hi I'm dr. Johnny today I'm talking PDO
threads with results how deep should
they be placed does it make a difference
does it change the outcome let's have a
quick video today on PDO threads getting
great results and what the depth of
placement has to do and if you're not
getting great results could that be the
difference so remember if you like these
videos subscribe below and don't forget
to click the bell and that way you'll be
notified on all the new videos we're
talking PDO threads today there's many
other topics they remember there's a
whole playlist so if you're interested
in threads if you're thinking about
getting a thread lift if you're a
provider of threads you can click on my
playlist I don't know maybe there's 25
or 35 videos they're all about threads
and different properties of them today
we're talking about depth over an Asian
last month we had a great conversation
and debate about different thread depths
let's talk about in general the cheek
and the barbed threads one of the reason
I'm doing this video is I got so many
questions through Instagram and here in
YouTube about people saying about
threads hey maybe I didn't get the
results I wanted I had fabulous results
or I saw some results but almost nothing
for what I paid for so you'll see all of
those factors in there and they might
ask me why is the case is it too deep is
it soup too superficial let's start with
my all favorite smooth and twist threads
these threads should be placed more
superficial and that's the bottom line
you don't want to see the thread but if
you put it too deep in the fat layer
it's not going to stimulate the collagen
it's not going to give that glow and
it's not going to give the effect that
you want you have to mesh it not in the
fat layer not intradermal because again
and it's possible to get a winter dermal
because a lot of the smooth a lot of the
twists are still loaded on
and to be frank what do I like better I
kind of like the needles better to
getting my depth especially if you're
using a 2.5 inch a longer smooth or
twist because the needle becomes more
flexible and you're always navigating
that depth if you're just throwing those
threads in and they're going deeper and
you're not taking the time to consider
the plane I just don't think you're
gonna see the result one of the areas
with smooth threads that I was shocked
and surprised about the result is the
cheek and I would put smooth threads in
along the cheek to get a little lift at
the edge of the mouth to make the skin
more robust so I could go to Barb's but
what I saw was so many people coming
back everything I do is 2 sessions 6
weeks apart everything so same with the
threads so we do the two session
superficial and then I'd say oh then
I'll go to the barb the patients know
the threads then they're used to getting
them if they had a problem with the barb
threader they felt it poke like you can
they're much more apt to take that side
effect or what goes along with
everything that does with the barb
threads it's more robust to do in stride
and but what I saw was we got a lifting
we had a nice skin
we had glow and I didn't ever have to go
to the barb thread which is great the
less you need to do the better it is for
your provider because the less
aggressive we have to be and the more
cost-effective it is for you so so many
people look at how much is it how much
do they charge I'm coming in based on
price if you go to a good clinic where
and there are many of them where they
care about the patient and they want to
get your result they don't want to do
big procedures on you these are ongoing
treatments that people get over time and
threads are no different so smooth
threads I want this to be a quicker
video are more superficial let's go to
the new barbed and moulded thread the
depth of these is very important you're
going to be deeper and a lot of people
ask the opening of the cannula where do
I like it facing up or down if I take a
21 gauge barb a traditional barb type
through
I have the cannula port facing up I can
be more superficial with this thread
what are we grabbing Accio cutaneous
ligaments more than likely you can grab
the dermis a little bit I think that's
much more temporary lift so we're a
little deeper with barbed threads if we
go to the new molded threads and I'll
put a link up here to the video of the
new molded infinity thread and like I
said go to the playlist and watch them
all pick what might be pertinent to you
but don't miss that video because the
molded threads have changed everything I
do with threatens because of the results
we get with them the ease of use and the
amount of lift but when we go to that
mold and thread it's harder to correct
or unzip it why I'm talking about
puckering and side-effects now it's one
of the most common annoying side effects
it's not a common side effect but common
enough that it's the most annoying and
here a link to a video up here on how to
deal with that so have videos on how do
you deal with the puckering well one of
the things is unzipping that thread and
it's a lot harder to unzip one of those
molded threads because of the amount of
pull they have they don't have little
barbs but they have little molds that
attached to the skin kind of molded
blocks of Barb's if you will and it
doesn't dissolve as fast so if you had a
side effect with a barb drug because you
went too superficial that's likely to
resolve quicker than the molded threads
interesting threads what's coming up a
lot of people want to know see this is
meant to be a short video it's becoming
long already but I love to talk about it
one of the cool things they saw over in
Asia was the temporary thread with a
more permanent outside to it so that's
interesting too and today we're talking
mainly pee do the same would apply for
PCL threads and plla what's the
longevity of those real quick PDO will
go away quicker followed by plla they're
kind of close but the plla probably
lasts a little longer
PCL is even longer and you can go to my
videos to see I'm videoing how many
threads do you need how long does it
last
so that's an answer the superficial
threads more superficial is
with the smooth and the and the twist
deeper with the barb threads and then
the molded threads are even going to be
a little deeper of course we don't want
to be too deep there are structures
there are certainly nerves and vessels
of course as we know but also the the
parodic duct there's a lot of anatomy as
you start going deeper
be very careful a lot of these are blunt
so that helpful but don't go into the
motor through the mouth you don't want
to be that deep remember
osteo cutaneous ligaments and those
ligaments from the dermis to the to the
inside of the mouth are really what
we're grabbing so that helps this does
not apply to the eye I'm gonna do a
whole nother video on that probably that
debate we had was maybe an hour or two
so you can see and these are people that
do thousands of procedures of threads a
year and we debated that long about the
eye are you deep to the super is
superficial the eye is a different
animal for everything even fillers as
you see from my PRF under I might filler
videos of the under eye most things that
we talk about a very different from the
neck down the jaw line the cheeks the
eye is thin-skinned like the neck so
what I'm talking about with depths I'm
gonna do a whole nother video on the eye
so don't it doesn't apply to the depth
that are we deep in the soup are we
superficial and what are we trying to
accomplish with the I whole nother video
thanks for joining me here subscribe
below go to Instagram because we debate
these things over there and give us your
opinion this is a forum for education
it's not a teaching forum but it's to
give ideas and share ideas and I'm
giving you my ideas what are yours
what's your experience been with these
and remember the thread is the thread
the result is the science the knowledge
and the education of your provider and
there are many great providers around
the United States Canada and around the
world so do your homework watch my video
on finding a provider and find someone
that can see you over time
local providers are always best have a
great day keep your skin and body
beautiful healthy and vibrant
[Music]