Thread lifts are often marketed as the perfect middle ground between non-invasive procedures and surgical facelifts. They promise instant lifting, minimal downtime, and natural-looking results. However, like any cosmetic procedure, thread lifts can go wrong. Understanding the risks, complications, and how to manage them is essential for anyone considering or recovering from this treatment.
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What Is A Thread Lift?
A thread lift is a minimally invasive cosmetic procedure that uses dissolvable sutures to lift and tighten sagging skin. It’s commonly performed on areas like the face, neck, jawline, and even eyebrows. These threads, often made from polydioxanone (PDO), polylactic acid (PLA), or polycaprolactone (PCL), are inserted beneath the skin using fine needles to reposition tissue and stimulate collagen production.
The results can last anywhere from 6 months to 2 years, depending on the type of threads used, the individual’s skin condition, and the skill of the practitioner.
When A Thread Lift Goes Wrong
While many people have successful experiences with thread lifts, there are cases where the procedure does not go as planned. These complications can range from minor discomfort to significant aesthetic or medical issues. Understanding these potential problems can help you avoid them and take quick action if needed.
Asymmetry
Asymmetry is one of the most common issues when a thread lift goes wrong. If threads are not placed evenly or pulled with unequal tension, one side of the face may appear lifted more than the other. This can make your face look lopsided or unnatural.
Why it happens:
- Poor technique by the provider
- Unequal skin laxity on both sides
- Natural facial asymmetry made more apparent
Visible or Palpable Threads
In some cases, the threads become visible under the skin or can be felt with the fingers. This usually happens when the threads are placed too close to the skin surface or if the skin is too thin to conceal them.
Possible causes include:
- Incorrect depth placement
- Inappropriate thread choice for skin type
- Over-tightening
Infection
Although relatively rare, infection can occur at the insertion points or around the thread path. Signs include redness, swelling, warmth, pain, and pus. Severe cases may require thread removal and antibiotic treatment.
Infection risks increase due to:
- Poor sterilization
- Lack of aftercare hygiene
- Picking or touching insertion sites
Thread Migration or Extrusion
In some unfortunate scenarios, threads may shift from their original position or even poke through the skin. This not only creates aesthetic concerns but also raises the risk of infection and tissue damage.
What can cause this:
- Overactivity or excessive facial movements
- Poor anchoring of threads
- Using non-barbed threads in dynamic areas
Scarring and Skin Irregularities
Small scars can form at the thread entry or exit points, particularly in individuals prone to keloids or those who experience infections. Additionally, dimpling or puckering of the skin may occur if the threads pull too tightly or if healing is uneven.
Who Is Most At Risk?
While anyone can experience thread lift complications, certain factors increase the risk of things going wrong:
- Inexperienced practitioner: Skill and experience are crucial in thread placement.
- Thin or sensitive skin: Thinner skin may not hide threads well and may bruise easily.
- Underlying medical conditions: Autoimmune diseases, diabetes, or blood disorders can affect healing.
- Lifestyle factors: Smoking, alcohol, and poor diet can reduce collagen production and healing ability.
Signs Your Thread Lift Went Wrong
It’s important to monitor the healing process after a thread lift. Here are signs that something may be off:
- Persistent swelling beyond 10–14 days
- Uneven or overly tight appearance
- Pain that worsens over time
- Visible lines, bumps, or threads under the skin
- Foul smell or discharge from insertion points
If you notice any of these symptoms, it’s crucial to seek medical attention promptly.
What To Do If Your Thread Lift Went Wrong
Dealing with a botched thread lift can be stressful, but there are steps you can take to manage the situation effectively.
Step 1: Don’t Panic
Many minor irregularities resolve within a few weeks. Swelling, bruising, and minor asymmetry are common in the early stages and usually settle as the threads integrate into the tissue.
Step 2: Contact the Practitioner
Reach out to the person who performed the procedure. An ethical and experienced practitioner will be willing to assess your concerns and provide solutions, whether that involves massage, adjustment, or possible removal.
Step 3: Seek a Second Opinion
If you’re unsatisfied with the response or lack trust in the practitioner, consult with a board-certified dermatologist or plastic surgeon. They can determine if thread removal or other corrective treatments are needed.
Step 4: Consider Thread Removal
Thread removal is tricky and should only be done by a highly experienced professional. If the threads are causing pain, infections, or extrusion, removal might be necessary.
Step 5: Explore Corrective Options
Corrective measures may include:
- Laser treatments for scarring or skin resurfacing
- Dermal fillers to balance uneven areas
- Microneedling for collagen stimulation and healing
- Surgical correction in extreme cases
How To Prevent A Thread Lift From Going Wrong
The best way to avoid complications is to be proactive before and after the procedure.
Choose the Right Practitioner
This is the most important decision you’ll make. Always verify credentials, read reviews, and ask to see before-and-after photos. Opt for a board-certified plastic surgeon, dermatologist, or aesthetic doctor with extensive experience in thread lifting.
Understand the Limitations
Thread lifts are not for everyone. They work best for mild to moderate sagging and are not a replacement for a surgical facelift. Be realistic about the results.
Follow Pre- and Post-Care Instructions
Proper aftercare is essential:
- Avoid strenuous exercise, facial massages, or exaggerated facial expressions for at least two weeks.
- Keep your head elevated when sleeping.
- Do not apply makeup or skincare products for at least 24–48 hours after the procedure.
- Follow any prescribed antibiotic or anti-inflammatory regimen.
Psychological Impact Of A Failed Thread Lift
Experiencing a cosmetic procedure gone wrong can affect your mental health. It’s not just about the physical appearance — many people suffer from anxiety, depression, or loss of self-esteem after a botched result.
If you find yourself struggling emotionally, consider:
- Talking to a therapist or counselor
- Joining support groups for cosmetic surgery patients
- Giving yourself time before undergoing another corrective procedure
Conclusion
While thread lifts can offer impressive, non-surgical rejuvenation, they are not without risks. Knowing the signs of a thread lift gone wrong, how to prevent complications, and what to do if issues arise can empower you to make informed decisions.
If you’re considering a thread lift, choose your provider wisely and understand that even minimally invasive procedures carry potential side effects. And if things don’t go as planned, know that there are corrective solutions available — both medical and emotional.
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FAQs
What is a thread lift and how can it go wrong?
A thread lift is a non-surgical procedure that uses dissolvable threads to lift and tighten the skin. It can go wrong due to poor technique, incorrect thread placement, infection, or patient-specific factors like thin skin or excessive movement post-procedure.
How long does it take for a botched thread lift to heal?
Minor complications such as bruising or swelling may resolve in 1–3 weeks, but more severe issues like asymmetry or thread extrusion may require months to heal or corrective treatments.
Can visible threads under the skin be fixed without surgery?
In some cases, visible threads can be massaged or adjusted by a professional. However, if they remain visible or painful, they may need to be surgically removed.
Are the complications from a thread lift permanent?
Most thread lift complications are temporary and can be corrected with proper treatment. Permanent damage is rare but can happen, especially with repeated or poorly executed procedures.
What should I ask before getting a thread lift to avoid bad results?
Ask about the practitioner’s experience, types of threads used, success rates, possible side effects, and see before-and-after photos. Also, ensure they have a plan for handling complications if they arise.
