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All about threads!

Updated: Jun 17, 2021

It seems like now a days there is always a new trend popping out of nowhere. Making it so hard to keep up! Threads have actually been around for a while but have gotten a make over in the recent years. The former threads tended to be permanent, while the new one’s dissolve (which is what aides in their effectiveness). The new threads that are being used are all the rave now. So lets break them down and figure out which ones to use for what. Before we get into it, lets make it clear that threads should be utilized by medical professionals who know how to properly apply them and know the anatomy very well.

There are 3 types of threads: PDO, PCL, PLLA. PDO (polydioxanone) threads are high tensile and can last for up to 8 months. They are the most commonly used ones and the only ones I use in my practice. PCL (polycaprolactone) tend to work more like a filler would. Their effects take place in about 4 to 5 weeks and results can last for 2 to 4 years. PLLA (poly-l-lactic acid) threads cause the skin to become firm because they cause accumulation of water which creates a more hydrated look. These threads can last for up to 18 months. Since PDO Threads are my chosen favorite, lets focus on them.

Lets break them down. There are three variations each with a different purpose. There are the mono, screw/twisted, and lifting design. The mono PDO type is used for general lifting. These can be used almost anywhere, including the neckline, abdomen, buttock, inner thighs, under eyes, nasolabial folds, lips, eyebrows… you name it. The screw or twisted type is barbed and is used for skin tightening and slight lifting. These are mainly used on the face for facial expressions; areas such as the nasolabial folds, mouth frown, drooping eyelids, lip contour, and along the jawline. These have a slightly better activation of collagen in the body. The lifting type is also barbed and attaches to the underside of the skin, adding more support to lift sagging skin. These can be used on the face and body, and are popularly used for the nonsurgical facelift. The most common protocol for the nonsurgical facelift includes a 3 vector design with or without jawline lifting.

Now that we have threads down, lets talk about the side effects. The most common side effect (but still rare overall) is bruising. Other side effects include swelling and tenderness to the area of injection. As with any procedure infection is always a possibility. By following proper hygiene practices and avoiding blood thinning medications/herbal supplements prior to the procedure, these risks can be minimized. Some of the most commonly used medications that can increase your chances of bruising include NSAIDs, aspirin, and gingko bilboa.

The procedure is fairly quick and results are immediate, with the best results seen in about 4 weeks. Don't be scared to try PDO threads. They really are a God sent. I have used them for acne scarring, stretchmarks, defining the lips, and even for the "fox eyebrow" lift! If you have any questions or doubts, always feel free to reach out. My mission is to make my patients feel comfortable with any procedure that they chose to do.

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