What Are the Most Common Complications When a PDO Thread Lift Goes Wrong?
While PDO (polydioxanone) thread lifts are considered minimally invasive and generally safe, complications can occur if the procedure is performed incorrectly or by an inexperienced provider. Here are the most common issues patients may face when a thread lift goes wrong.
Infection
Although rare, infections can develop if the procedure is performed in non-sterile conditions or if aftercare instructions are not followed. Symptoms include redness, warmth, pain, or pus at the insertion site. Infections require prompt treatment with antibiotics to prevent tissue damage or scarring.
Bruising and Swelling
Mild bruising and swelling are normal after a thread lift, but excessive or prolonged inflammation may indicate improper technique. Aggressive thread placement or accidental damage to blood vessels can worsen these side effects. While most cases resolve within weeks, severe swelling may require medical intervention.
Asymmetry
Uneven thread placement or uneven tension during insertion can lead to facial asymmetry. For example, one side of the face may appear tighter or lifted higher than the other. Correcting this often requires dissolving the threads prematurely or performing a secondary procedure to adjust placement.
Visible or Palpable Threads
If threads are placed too close to the skin’s surface, they may become visible or create a bumpy texture under the skin. This is more common with inexperienced providers who lack precision. In some cases, the threads may need to be removed or repositioned.
Thread Migration
PDO threads are designed to anchor to tissue, but excessive facial movements or improper placement can cause them to shift. Migrated threads may create dimples, irregular contours, or an unnatural appearance. Repositioning or removing the threads is typically required to resolve the issue.
Nerve Damage
Though uncommon, incorrect thread insertion depth or trajectory can injure facial nerves, leading to temporary or permanent numbness, muscle weakness, or difficulty moving parts of the face. This risk is higher in areas with dense nerve networks, such as around the cheeks or mouth.
Scarring or Skin Irregularities
Aggressive thread insertion or removal can damage the skin, resulting in minor scars, dimpling, or puckering. Patients with thin or fragile skin are more prone to these issues. Using blunt-tip cannulas instead of needles during insertion may reduce this risk.
Most complications arise from poor technique, so choosing a board-certified dermatologist or plastic surgeon with expertise in thread lifts is critical. Always discuss risks during your consultation and follow aftercare guidelines meticulously to minimize adverse outcomes.
Signs Your PDO Thread Lift Has Gone Wrong: Knowing When to Seek Help
PDO thread lifts are a popular non-surgical treatment for lifting and tightening sagging skin. While generally safe when performed by a skilled practitioner, complications can arise. Recognizing the early signs of a problem is critical to preventing long-term damage. Here are the key indicators that your PDO thread lift may have gone wrong and when to consult a professional.
1. Severe Pain or Discomfort
Mild tenderness or tightness after the procedure is normal. However, intense, persistent pain that doesn’t subside with over-the-counter pain relievers could signal infection, nerve damage, or improper thread placement. If pain worsens after the first 48 hours or radiates to other areas, contact your provider immediately.
2. Visible Lumps or Irregularities
PDO threads should lie smoothly beneath the skin. If you notice hard lumps, dimpling, or rope-like textures under the surface, this may indicate that the threads have migrated, bunched up, or not dissolved properly. These irregularities often require professional evaluation to avoid lasting aesthetic issues.
3. Prolonged Swelling or Bruising
Swelling and bruising are common for up to 7–10 days post-treatment. However, if swelling persists beyond two weeks or worsens suddenly, it might point to an inflammatory response, infection, or allergic reaction. Severe bruising accompanied by warmth or redness could also indicate vascular complications.
4. Asymmetry or Overcorrection
While minor asymmetry can occur during the healing phase, extreme unevenness or a “pulled” appearance suggests incorrect thread placement or tension. For example, one side of the face appearing dramatically higher than the other is a red flag. Overcorrection may require thread removal or adjustment by a specialist.
5. Skin Discoloration or Infection Signs
Persistent redness, yellow/green discharge, or an area that feels hot to the touch are signs of infection. Skin turning pale, blue, or black could indicate compromised blood flow due to thread placement near blood vessels. These symptoms demand urgent medical attention to prevent tissue damage or scarring.
6. Threads Becoming Visible or Protruding
PDO threads are designed to remain under the skin. If you see thread ends poking through or feel sharp spots along the insertion points, the threads may have been placed too superficially or started eroding through the skin. Do not attempt to pull them out yourself—seek professional removal.
7. Unexplained Numbness or Muscle Weakness
Nerve injury is rare but possible. Numbness, tingling, or difficulty moving facial muscles (e.g., smiling) after a thread lift could indicate that the threads have affected nearby nerves. Early intervention improves the chances of recovery.
When to Seek Help
If you experience any of these symptoms, contact your practitioner immediately. Delaying treatment for complications like infection or vascular issues can lead to permanent scarring or tissue damage. Always choose a board-certified provider with experience in thread lifts to minimize risks, and follow aftercare instructions diligently to support healing.
Remember: While PDO thread lifts are low-risk compared to surgery, they’re still a medical procedure. Trust your instincts—if something feels “off,” seeking prompt care is always the safest choice.
How to Correct a PDO Thread Lift Gone Wrong: Expert Tips and Treatments
Recognize the Signs of a Poor Outcome
A PDO thread lift is a minimally invasive cosmetic procedure designed to lift and tighten sagging skin. However, complications like asymmetry, visible threads, dimpling, or infection can occur. The first step in addressing a “gone wrong” thread lift is recognizing these issues early. Symptoms such as prolonged swelling, severe pain, unnatural facial contours, or thread extrusion should prompt immediate action.
Seek Professional Assessment
If you suspect your PDO thread lift has gone wrong, consult your provider or a board-certified dermatologist/plastic surgeon immediately. Avoid attempting to adjust threads yourself, as this could worsen the issue. A professional can assess the threads’ placement, identify migration or infection, and recommend personalized solutions.
Treatments to Address Complications
Depending on the issue, experts may suggest several correction methods:
1. Dissolving the Threads
PDO threads are absorbable and typically dissolve within 6–12 months. However, if immediate removal is necessary, a hyaluronidase injection may help break down the threads faster. Note that this enzyme works only on certain thread types, so confirm with your provider.
2. Surgical Removal
In rare cases where threads are visible or causing irritation, minor surgical intervention might be needed to extract them. This is usually a last resort and performed under local anesthesia.
3. Anti-inflammatory Medications
For inflammation or infection, antibiotics or corticosteroids can reduce swelling and prevent bacterial growth. Always follow prescribed dosages to avoid further complications.
4. Combination Therapies
Dermal fillers or laser treatments may help smooth uneven areas caused by misplaced threads. These are temporary fixes but can improve aesthetics while waiting for threads to dissolve naturally.
Preventing Future Issues
To minimize risks, choose an experienced, licensed provider specializing in thread lifts. Discuss your medical history and desired results beforehand, and follow aftercare instructions strictly. Avoid strenuous activity, excessive facial movements, or pressure on treated areas for at least two weeks post-procedure.
Manage Expectations
While PDO thread lifts offer subtle lifting, they aren’t a substitute for surgical facelifts. Unrealistic expectations can lead to dissatisfaction, even if the procedure is technically successful. A qualified provider will explain achievable outcomes during your consultation.
Final Thoughts
Most PDO thread lift complications are fixable with prompt care. Prioritize working with a trusted professional to address concerns safely. Always research providers thoroughly and ask for before-and-after photos of previous patients to ensure you’re in skilled hands.
Preventing Future Issues: Reducing the Risk of a PDO Thread Lift Gone Wrong
Choose a Qualified and Experienced Provider
The most critical factor in avoiding complications from a PDO thread lift is selecting a licensed, board-certified professional with specialized training in thread lifts. Research their credentials, read patient reviews, and ask to see before-and-after photos of previous procedures. A skilled provider will assess your skin type, facial anatomy, and medical history to determine if you’re a suitable candidate. Avoid bargain deals or unlicensed practitioners, as improper technique significantly increases risks like infection, asymmetry, or thread migration.
Follow Pre-Treatment Guidelines
Adhering to pre-care instructions minimizes risks and prepares your skin for optimal results. Your provider may advise avoiding blood-thinning medications (e.g., aspirin), alcohol, and smoking for 1–2 weeks before treatment. These substances can increase bruising, swelling, or delayed healing. Inform your provider about any supplements or medical conditions, as certain factors may affect your eligibility or require adjustments to the procedure.
Adhere to Post-Treatment Care Instructions
Proper aftercare is essential for reducing complications. Key steps include:
- Avoiding strenuous exercise, excessive facial movements, or pressure on treated areas for at least 7–10 days.
- Sleeping on your back to prevent accidental tension on the threads.
- Keeping the skin clean and avoiding makeup for 24 hours to lower infection risks.
- Using prescribed topical treatments or cold compresses to manage swelling.
Follow your provider’s timeline for resuming skincare routines, massages, or other facial treatments.
Avoid Over-Tightening or Excessive Threads
Aggressive tension or using too many threads can lead to unnatural results, dimpling, or tissue damage. A conservative approach ensures subtle, natural-looking lifting without overwhelming the skin’s support structure. Discuss your aesthetic goals with your provider and trust their judgment on the number and placement of threads. “Less is more” often applies to thread lifts, especially for first-time patients.
Maintain Realistic Expectations
PDO thread lifts offer subtle rejuvenation, not dramatic transformations. Patients expecting facelift-like results may push for excessive tightening, increasing complication risks. During your consultation, ask about realistic outcomes based on your skin laxity and age. Combining threads with complementary treatments like Botox or dermal fillers can enhance results without overburdening the skin.
Monitor for Complications and Seek Prompt Care
Even with proper care, minor side effects like bruising or tenderness may occur. However, contact your provider immediately if you notice:
- Severe pain or sudden swelling
- Visible thread protrusion or migration
- Signs of infection (e.g., redness, warmth, pus)
Early intervention can resolve many issues before they escalate.
By combining a qualified provider, careful preparation, and disciplined aftercare, you can significantly reduce the risks associated with PDO thread lifts and enjoy a safer, more satisfying outcome.
