticity and sags with age because the volume of elastin and collagen fibre in the skin diminishes over time.

    According to Dr. When the micro vessels in the skin become traumatised by the thread insertion, they open up, and new blood with oxygen and nutrients flow to heal them, which also results in younger looking skin.

    Critics of the technique say that the effects of thread lifting are temporary because the visible enhancement immediately following the procedure is mostly due to inflammation and the resulting pooling of body fluids edema around the threaded area.

    You can expect to go home within several hours of the procedure. You can also expect to be back to normal activities 2 to 3 days later. Before and after the procedure You will be told not to eat or drink anything after midnight on the day of your thread lift.

    You may also be given an antibiotic before the procedure and asked to stop taking certain types of medications, such as aspirin, which can disrupt the healing process. After the procedure After the lift, threads take a few weeks to settle into place and integrate properly with the skin. Your surgeon will provide postoperative instructions that you must follow to the letter to reduce the risk of complications during your period of recovery.

    These may include: Getting someone to drive you home and help you with daily activities for at least 24 hours after the procedure. Limiting speaking for the first 24 hours following the procedure, allowing the skin to heal faster. Avoid chewing anything during the first 24 hours. You should stick to soft foods and liquids for as much as seven days. You will be given oral pain medications that will not disturb the healing process.

    Keep your head elevated during the first day to reduce swelling. It will be safe to resume light activities within a couple of days. You can get back to all normal activities within a week. Try to avoid social situations in the first week. It is best if you can stay away from weddings, reunions and other intense occasions for about three weeks.

    Avoid facial massages for about three weeks. Possible risks and complications As with any procedure, there are risks and complications that may arise following a thread lift. Outcome not up to expectations — This is a common complaint, which is why most surgeons caution their patients ahead of time about the limited or subtle enhancements they can expect from thread lifts.

    Because thread lifting is a relatively new procedure, techniques and materials are still being developed. Results can vary greatly from patient to patient. Bruising and swelling may occur immediately after the procedure — This is natural, and you can expect it to resolve on its own. Severe swelling should be reported to your surgeon immediately as this could be due to an infection.

    Infections — If you have an infection in the treated area, your surgeon will prescribe antibiotics. If excessive levels of fluid accumulate, you may need surgical drainage. Visible threads — In patients with thin skin, the threads may become visible underneath the skin soon after the procedure.

    This could be because of poor technique by the surgeon or because you are not a suitable candidate for a thread lift. Either way, you can reduce the risk of this complication by selecting an experienced and certified surgeon. Numbness or lack of sensitivity — These sensations will usually disappear within weeks but contact your surgeon if they persist.

    Threads migrating or breaking — On rare occasions, surgeons have observed sutures shifting from where they were placed. This can cause an unbalanced appearance in the face. A broken thread can cause imbalance and dimpling. The simplest solution is to insert a new thread. Reducing risks The experience and skill of your surgeon will contribute significantly to the successful outcome of your thread lift.

    You can avert risk significantly by selecting a surgeon who has received special training in thread lift procedures. Check out the credentials of the surgeon, as well as his or her education, training and Board certification status. How many times has the surgeon performed thread lifts? Most surgeons will show you a gallery of before and after photos of previous patients to help you fully appreciate expectations about the procedure.

    Bring a photo of yourself from a few years ago showing the result you would like. Your surgeon will tell you if that outcome is possible and reasonable. Find out details about the type of equipment used for the procedure, where the procedure will take place, and details of the treatment plan. Also find out about the exact technique that is recommended and the brand of threads to be used.

    Ask to see the preoperative and postoperative instructions your surgeon provides to all patients. You should expect the costs to be higher if you are having combined procedures at the same time. This information is correct as of

    Thread Lift with Anchoring Threads

    It reduces wrinkles and fine lines and promotes the production of collagen to add more volume to the treated area. You can get PDO thread treatment in Belsize Park, West Hampstead, or other areas like Harley Street, but it is essential to get the treatment done only from an advanced aesthetic practitioner to ensure the procedure is conducted smoothly and without any complications.

    Moreover, PDO thread before and aftercare is also crucial. Here are a few things to consider if you are thinking about getting the treatment.

    Things to Do Before Thread Lift Treatment Your practitioner will devise an appropriate action plan for you as per your skin type and the treatment required. However, the usual guidelines provided are as follows: Smoking and all kinds of alcohol must be avoided for at least one week before the procedure as they can dehydrate the skin and even affect the anaesthetic step.

    It helps in speeding the recovery process and providing the best treatment results. Avoid consuming omega fish oils, vitamin E, chilli ginseng, garlic, krill, and other such supplements at least two days before the treatment.

    It is best to avoid green and ginger teas as well. Avoid performing high-intensity exercises and going to a sauna or steam room. Your practitioner may give you more guidance on what to do before the treatment. Things to Do After Thread Lift Treatment The treatment has a minimal recovery time, but there is still plenty you can do to enhance the recovery and get the best results. Some patients may experience nausea after the thread lift procedure due to anaesthesia.

    However, it will pass after sipping small amounts of water. Here are some more things you should do after the treatment: Ice the treated area for a few minutes for four to five times during the day for the first week if you are experiencing slight bruising or swelling.

    Restrict facial movements for one day. Make sure to rest for a full day after getting the treatment. You can take pain killers as required after the procedure. Try consuming them after a meal to avoid any risk of nausea. It is best to avoid aspirins for the next two weeks after the treatment.

    Avoid applying makeup or facial cream for at least 48 hours. You should not drink a beverage with a straw and focus on drinking liquids or consuming soft foods for at least a week. Chewing gum should be avoided for at least two weeks. Experiencing slight discomfort in the first two days after the procedure is normal, it will gradually reduce.

    Try keeping your head elevated for a week. You are also not supposed to wash or touch your face for at least 12 hours. Follow the care guidelines the practitioner gives you regarding the incision wounds. It is recommended that you sleep on your back to prevent any swelling.

    Avoid straining or placing pressure on your face as it may result in threads misalignment. Avoid getting any dental treatment for at least two weeks after getting the PDO thread lift.

    In case of unusual pain or swelling, it is important to consult your practitioner to get the appropriate treatment immediately. This treatment has minimal downtime due to its nonsurgical nature. However, it is best to give it one to two days of recovery or the downtime your practitioner recommends. Is it okay to return to work immediately after the treatment? It mostly depends on the nature of your job and the environment you work in. You can return to work within one day to one week after the treatment.

    The time varies from job to job. If you have a strenuous job or one that requires plenty of activity and movement, for instance, personal training or nursing, then you might need more time before returning to work.

    When is it okay to take a shower post-treatment? It is recommended to avoid touching, wetting and washing your face for a minimum of 12 hours after the treatment. Even after that, it is best not to scrub or massage the treated area for around three weeks post-treatment. How long should I wait to resume my daily skincare routine? Gentle skincare practises, like usual washing, drying and lotioning, can be resumed after 48 hours of the procedure. However, you must avoid exfoliation, tugging, and scrubbing for three weeks.

    It is best to consult your practitioner if you want to apply any topical medications or strength creams. Can I apply makeup? You can apply makeup after 48 hours. How long should I wait to restart my workouts? You should consult your practitioner before you resume weight lifting or other heavy exercises. Yoga or other meditation exercises that requires bowing your head below the heart must be avoided for at least a week.

    Can I go swimming after the treatment? You must avoid wetting the affected area for at least 12 hours after the treatment. In the case of swimming, it is best to allow the suture area to heal completely. The same goes for saunas and hot tubs. Consult your practitioner for better guidance.

    You will see immediate results and have minimal recovery time after the procedure. This safe and effective procedure delivers long-lasting and natural results!

    Before and After Actual Chronos PDO Threads patient Polydioxanone threads are made of a synthetic biodegradable polymer that has been used in surgery for many years. The entire procedure takes only minutes and can last from years, depending on the patient.

    The typical candidate for a thread lift is in their late 30s to early 50s. A person who is generally in good health and is just starting to notice the signs of aging may benefit the most from the subtle impact of a thread lift. While they both play a role, they also work well together. If a patient needs more volume, we will add filler to the area, then lift the sagging skin with threads once the desired projection is achieved. Female patient with an oedema and ecchymosis derived from unsuitable thread traction in zone 3 between the midface and lower right face.

    The findings suggested a primary basic lesion with symptoms such as increased skin temperature and sore skin on palpation. The lesion was not suppurative and was triggered by the implantation of the thread. With the change in colour and oedema enabling the differentiation of the type of vascular lesion produced by inserting the thread, it was decided to perform a diascopy of the area or apply pressure to a glass slide, which concluded there was an exanthematous or diffuse erythematous macular basic lesion.

    Dermatosis without desquamation was established as the main diagnosis, which was flat and of an exanthematous or diffuse macular-erythematous type derived from an iatrogenic lesion. A blood test was requested as a complementary analytical paraclinical test in order to confirm that the complication was not infected. As a secondary diagnosis for the basic lesions examined in the dermis, it was determined that the clinical condition corresponds to non-infectious complications due to implantation in the incorrect plane, with the suture located on the surface.

    The chosen treatment involved infiltrating non cross-linked hyaluronic acid along the suture to induce its hydrolysis, rather than surgery to remove the thread.

    After a local anaesthetic, the treatment approach involved using cannulas along the implanted thread to deposit non cross-linked hyaluronic acid, adding the greatest volume in the furthest zone from its insertion. This was all undertaken with the aim of quickly inducing suture degradation in order to rapidly resolve the aesthetic and inflammatory complications affecting the patient.

    The patient was indicated to continue the non-steroidal anti-inflammatory drug treatment prescribed by the doctor that implanted the polydioxanone threads ketorolac 20 milligrams administered under the tongue every eight hours for three days.

    The clinical treatment, injecting non cross-linked hyaluronic acid, began 24 hours after the complication occurred, administering 0. The procedure was repeated after 21 and 45 days. During this period, the patient was advised to avoid massaging the affected area, placing warm or cold compresses, applying creams or ointments, applying pressure on her right side during sleep, and to clean the area of the incision furthest away from the thread using distilled water and antiseptic liquid soap every day, followed by covering the wound with latex-free hypoallergenic adhesive tape.

    The follow up after seven, 21, and 45 days showed a positive and gradual evolution of the area treated with hyaluronic acid, initially noted as a reduction of the oedema, then a reduction in the number and depth of skin irregularities and folds deriving from the traction due to the thread fixation, as well as the skin redensifying in the area with numerous secondary rhytids before the operation Figure 2.

    Figure 2. Clinical evidence of progress at 7, 21, and 45 days respectively. Additionally, a blood test was performed on a segment of the polydioxanone thread prior to establishing the treatment plan.

    The test consisted of a degradation test or in vitro hydrolysis in a medium containing non cross-linked hyaluronic to enable the macroscopic observation of its dilution in that medium. A similar polydioxanone thread fragment to the one implanted in the patient was subjected to placement in a Petri dish for biological samples at 37 degrees Celsius for subsequent observation in a laminar flow cabinet and through an optical microscope. The one centimetre long 21G gauge polydioxanone thread segment was immersed in 1.

    16 Thread Lift

    It was observed using an ultramicroscope at 4x and 10x after 24, 48, and 72 hours. The microphotographs at 24 hours already showed evidence of structural changes in the fibres with increased interlaminar spaces and dilution of the violet pigment. There was evidence some fibre breakage and an increase in interlaminar and interfibrillar spaces Figure 3.

    Figure 3. Polydioxanone thread after 48 hours immersed in hyaluronic acid. Figure 4. Onset of the polydioxanone fragment dilution at 72 hours immersed in a simulated medium with hyaluronic acid. Discussion The reported case introduces a new treatment, applied to a patient that requested medical attention for presenting exanthematous dermatosis, derived from the incorrect implantation of barbed polydioxanone threads in her midface.

    How to Fix PDO Thread Lift Puckering Complications

    The treatment involved infiltrating non cross-linked hyaluronic acid along the suture to induce its hydrolysis, rather than surgery to remove the thread. The treatment choice was based on previous results from an in vitro test undertaken by the authors of this case study to verify the degradation or hydrolysis of the polydioxanone thread in a medium containing non cross-linked hyaluronic acid.

    The aforementioned suture dilution was observed under a microscope at 48 and 72 hours from its incubation. The polydioxanone thread implanted in the patient of this case study was not found inserted in the superficial musculoaponeurotic system or in the hypodermis. It was placed on the surface of the dermis, with palpation possible, causing the complications in the patient.

    Benefits of PDO Thread Lift

    This lead to the need to apply the technique as described in the literature. One of the most recent authors [8] recommends inserting the threads at an angle or vertically downwards, with lifting vectors aimed towards the temporal or zygomatic zone to enable significant lifting of the cheek and mandibular contour. They emphasise that polydioxanone threads should be inserted into the superficial musculoaponeurotic system area.

    As a result, facial lifting with threads should not pose any risks of complication, as long as both the technique and facial anatomy is properly understood. This is a very important aspect, particularly when the limits between the planes are almost virtual and the depths between planes are only a question of millimetres. When it comes to complications after inserting threads, similar studies to this case have shown that barbed type threads have caused most complications.

    The most common complication involves skin dimples and irregularities This is in line with the complications presented by the patient in this case report, although no suture migration or extrusion occurred. It is maintained that the achieved lifting effect derived more from the technique used rather than the thread itself. Despite being widely accepted, adverse events can occur after their implantation that have a major impact on the development of the patient in question [18]as occurred with the patient whose case is presented in this article.

    Given the high morbidity associated with using barbed threads, some authors recommend observing the patient for the first 72 hours after implantation. They are placed differently in the hypodermis to the smooth or coiled types and strong reactions may occur up to four weeks after being placed [19]. These threads received FDA clearance for midface suspension in The most popular type of threads used in the United States and worldwide is PDO, and thus the rest of this discussion will focus on this type.

    PDO is a synthetic monofilament polymer and can be used as a lifting suture to suspend ptotic tissues of the face or body, or both Fig. PDO sutures are more pliable than their polypropylene counterparts and have more strength than other absorbable sutures. This creates tension in the thread that lifts the skin tissues. The effect increases over time as collagen forms around the threads, cogs, and barbs. PDO is a synthetic monofilament polymer, used as a biostimulator for skin and collagen rejuvenation.

    The procedure was well tolerated with only transient mild swelling at the insertion points Fig. Knotless PDO threads lift tissue with barbs, cogs, or molds, which adhere to tissues when the thread is inserted. PDO threads have been used extensively for aesthetic applications in Korea. The thread resembles a V-shape, with half of the thread residing outside the needle and the rest inside the caliber.

    The needle or caliber is inserted, and then removed, causing the thread to be fixed inside the skin without anchorage or knots. In general, the complications associated with nondissolvable threads are far more frequent and problematic than their dissolvable counterparts. Threadlifting with permanent threads may be accompanied by a variety of complications which include: Infection, rippling and puckering, asymmetry, granuloma formation, thread loss, and thread breakage.


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