Six years ago I had fat graft to help rejuvenate my face which has resulted in me having relatively good skin tone. As Im approaching my 68th birthday, I noticed my eyebrows tend to droop a little, my laughter line seem to be deeper and the jawline is not as defined. During consultation with the Plastic surgeon Dr Yap Lok Huei, I was shown a couple of treatment from Endoscopic brow lift, Lower facelift to Thread lift to help with my facial concern. Since full blown surgery is not an option for me, I opted to have PDO Thread Lift instead.
Why PDO Thread Lift?
The PDO Thread Lift is a treatment which lifts and tightens sagging skin tissue, using threads made of Polydioxanone (PDO). The threads introduces them into the deeper layers of the skin. Once introduced, the threads produce 3 effects in the skin:
- Instant Skin Lifting through mechanical effects
- Cellular Renewal, through Collagen stimulation, and neovascularisation to improve skin texture, fine lines and elasticity
- Skin Tightening, by contracting fat tissue
About 6 months after the procedure, the PDO threads will disappear through simple hydrolysis (they are absorbable). The lifted facial contours will remain for about 3-6 months more, due to the cellular rejuvenation effects. Your skin cells are stimulated to produce new collagen, and new blood vessels to improve skin microcirculation. At the same time, the PDO threads cause the fat tissue to contract, producing a skin tightening and facial slimming effect.
After giving consent to the procedure several pictures were taken before and also after the procedure. My facial skin was cleaned thoroughly and markings were done to establish the point of insertion and the effect I wanted to achieve.
Since this is a minimally invasive procedure all that was needed was a local anaesthetic . The whole procedure was done under sterile condition. After numbing and infusion of local anaesthetic which was about 5 – 10 minutes, the threads were inserted via a blunt tip needles (called cannulas) into different layers of the skin. Once inserted, the threads anchor the skin and lift it upwards. The excess threads are then cut off. A total number of seven threads were inserted on my forehead and six on either side of my cheeks and jaw. The procedure was quick and it took about just under an hour. There is some discomfort during the procedure, but because of my surgeon’s special techniques, I was experiencing some pressure but no pain. All entry points were swabbed with alcohol and covered with steri-strips which I was reminded to keep them dry for a few days until my follow up appointment.
After the treatment
I was advised to sleep with my head slightly elevated and to minimise facial expressions and movements for a few days to avoid the tiny cones being dislodged from the tissues which gives the initial mechanical lift. So I was super careful not to smile or open my mouth too much and I didn’t mind skipping a meal that night.
The next day when the anaesthetic wore off, I did feel sore which was relieved by mild analgesia. My skin was tender and so I had to be super gentle with my skin when I washed it and applied my creams. Gentle pats were fine but no pressing, sweeping, rubbing or wiping. I didn’t have any bruises but I did feel twinges in specific areas where the cones were anchored. There was a slight skin irregularity on my right cheek but that disappeared after a week.
When you are planning to have any procedure done, a good doctor should inform you about potential adverse events. The common side effects of thread lifts are facial asymmetry, erythema, oedema, bruising, entry-point dimpling, puckering, haematoma and discomfort for up to 14 days. Thread migration, extrusion, and scar formation at their sites of entry and exit are the complications which are rare and according to report are mainly due to incorrect suture depth placement. It is important that you choose an experience doctor for such procedure.
Should you be interested in this procedure please do not hesitate to contact me.