hi I'm dr. Johnny and today for our
quick clip we're doing a Rosie's quick
clip on the PDO thread jaw line I did a
video on the snatch jawline and cheek we
did both because it's better to do the
cheek and the jaw line at the same time
one of my videos parallel lines of
beauty I like the angle and the contour
of the cheek and the jaw line to be
parallel equi distant kind of like when
people do that selfie and purse the lips
that those lines being contoured look
the best and when you fill the cheek or
you address the cheek less needs to be
done in the jawline so it's more
cost-effective but today I wanted to
just show you the process of a PDO
thread being inserted along the jaw line
whether you want this snatched look
whether you're a little older and you
just want a little tightening or you
just want the sharpest jaw line with the
most amazing go Niall angle at about a
hundred and ten to 130 degrees a PDO
thread is often a big part of that and
also can lift the edge of the mouth the
oral common Shore so that you don't have
that downturn of the mouth let's go
right to this video in three seconds
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going on now did jawline let me walk you
through this doing jaw lines is fun I
often do a V pattern with the P do
threads and I like a 21 gauge is okay
and it's quick but the 18 gauge barbed
and then you can move up to a molded if
you want even more lifts so people often
ask me he had a thread I didn't like it
or had a thread I got a problem or I had
a thread I like it and I want more or I
had a side effect I don't know what was
put in unless I did it what kind of
thread there's different materials PDL
polydioxanone PCL polycaprolactone and
PLA are common ones so understand the
threads just not a thread and where you
get the thread from how old it is how
long it take to get your provider how
long it was sitting on the shelf
determines the tensile strength the
stronger it is but I don't like
permanent ones the stronger it is the
more pull you're going to get if the
barbs and the molds are effective if
they're not grabbing the tissue I don't
care if you had ten threads it's still
not gonna work
so all these nuances are important so
keep that in mind but let's go to the
video I wanted to do and show you what's
involved in putting a thread along the
jaw line my preference is to go
underneath so here you see it now I put
a little lidocaine and EPI at the
opening what that does is
couple things one of course pain control
because I use an 18 gauge needle to open
it and also helps with bleeding because
18 gauges a larger needle and the
epinephrine in the lidocaine helps stop
any bleeding at the entry point and then
I'm inserting the cannula an 18 gauge is
a little harder to insert it's a bigger
cannula cannulas or blunt and the thread
goes in we thread it along the jaw line
right up and tell about the midline
sometimes we have to exert a little bit
more pressure other times it goes
there's a lot of Accio cutaneous
ligaments of fibrous tissue that we're
using now I engage the threat so I pull
on the edge of the thread I pull the
tissue towards it and then at that time
I'm engaging it and I'm moving the
tissue so that collagen bills in that
lifted manner I hide the thread behind
the goal go kneel angle I pull with the
scissors we bury it a very important
part of this technique is burying the
thread so it's not visible and then we
snip it now we can put another one in
most commonly if the jawline is where
we're focused and we haven't done the
upper face or threads I'll put two in
here it's well tolerated I did a whole
video on vo I feel my thread because you
can feel sometimes those Barb's in there
especially the first four to six weeks
where there's some tensile strength of
that thread so you can also have videos
on thread problems and the number one
side effect and how to fix a side effect
those are all good videos to watch PDO
threads are my preference and they have
a great degree of longevity coupled with
low side effect profile they do go away
so it's something you need repeat it but
keep in mind things that are permanent
or lasts forever aren't necessarily the
best thing either because you've had
problems you don't like it that's a long
time so perma threads have been taken
off the market
these resort which is a nice feature of
them and remember PDO threads are not a
face look they're not as
- for surgery they can delay it they not
everyone need surgery not ever want
surgery but it works with colleges
simulator with neuromodulators with
injectable radio frequency with Cabella
it all works together because the face
we don't just treat one thing a brow a
brow lift the upper eyelid the cheeks
the corny lines the jawline the neck we
treat it off because no one wants
incongruence in their look and older
upper base and a youthful lower face and
as we do the upper face less needs to be
done in the lower face typically
everyone's different everyone's consults
important thanks for joining me here
hope that helped you have to see what if
thread was what a PDL thread was like
injected tell me your experience have
you had them were you researching them
are you scared was it success was it a
failure and join me here subscribe hit
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