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hi I'm dr. Johnny I'm talking PDO
threads today I'm gonna shed a little
bit of light on how I think about them
and how I use them in my practice
everyone around the world are gonna use
these slightly different and have
different concepts so this is just my
opinion and how I pick patients for them
I gotta say on this channel and on
Instagram I hear a lot about threads
love them hate them they hurt I should
have had a facelift waste of my money
you hear everything so I want to address
it and I want to talk about how I use
them in my practice and the first thing
I see a lot online that makes me shiver
a little bit as people say I should have
got a facelift I'm not sure why I got
the PDO threads if you're thinking in
your mind that you are one and should I
get a PDO lift thread lift or face lift
more than likely ask your provider but
you probably need a facelift PDO threads
are not a facelift and that's the first
problem that people think about I'm
going to tell you what they are how do
you tell I think one way is pulling the
skin when people come in if they can
pull their skin about an inch and a half
or more by the ear and that's the
tightening that they want they're
probably more of a facelift candidate
I'm gonna take you through five ways to
know if you're a good candidate a little
bit of background about PDO friends for
those you don't know they've been used
around the world for dozens of years
they're polydioxanone it's like suture
material it does dissolve in about four
to six months
there are barbed ones that do create an
immediate lift and then dissolve and
build collagen and then there are smooth
ones that create glow and collagen a bit
of volume here's five ways to know if
you're a good candidate the first we
alluded to not too much excessive skin
if people come in and there's two things
that they do their skin is great and
they want a result but they're pushing
really hard on it there's a lot of
tension because their skins good and
their volume is good you can't a
facelift nor the thread is going to have
enough lift or power to lift that
because they basically have great skin
and the tissue is going to be under too
much tension for anything to hold it up
there's other things you might just do
like dissolving or removing fat or other
treatments but threads aren't a good
treatment then the second one is
excessive loose skin where there's an
inch and a half or more on either side
of the skin there are the face to pull
up their skin where's the skin gonna go
with the PDO threat it doesn't just ball
up and sit here and then you pin it up
it's a great idea but you may as well
use masking tape as well it's the same
thing so bad use of PDO threads so
that's a way to know if you're not a
good candidate if you don't have excess
of skin and your tip your tissue with a
little bit of tension gives you the
result you want you are a good candidate
number two I love to see hollows if you
see hollows that's somebody who is a
good college and stimulator filler
thread candidate because not only are
you gonna get some pull from the thread
and some collagen stimulation from the
thread but now when you add volume with
I use plasma sculpt sculptor a
platelet-rich fibrin a little bit of
filler a CH a filler all those things
are going to work to create beautiful
angles fill the hollows and create that
lift you won we're not depending on just
the thread to hold the face up so those
are good candidates patients that need
other things done to help the thread
work as they say in all my videos it's
typically not one treatment but
addressing the whole face with several
different treatments to get the best
result third is youth really the youth
are better candidates for this and when
we say youth I can't give you an age
because there's 50 year olds 60 year
olds that come in and look 30 35 40 been
taking care of their skin or their
naturally protected by being a skin type
4 or 5 or 6 so good healthy skin that
will respond and build collagen to the
threat if someone has unhealthy skin of
their smoked
they're not gonna build the amount of
collagen they need other treatments and
maybe a surgical treatment is best
so in general youthful skin will respond
better as you can imagine the suspension
of the thread that dissolves we know at
three to six months is gonna hold the
face up with the collagen your body
produces it's not like polypropylene
threads that we're here like a fishing
line that lifted the face and held up
there they have their own complications
this is PDO polydioxanone and the same
thing I will say applies for plla
threads number four you're a good
candidate if you're willing to repeat
this and I always say in trainings and
what I'm talking I like to repeat
everyone's threads at six to eight weeks
and they say dr. Johnny that if it lasts
the thread itself lasts six months and
you can get two years out of the result
why would you repeat it that soon if you
think about a barbed thread lifting and
you treat somebody there's it of course
there's gonna be a relaxation or a
laxity produced over two months because
the patient's dynamic the thread becomes
soft at four to six weeks and repeating
it then helps suspend helps both those
threads build collagen if you see
someone they don't need it repeat it
that's great you repeat at six to eight
months but for many people consider
repeating this at about four to eight
weeks somewhere in there just like you
would with sculptor the result then will
last longer and look better if you think
it's a one and done and this is what I
see all the time I want to come see you
I'll fly and get my thread lift that's
not a PDO thread lift it's not a
one-and-done and in all likelihood
you're gonna want to repeat it a year
two and three just to get more of a
result then you'll likely do better with
your repeats you'll look better each
time it's a continuum but you will need
repeats and you're a good candidate if
you're willing to do that number five
you're also a good candidate if you've
had a facelift
many people said well if you had a face
of why do you need a threat these are
some of the best candidates yes there's
fibrous tissue it's a little more
technically challenging because of that
but a lot of people get a facelift and
are a little bit unhappy with it what's
a little bit unhappy they wanted a
little more lift at the edge of the
mouth they wanted a little more
tightness or pull and imagine the
surgeon sitting there he has to
guesstimate how much pull the patient
wants how much it's going to accept and
how much going to relax it's an inexact
science and then there's the psychology
of it so adding a thread or group of
threads to get that kind of icing on the
cake and get a little more result than
maybe you got from surgery is a great
use not only in the face but wonderful
along the neck too so post surgical
candidates are perfect usually for this
type of treatment and it works great
without having to go under the knife
again so that's a little bit about a lot
of the questions I can ask about PDO
threads let me know in the comment
section below
what's been your experience how do you
use them and what do you think about the
video
join me on Instagram we put a lot of
before-and-afters up on Instagram and
engage people that way as well a lot on
PDO threads and also subscribe to this
channel to keep your skin and body
beautiful healthy vibrant
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