Facial Silhouette Threads; at the present time, the consensus of surgical opinion is that ‘thread lifting’ is a surgical procedure NOT to be performed by Nurses. Whilst this stance is under review by HIS, we recommend that any aesthetic client considering the procedure should ensure that any potential provider is surgically trained and appropriately insured.
Threads; this treatment can only be delivered by a Doctor or Surgeon.
At the present time, the consensus of surgical opinion is that ‘thread lifting’ is a surgical procedure NOT to be performed by Nurses. Whilst this stance is under review by HIS, we recommend that any aesthetic client considering the procedure should ensure that any potential provider is surgically trained and appropriately insured.
As we age, facial tissues lose volume and elasticity. Under the influence of gravity the prominent fat pads of youth migrate downwards and we develop characteristic folds known as ‘marionette lines’ and ‘jowls’. The bottom jaw line becomes poorly defined and the corners of the mouth begin to sag. The brow also begins to sag, contributing to the ‘hooding’ effect of the upper eyelid. The face begins to look tired and miserable even when not.
Rejuvenation of the ageing face addresses the ravages of time through the principle of the 4 ‘R’s” :
- Resurface (the skin)
- Relax (facial muscles with toxin producing lift and reducing wrinkles)
- Replace (lost volume)
- Restore (tissues back to a more youthful position by lifting)
The first three ‘R’s’ are covered in other sections.
Restoring the position of sagging tissues relies upon a combination of medical techniques that can be supplemented by surgical procedures to best effect in producing a more youthful appearance. These surgical procedures range from clinic-based ‘nips and tucks’ under local anaesthetic (numbing) injections to hospital based major surgery under a full anaesthetic associated with prolonged ‘downtime’ and significant risk of complications.
Counteracting the effect of ageing and gravity, restoring the position of facial features relative to each other, requires procedures that lift one part in relation to another. A “ fixed point” is defined against which a lifting effect can be generated. Traditionally this has been achieved through ‘face lifting’ surgery. Such major surgical procedures involve a variable number of structures from skin only to composite lifting of muscle and fat pads, often culminating in removal of ‘excess tissue’. Differing appearances with longer-lasting results can be achieved by more complicated lifts of face, neck and brow. Face lifting surgery produces a characteristic appearance, making a statement to the observer that a face-lift has been carried out! For many individuals it does not restore a youthful appearance, just a different one!
Major surgery is neither warranted nor justifiable for a large number of clients who simply want to look well. There are a number of minimally invasive, yet increasingly sophisticated injection-style techniques performed with local anaesthetic that utilise special materials known as ‘threads’.
Threads have the potential to deliver significant improvement in facial appearance with minimal risk of complication, very little “downtime” and without removal of tissue.
There are a number of alternate ‘threads’ available and your practitioner will recommend which materials as well as which technique is most likely to produce the best outcome for you.
Although there are still a small number of non-dissolving (permanent) threads available on the market made from tried and tested suture (stitch) materials, (used in surgery for many years and very safe), the majority are now made of a dissolving material known as PDO.
Different manufacturers make varying designs. The common theme is to produce fine threads that can be introduced by a needle passed just deep to the skin having various projections which “catch’ the tissue in one direction only. When inserted properly, one part of the thread will act as the fixed anchor to enable the rest of the thread to lift the tissues in the desired direction. For example, lifting folds away from the corner of the mouth; improving the appearance of a ‘turkey neck’; producing a nicely shaped, elevated eyebrow; redefining the jaw line and the cheeks. As no tissue is removed, inevitably with some lifting techniques skin is redistributed. Although this may result in some visible bunching of the skin initially this resolves within a day or two. Thread lifts are probably more suited to younger clients with minimal “sagging” although all clients will benefit to varying degrees.
As with all injection style procedures there is a risk of bleeding and bruising and a little swelling however the majority of clients experience very little discomfort and the effects are instantly noticeable lasting for up to two years. An added bonus of the PDO lifting threads is that the dissolving process results in the formation of collagen that tends to maintain the lifting effect with time.
Not all PDO threads have projections. A technique developed in Korea utilises multiple smooth, fine threads inserted in patterns of ten or more beneath the skin in order to stimulate collagen formation. These patterns are designed to produce a lifting effect as the collagen fibres mature. This technique is particularly suited to improving the appearance of fine lines around the eyes and mouth, helping to redefine the jaw line as well as improving the appearance of an ageing neck.
Post Operative Instructions following the procedure include:
Side Effects include:
Bruising and temporary swelling might occur after the treatment. There is sometimes a depression in the areas of punctures. These issues USUALLY disappear in a few days after the surgery. The tendency to form small bruises is higher in the area of the eyes, lower jaw, neck and forehead. Higher sensitivity in these areas might last for a few days, by sensitive individuals and in the area of the lower jaw for up to 3 weeks. There is a small risk of scarring formation after the application.
Post surgery limitations:
Excessive facial expressions, face gymnastics, chewing of hard and big bites, heavy weight lifting and exercising are not recommended for 14 days. Face-lift massage and cosmetic treatments are not recommended for 1 month. Application of cosmetic creams needs to be done from down up, gently and without any massaging. When washing your face, please proceed also from down up.
Antibiotics are NOT required as a standard course of action.
Post surgery recommendations:
1. Apply a cold compress on the treated area if feeling hot only if necessary
2. To reduce pain it is possible to use paracetamol
3. Sleep with your head in a higher position, supported by a clean pillow
4. Wash the treated are very gently, avoid rubbing
5. It is possible to gently put make up after 24 hours
6. Avoid direct sunlight for 2 weeks and sunbeds are not advised
7. Avoid face massage and other aesthetic treatments
8. Limit sports, especially if it requires heavy strain, like running (2 weeks)
9. Do not use sauna (3 weeks)
10. Do not undergo any dental intervention (3 weeks)
11. Limit any excessive facial movement (2 weeks)
These treatments are not suitable for any client who suffers from the following:
Any infectious disease, mental illness, keloid scar history, pregnancy, patients suffering from blood diseases or acute tumorous disease.
Recognised complications with treatment include:
1. Initial inflammatory response is expected but this should settle completely within 48 hours
2. Thread extrusion, projection and migration, if any, are more often than not due to thread barbs being weak or when inserted the thread overlays an area of aggressive animation.
3. Dimpling, the most common area of occurrence is in the subcutaneous tissue of a 'sunken cheek' and/or in the oral angle areas where there might be excessive facial expressions/movements. This is usually temporary.
4. Foreign body reactions often displays as a protracted period of inflammatory response but eventually settles.
5. Hematoma. This is RARE. Injured blood vessels when inserted. This is managed with an injection on the day.
6. Infection. This is an UNCOMMON complication but managed well with antibiotics. Should antibiotics be given the course must be followed and completed. It is a good idea to avoid having animal dander (ie being licked by cats and dogs) in close proximity to reduce the risk of infection through transmission.
7. Facial Asymmetry. This can be caused by various factors and should be discussed during the appointment. Most patients are asymmetrical prior to surgery and this needs to be identified prior to the surgery. Photos will be taken.
8. Patient satisfaction. Threads provide a subtle effect. Subtle can be interpreted differently from person to person and it is paramount that patient's understand what is meant by subtle from the practitioners explanation.
Despite all the above and potential complications. that can result from a thread lift, then general consensus is that the thread lift procedure is one of the most advanced, minimally-invasive and safest non-surgical procedures.
Threads are performed by Mr P G Grime Maxillofacial Consultant Surgeon with 45 years experience. He is indemnified and Insured. His details are available on request.
- Consultation with Surgeon refunded against treatment costs – £150.00 paid at time of booking
- Threads are per set (one each side) –
- 4-6 Cones usually for eye lift – POA
- 8 Cones usually for L shape Jowl lift or neck lift – POA
- 12 -16 Cones for V shape mid face lift – POA
- 2 sets can be done together i.e. L and V shape in the same appointment – Approximately 1750.00
All definitive prices will be given at consultation, dependent on treatment area