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PDO threads
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Last Updated On January 6, 2025

PDO Threads Gone Wrong – Understanding the Risks

Jan 2, 2025

Minimally invasive cosmetic procedures, such as thread lifts, have gained popularity due to their reduced recovery times and lower risk profiles compared to traditional surgeries. However, complications can still occur, including infection, thread extrusion, and prolonged pain.

PDO (polydioxanone) threads are dissolvable sutures used in these procedures to lift and tighten sagging skin. While generally safe, improper technique or patient factors can lead to adverse outcomes, such as visible threads, asymmetry, or skin dimpling.

This article will explore the potential risks associated with PDO thread treatments, common complications, and essential considerations for ensuring safe and effective results.

Key Takeaways

  • PDO thread lifting is a popular, minimally invasive treatment for sagging skin and wrinkles, but it is not without risks.
  • Potential complications include thread visibility, uneven results, infection, and skin dimpling, often caused by improper technique or incorrect thread placement.
  • Choosing a skilled practitioner and using the appropriate type of threads for the treatment area significantly minimizes these risks.
  • Managing patient expectations through clear communication ensures satisfaction with the subtle and natural-looking results PDO threads offer.
  • Proper aftercare and patient evaluation further contribute to safe procedures and optimal outcomes.
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Potential Complications of PDO Thread Treatments

PDO thread lifting is a popular, non-invasive treatment with numerous benefits, but it’s important to be aware of potential complications.

red spots
  • Thread Visibility: If threads are placed too close to the skin’s surface, they may become visible, particularly in thin-skinned areas like the lips. Using the appropriate thread type and ensuring proper depth during insertion can prevent this issue.
  • Uneven Results: Asymmetry can occur if threads are not evenly placed. A skilled practitioner customizes the treatment plan to achieve balance and natural-looking results.
  • Infection: Although rare, infections can develop where threads are inserted. Symptoms like redness, swelling, or fever require prompt medical attention to prevent further complications.
  • Skin Dimpling: This is more common in patients over 50 due to reduced skin elasticity. Proper thread selection and precise placement help ensure smooth and even skin.

Causes of Complications

While PDO thread lifting is generally safe and effective, complications can arise due to a combination of factors, including improper technique, incorrect thread placement, and patient-specific considerations.

threading for the jowls
  • Improper Technique: A practitioner’s lack of experience or training is one of the leading causes of complications. Techniques such as inserting threads at the wrong depth or failing to follow the face’s natural contours can result in thread visibility, uneven results, or even skin dimpling. Precision and expertise are crucial to achieving smooth, balanced outcomes and avoiding these issues.
  • Incorrect Thread Placement: Improper anchoring can cause uneven lifting or failure to achieve the desired effect. Additionally, overloading the treatment area with too many threads or using the wrong type for a specific application, such as PDO threads for marionette lines or under-eye hollows, can lead to complications like asymmetry or poor integration with the skin.
  • Patient-Specific Factors: Individual factors, such as age, skin thickness, and overall skin health, also play a role in determining the success of PDO thread treatments. Older patients with reduced skin elasticity are more prone to dimpling, while those with thin or sensitive skin may experience thread visibility. Pre-existing conditions, such as a history of infection or slow wound healing, can increase the risk of complications.

By understanding and addressing these causes, practitioners can tailor their approach to each patient, ensuring safer procedures and better outcomes. Proper training, patient evaluation, and using the appropriate PDO threads for the treatment area are essential to minimizing risks and achieving optimal results.

Avoiding Complications

Preventing complications from PDO thread treatments starts with proper training for medical professionals. Practitioners must master advanced techniques, including precise thread placement and depth, to minimize risks like thread visibility, uneven results, and skin dimpling. Continuous education and hands-on experience are essential to stay updated on the latest methods and best practices.

woman happy with fair complexion and smooth skin

Choosing the right type of threads for each patient and treatment area is equally important. For instance, thicker threads may be better suited for lifting heavier skin in areas like the jawline, while finer threads work well for delicate regions such as the lips. Selecting threads that match the patient’s skin type and aesthetic goals ensures optimal results with minimal risk of complications.

Finally, managing patient expectations plays a critical role in avoiding dissatisfaction. Practitioners should clearly communicate the capabilities and limitations of PDO threads, emphasizing that results are subtle and natural rather than dramatic. Educating patients about the recovery process and potential side effects helps build trust and ensures they are well-prepared for their treatment journey.

Conclusion

PDO threads are an effective option for lifting and rejuvenating the skin, offering natural-looking results with minimal downtime. However, as with any cosmetic procedure, they come with potential risks that require careful consideration. Factors such as practitioner expertise, proper thread selection, and tailored treatment plans are critical for minimizing complications and achieving optimal results.

By understanding the causes of complications and adhering to best practices, both patients and practitioners can ensure safe and successful PDO thread treatments. Through collaboration and attention to detail, PDO threads continue to be a reliable solution for non-surgical facial rejuvenation.

FAQs

1. Is PDO thread lift painful?

Patients may feel mild discomfort, but numbing cream or local anesthesia minimizes pain during the procedure.

2. How long does the PDO thread lift take?

The procedure typically takes 30 to 60 minutes, depending on the treated areas.

3. What areas can be treated with PDO threads?

Common areas treated include the face (cheeks, jawline, and neck), eyebrows, and nasolabial folds.

4. How soon will I see the results?

Results are typically visible immediately, with further improvements seen over the next few months as collagen is stimulated.

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References

Thread lift Risks and safety. American Society of Plastic Surgeons. https://www.plasticsurgery.org/cosmetic-procedures/thread-lift/safety

Edgar J. Thread Lift. RealSelf.com. Published 2023. https://www.realself.com/nonsurgical/thread-lift