What Causes Dimpling After a Thread Lift? Exploring Common Triggers
A thread lift is a popular minimally invasive procedure that uses dissolvable sutures to lift and tighten sagging skin. While generally safe, some patients may experience temporary side effects like dimpling, puckering, or uneven skin texture. Understanding the causes of these irregularities can help patients manage expectations and take steps to minimize risk. Below, we explore common triggers of dimpling after a thread lift.
1. Skin Elasticity and Thickness
Skin quality plays a significant role in thread lift outcomes. Patients with thin, loose, or low-elasticity skin are more prone to dimpling because the threads may pull unevenly on fragile tissue. Over time, collagen production induced by the threads can improve texture, but initial dimpling might occur if the skin lacks sufficient firmness to anchor the sutures smoothly.
2. Incorrect Thread Placement
Thread lifts require precise placement to create symmetrical results. If threads are inserted at an incorrect angle or depth, they can “catch” specific areas of tissue, creating temporary indentations. This issue is often linked to an inexperienced practitioner. Choosing a certified, skilled provider reduces the risk of technique-related dimpling.
3. Over-Tightening of Threads
Aggressive tightening during the procedure can cause excessive tension on the skin. While some tension is necessary to achieve lifting, over-tightening may lead to visible puckering as the threads pull too firmly on anchored points. This is usually noticeable immediately after the procedure but often resolves as the threads soften and settle.
4. Natural Movement and Swelling
Swelling is common after a thread lift and may exaggerate the appearance of dimpling. As the body heals, fluid retention can temporarily distort skin texture. Additionally, facial movements—like smiling or talking—might cause brief puckering as the threads adapt to muscle activity. This typically subsides within days as swelling decreases.
5. Inadequate Aftercare
Post-procedure care significantly influences recovery. Rubbing the treated area, sleeping on the face, or engaging in strenuous exercise too soon can displace threads, leading to dimpling. Patients should follow their provider’s aftercare instructions, such as avoiding pressure on the face and sleeping on their back, to ensure optimal results.
Key Takeaway
While dimpling after a thread lift is usually temporary, its likelihood depends on factors like skin type, practitioner skill, and aftercare. Most cases resolve within weeks as swelling subsides, collagen rebuilds, and threads integrate with tissue. Patients concerned about dimpling should consult their provider to discuss their candidacy for the procedure and address any post-treatment concerns promptly.
How to Prevent Dimpling After a Thread Lift: Expert Tips and Strategies
A thread lift is a popular minimally invasive procedure that subtly lifts and tightens sagging skin for a rejuvenated appearance. However, one potential side effect is dimpling, where the skin appears puckered or uneven near the thread insertion points. While this is often temporary, taking proactive steps during and after the procedure can minimize the risk. Here are expert-backed strategies to help prevent dimpling and ensure smooth results.
Choose an Experienced Practitioner
Your provider’s skill directly impacts the outcome. An experienced practitioner understands facial anatomy deeply and knows how to place threads at the correct depth and tension to avoid excessive pulling. Always verify their credentials, review before-and-after photos, and ask about their approach to minimizing complications like dimpling.
Avoid Over-Tightening Threads
Overly tight threads are a common cause of dimpling. Skilled providers use a gradual lifting technique to distribute tension evenly across the treatment area instead of pulling aggressively in one spot. Discuss your goals openly, and trust your provider’s judgment on balancing lift intensity with natural-looking results.
Opt for the Right Thread Type
Threads come in various materials (e.g., PDDO, PLLA) and designs (smooth, barbed, or cogged). Barbed or cogged threads may pose a higher dimpling risk if placed incorrectly. Your provider should select a thread type suited to your skin thickness and treatment goals. Thicker skin may handle more aggressive threads better, while thinner skin might require smoother options.
Follow Post-Procedure Care Guidelines
Aftercare is critical for preventing complications:
- Avoid excessive facial movements (e.g., wide smiles, chewing gum) for 1–2 weeks.
- Sleep on your back to prevent pressure on treated areas.
- Refrain from massaging or touching your face unless instructed by your provider.
These steps reduce strain on the threads as they settle into place.
Attend Follow-Up Appointments
Schedule a follow-up within 1–2 weeks post-procedure. Your provider can assess the threads’ placement and address early signs of dimpling. Minor adjustments, such as gently massaging the skin or repositioning a thread, may resolve puckering before it becomes noticeable.
Minimize Swelling and Inflammation
Swelling can exacerbate dimpling. Use cold compresses (wrapped in a cloth) during the first 48 hours and avoid salty foods, alcohol, or NSAIDs like ibuprofen, which may increase inflammation. Some providers recommend arnica supplements to reduce bruising.
Combine with Skin-Tightening Treatments
Pairing a thread lift with procedures like radiofrequency (RF) microneedling or ultrasound therapy can improve skin elasticity, reducing the reliance on thread tension for lifting. This holistic approach minimizes stress on individual threads, lowering dimpling risks.
Be Patient and Realistic
Mild dimpling may resolve on its own as swelling subsides and threads integrate with tissues. Full results take weeks to develop—avoid judging results too soon. If dimpling persists, consult your provider; dissolvable sutures or hyaluronic acid fillers can often correct minor irregularities.
By partnering with a qualified provider and adhering to these strategies, you can enjoy the lifting benefits of a thread lift while maintaining smooth, natural-looking skin.
Effective Treatment Options for Dimpling After a Thread Lift
Dimpling after a thread lift is a rare but possible side effect caused by irregular tissue traction or uneven collagen formation around the suture threads. While it often resolves on its own, persistent dimpling may require intervention. Below are effective treatment options to address this concern and restore a smoother appearance.
1. Manual Massage Techniques
Gentle lymphatic drainage massage can help soften the skin and reduce dimpling by encouraging tissue relaxation. A trained therapist uses light pressure to redistribute collagen and promote natural healing. Patients may also be taught simple at-home massage techniques to perform daily for 1–2 weeks post-procedure.
2. Ultrasound Therapy
Non-invasive ultrasound therapy stimulates deeper tissue layers, improving blood flow and breaking down minor scar tissue responsible for dimpling. This method is particularly useful for stubborn cases and requires a series of sessions to achieve optimal results.
3. Hyaluronic Acid Fillers
Injectable hyaluronic acid (HA) fillers can temporarily smooth dimpled areas by adding volume beneath the skin. This is a quick, in-office solution for moderate dimpling. Results last 6–12 months, depending on the product used and individual metabolism.
4. Steroid Injections
For dimpling caused by inflammation or excessive fibrous tissue, low-dose corticosteroid injections may be recommended. Steroids reduce swelling and soften hardened areas, but caution is necessary to avoid overuse, which can lead to skin thinning.
5. Thread Adjustment or Removal
If dimpling persists due to improperly placed threads, a healthcare provider may gently reposition or remove the threads. This approach is typically considered only after other treatments fail, as it involves minor corrective surgery.
6. Laser Treatments
Fractional laser therapies, such as CO2 or Erbium YAG lasers, can improve skin texture by promoting collagen remodeling. These treatments target superficial and deep layers, smoothing dimples and enhancing overall skin tightness over 2–3 sessions.
7. Surgical Revision
In severe cases, a surgical facelift or scar revision may be necessary to address deep or permanent dimpling. This is a last-resort option and requires thorough consultation with a board-certified plastic surgeon.
Preventing Dimpling Post-Treatment
To minimize the risk of dimpling after a thread lift:
- Choose an experienced, certified provider for the procedure.
- Avoid excessive facial movements or pressure on treated areas during recovery.
- Follow aftercare instructions, including avoiding strenuous exercise for 1–2 weeks.
While dimpling is usually temporary, early intervention ensures better outcomes. Always consult your provider to determine the safest, most effective treatment plan for your unique case.
Understanding the Long-Term Effects of Dimpling After a Thread Lift: What Patients Should Know
What Is Dimpling After a Thread Lift?
Dimpling refers to small indentations or irregularities in the skin that may appear after a thread lift procedure. This occurs when the dissolvable sutures used during the treatment temporarily pull or “tug” the skin and underlying tissues into a lifted position. While dimpling is often a normal part of the initial recovery phase, patients should understand how it might evolve over time and whether it could lead to lasting effects.
Potential Causes of Persistent Dimpling
In most cases, dimpling resolves as the skin adjusts to the threads and swelling subsides. However, long-term dimpling can occur if:
- The threads create an uneven distribution of tension in the skin.
- Scar tissue forms around the threads, creating a pulling effect.
- The threads migrate slightly from their original placement post-procedure.
These issues are rare but more likely if aftercare guidelines (e.g., avoiding excessive facial movements) aren’t followed.
How Dimpling Changes Over Time
During the first 2–4 weeks, mild dimpling is common as the threads settle. As collagen production increases around the threads—a process that takes 3–6 months—the skin often smooths out. However, patients with thinner skin or reduced elasticity may notice dimpling persisting longer. If threads are placed too superficially, visible irregularities could last until the threads fully dissolve (usually 6–12 months).
Minimizing Long-Term Risks
To reduce the chance of prolonged dimpling:
- Choose an experienced provider who understands facial anatomy.
- Avoid aggressive thread tension during the procedure.
- Follow post-procedure massages (if recommended) to encourage even tissue distribution.
- Stay hydrated and maintain skin health with collagen-supporting products.
When to Seek Help
Consult your provider if dimpling:
- Worsens after the first month
- Causes discomfort or visible asymmetry
- Persists beyond 6 months
In rare cases, temporary hyaluronidase injections or thread adjustment may help smooth the area.
Final Outlook for Patients
For most patients, dimpling is a temporary side effect that diminishes as the skin heals. By following aftercare instructions and selecting a qualified practitioner, long-term concerns can often be avoided. Always discuss your skin type and medical history with your provider to customize your treatment plan and mitigate risks.
