The top five thread lift questions that I get.
Answered for you today.
Thanks for joining me.
I'm Dr.
Johnny many questions on threads.
People use them for facial rejuvenation for lifting.
Some people believe they stimulate here.
Some people try and reduce some fat in the lower basin.
As we know that's what age is so many people, lower face volume.
Actor atrophy.
So number five, question.
What age should you start?
Very tough.
Loaded question.
I have people, I only see 21 and over in my clinic, I have people that come in 24,
25, 26, but it'd be say for rejuvenation.
What do I see for the average person?
Pretty good on skincare.
Um, that's using sunscreen and taking care of their lifestyle is age 35.
That's when people start to see college and loss, even though it
starts in the twenties, as we know many factors, determine it, diet, exercise,
sleep, sun exposure, and genetics.
But if pushed to an answer.
Five to 35 for the smooth threads.
When you get to lifting threads, the age goes up more towards 50
is an average people try lasers in different devices before they
want to go to the lifting threads.
Cause there's a lot of negative publicity and keep in mind a lot
of people that talk negatively on.
And there are negatives have never used them before.
So they're threatening to a lot of people.
However, it's a tool in the armamentarium of your aesthetic provider.
Next question.
Number four, you asked what type of threads do I use?
So what material people know, the PDO thread lift or PDO threads, Y P D O
Paulie dioxin own is one type of material.
It has the least longevity.
Of the three most common and the three most common are the PDO I talked about.
And that's what my choice is.
P L L a poly L lactic acid, similar to the sculptor we inject and then P C L
or poly capralactone, which commonly you see in the nose, but are used in
other parts of the body as well, but commonly in the nose because they're
longer lasting, uh, and the nose is a different beast unto its own to fill
and to volumize and to use threads.
It's a whole art in of itself.
Why PDO?
PDO?
Sweet spot for longevity.
But if side effects occur, they dissolve over three to six months versus
longer lasting out towards two years.
If you get a problem that's too long for someone to have an issue,
and I'm going to talk my number.
One's going to be a little teaser, the number two, one, and two complications.
So you know what you're getting yourself into, but that's my question.
Number four, question number, number three.
How many threads do I need?
You don't need it.
Aesthetic services are options.
Some people swear against them and some people live by them, but threads can
make people look more youthful, give you glow and look very, very natural.
That's the draw.
And I told you, I use PDO.
PDO are often people have had them in their body anyway, because they're in
the form of common dissolvable sutures.
But in terms of number smooth threads for an area like.
Or a face.
My average would be about.
Twenty-five to 30 smooth or twist coil threads.
And, uh, if you go to Barb threads for a lift and I all almost always
do combinations, so I'm rarely doing a thread lift without doing
some sculptor, fractionated, RF, growth, factor skincare, all those
things threads work together for me.
But when people coming to get that type of combination, I'll use four Barb.
On one side and four on the other.
So a couple in a high vector for this fold and the fat pads in the mid face,
I'll use at least one for the lower face or the RBF or the edge of the mouth.
Some people do want to, and then almost always on the jaw
line to pull up back here.
Now, I often repeat them at six to eight weeks and then people are good for a year.
Bonus.
How long did they last?
Because that is a common question.
Um, and smooth threads.
Again, I do those in two sessions, but those are my average number
25 to 30 smooth and twist, which bill collagen give glow.
Um, they do give some structure and support and can we use in a mesh pattern
and the lifting threads would be about.
What brand of threads do I use?
I'm always asked this in every, clinic's going to have their bias for me.
I want FDA cleared.
I like made in USA and I stick with a company until proven.
Otherwise I use NovaThreads, I've used them for a long time and
to me, they continue to improve and I'm a fan of molded threads.
Uh, and so because they have that in their lines.
I like to use molded.
I also, if for people using that brand, I use the Barb force.
I love those if I'm using Barb.
So those are the combination of lifting threads I use commonly.
I think one of the things that people discount is
sterility, a source of threads.
This is something going into the body of a person.
Uh, Having a thread that's FDA cleared gives you that security as well.
And then if something happens or there's a side effect, which there will be anyone
who doesn't have side effects, isn't doing enough treatment, side effects
are a normal part of getting anything done, including pills, including devices,
all thera, uh, Thermage RF, anything that you do micro-needling there will
be side of it because if you treat hundreds of people, no matter what.
There's a side effect profile.
You don't want to donate your thread.
You don't want to say, oh, I got a red area.
Is it infection from what I did wrong?
And if you know your tech.
You can really reduce it.
The probability of it being infection.
Cause it's rare.
Number one, cause of infection, dog licking the face after
treatment, by the way.
But if you, now I have a thread that you don't know the source you're
in deep trouble because you're questioning what you put in to a face.
And look at this thread.
This would show you the packaging.
Here's a smooth thread, a 29 gauge smooth thread, and you can
see it, the package being old.
You see the silver package that prevents any air from getting in.
So look at your threads and make sure they're packaged properly.
Air will oxidize and crumbled the threads.
So imagine if I was using threads because they were cheaper, inexpensive, or I
got an offer from an outside country to use some threads you put in, you take
all the time to go through it and the threads break, or they're not strong.
They weren't packaged, they were expired.
They do.
Binary dates, uh, what a waste of time and effort.
And then people are going to go that didn't work clinics are
motivated to have great results because it builds your practice.
Number five, what risks are involved?
So I'm going to take you through the top two side effects.
I see.
Um, and they're both associated.
Molded and Barb lifting threads.
This smooth threads are very well tolerated infections.
If you're seeing a reputable source, uh, where they're cleaning, they
use a reputable source of threads.
There are many types of threads on the market.
Uh, infection is actually very good.
But when you go to a lifting thread, you're now jacking up the face.
You're pulling, you're keeping the tissue under tension and puckering
would be the number one side effect.
I see where you get an irregularity.
It can be avoided 95% of the time by how it's placed by
evaluating before you snip the end.
Uh, and by unzipped.
If you see any irregularity before you snip the end, so you can adjust these.
So technique plays a big role.
Number two is at the insertion.
If for the right isn't buried or the person doesn't follow their post-care
and is very animated thereafter, eats a big burger within a couple of weeks.
Chapter opens the mouth real wide.
You can get a pocket, not a puckering, but a little dimple pimple infection.
Granuloma.
Insertion point.
So again, technique plays a role, but also post care patients have
a responsibility of post-care that the practitioners can't control.
I'm a big fan of threads, but it's a tool.
Remember the consult and making sure the patient is appropriate
and the expectations are appropriate is the number one.
First foremost, primary concern of the clinic of the provider.
It's not collecting the money.
This is not something you can say.
Here's the $2,500 procedure collect the money.
I'll see it tomorrow.
You have to look and analyze the patient.
I put a complete playlist up here on PDO threads and one down here on things you
can do at home to avoid having procedures.
In a clinic, stay tuned here.
Keep your skin and body beautiful, healthy, and vibrant.