CPD: Understanding Thread Lift Complications

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Thread lifts are minimally-invasive procedures where sutures are placed in the subdermal region to help lift sagging tissues. They are growing in popularity as patients seek treatments to tackle facial sagging with less downtime, risk and costs compared with the standard incisional surgery for facial rejuvenation.1 
There are a variety of sutures on the market, but broadly the main types used are absorbable and contain synthetic polymers such as polydioxanone (PDO), poly-L-lactic acid (PLLA) or polycaprolactone (PCA).2 Many threads have collagen stimulating properties; newer ones may also contain hyaluronic acid.3 The sutures can be smooth, barbed, with cones, cogs or springs to hook and lift the skin. Complications are, however, generic across the board and not specific to one type of thread. Recently, many horror stories have occurred in the press and usually involve unregulated…

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