hi I'm dr. Johnny did your PTO thread
procedure not work let's talk about the
three most common reasons that it didn't
so have you had PDO threads have you
enjoyed the results or maybe it just
didn't work for you I'm gonna take you
through the three most common reasons
that the threads don't work and remember
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your comments what do you think about
these have you had them done were you
considering them we love to hear from
you and be educated so a lot of people
will comment that they enjoyed the
threads and that they worked well but
for those that it didn't work what are
some of the reasons the number one
reason is inappropriate patient
selection by far and that is a lot of
people see threads and they're thinking
facelift
well of course permanent threads which
have been taken off the market some time
ago were used as an alternative to
facelift or to buy people five to seven
years they're still available in some
countries but the threads were talking
about or either now are either PDL pcl3
lla and they're resorbable meaning the
threads go away
they build collagen in a lifted manner
some are smooth summer twists and some
have the barbs or moulds that Jack the
face up and lift it up they're part of a
long term treatment plan but if people
come in and they want a facelift they
have a lot of sag and there's no hollow
or gain that we can lift by doing
procedures like plasma sculpt sculpt or
a liquid facelift so whatever people
want to call it then the threads are not
a substitute for lifting the skin
remember the skin has to go somewhere so
if there's sag and we're trying to lift
significant amount of sag people can
have a facelift first and then they're
still going to need minimally invasive
procedures like neurotoxins Botox and so
on fillers collagen stimulation plasma
it's a content
but patient selection is key now patient
might have significant sag but they're
looking for a minimal improvement or
moderate improvement they understand
that that skin and tissue has to go
somewhere they can still be good and
very happy candidates I must say but if
they're expecting a facelift type of
result and they really need that skin
cut away and fat removed and sagging
fixed then they're going to be
disappointed with the thread lift the
ideal candidates have mild to moderate
laxity realistic expectations and are
typically ones that are used to getting
cosmetic services have maintained their
skin have had sculptor and fillers and
liquid lifts already someone just coming
in for threads unless they're younger
may well be disappointed the number two
reason for failure is not using enough
threads and I'm going to lump into that
category the wrong type of threads
meaning there's different types of
materials and they come from different
companies and just as you've had threads
doesn't mean they're all created equal
some are better some crumble in your
hand if people don't do a lot of these
procedures those threads you can just
they crack apart because they're old
they do have an expiration date
just like neuromodulators when you mix
them they have a certain amount of time
they work for the threads as well so
just because you went somewhere and had
threads how do we know what type of
threads and then did you have six eight
ten and I'm talking mainly Barb's now
because that's where most of the people
are gonna report their failures so if
you had 21 gauge vs. 19 versus 18
they're all bigger threads versus
smaller threads if there's a lot of sag
you need the most left and the most
number of threads so when people ask me
questions or direct message me it's
really hard to know what to say because
I don't know what type of threads were
put in how many were put in and the
depth as I talked about in another
results they're all important to get
great results but the number two most
commonly would be the wrong type of
threads or poor threads or old threads
and just not enough in number the third
and most common reason I see for failure
is that people believe it's the one and
done and nothing in minimally-invasive
aesthetic medicine is one and done and
when people want to travel to get
procedures done
I often discourage it because I repeat
all these at about six to eight weeks
just like I do with Sculptra because
once you put threads in and if we're
talking Barb's specifically the smooth
and the coil threads or the twists are
going to build collagen and certainly we
repeat those just like collagen
stimulators instead of sculptor going in
as a water think of the thread going in
is the collagen stimulator but instead
of a water it's a thread a different
mechanism of action but if you're
talking barb when things lift up in the
threads in perfect position and we give
that post-care decrease your motion
don't give a huge expressive smiles and
and animate so much let the thread take
and let it build collagen around it
there's going to be a certain laxity
over the next few weeks where I then if
people need it I add more threads at the
six to eight week mark to regain that
lift and work on the collagen building
that those threads that are already in
place have and if you think of it as a
one-and-done I go get my thread lift
I'll be back in two years that's kind of
a failure of the selection of patient
and the mindset that was given to the
patient threads are used in an ongoing
manner certainly at six weeks patients
come back and go I'm very happy nothing
like it I've had great results I'm very
happy they don't need to retreat at that
point but about 60% of patient's because
they saw some bit of laxity I want a few
more threads to get a little more lift
and we can do it well you often don't
need the same amount of threads as you
did initially and if they want at that
point they can then retreat and then
three
one to two years which is about how long
it's gonna last people so those are the
top three reasons I see PDO threads fail
what have you seen what's your
experience how do you use them in your
practice let us know join us over on
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beautiful healthy and vibrant