PDO VSOFT THREAD LIFTING

V Soft Lift© is a surgical thread (suture) inserted into skin tissue for temporary support of the face and upper neck. It is less invasive than surgical methods and offers better results than lasers.


V Soft Lift© enables a tightening and lifting effect as well as smoothing wrinkles. Effects last 9-12 months. The number of threads used depends on the amount of lift required.


The PDO sutures are slowly resorbed over a period of time with complete absorption after 6-7 months. Results can be seen immediately after treatment with further improvement over the following 3-4 months (due to the formation of new, plumping collagen), depending on the condition of the skin. Skin texture and tone also improve.


HISTORY

Polydioxanone (PDO) has been used in surgery for more than 30 years. PDO threads have a high safety profile, with complete absorption and minimal tissue reaction. There are two types of threads used – one has tiny barbs notched into the thread to enable lifting (Barbs), the others (Monos) are smooth and are used for collagen stimulation and plumping.


PROCEDURE

The procedure takes 60-90 minutes. The skin is thoroughly cleaned and a cap applied to cover your hair. Professor MacKenzie will then mark lines on the skin where the threads will be inserted to achieve the best results. Once you are in a comfortable semi-reclined position, Prof MacKenzie will inject local anaesthetic along these lines. The threads are then inserted using a fine cannula under the skin. Once all have been inserted, the threads are tightened and smoothed to bed them into place.  Firm massage is employed over the threads. No dressing or external stitches are required. Existing facial asymmetry is unlikely to disappear but every effort will made to improve this.


RISKS OF MINI THREAD LIFT FOR MID-FACE


1. DISCOMFORT

Some discomfort may be experienced during treatment. Local anaesthetic is normally injected and numbing cream may also be used.


2. SCARRING

Threads are inserted through very small puncture wounds, which may take a few days to heal. Tiny scars, although unusual, may occur at the puncture site(s). Very rarely threads may be partially visible through the skin.


3. BRUISING, SWELLING, INFECTION

Bruising of the treated area is likely to occur and there will be swelling. Immediately after treatment there may be some swelling, redness, itching and tenderness.  This is a normal result of the procedure and will settle.  The swelling may remain for up to a few days, the other symptoms usually settle more quickly. There can be bruising after the procedure and the risk of this is higher if aspirin or anti-inflammatory drugs such as ibuprofen (Brufen) or diclofenac (Voltarol) have been taken within the last two weeks.  Bruising can be quite marked in some instances and the application of ice and arnica following treatment may reduce this.


The risk of infection is low, however if the treated area becomes red, warm or tender after the first day, it is essential to contact the clinic to book a review appointment.  Occasionally, as the lifting effect settles, the threads may be felt at the surface of the skin. If this occurs, contact the clinic as the ends of the PDO Thread may require trimming. If you feel any threads inside your mouth, let Prof MacKenzie know.


4. BLEEDING

It is possible, though unusual, to experience a bleeding episode during or after the procedure. Should post-operative bleeding occur, it may require treatment to drain accumulated blood (haematoma) though these usually settle over a few weeks.


5. DAMAGE TO DEEPER STRUCTURES

Deeper structures such as nerves, blood vessels and muscles may be damaged during the procedure. The potential for this to occur varies according to the location on the body the procedure is being performed. Injury to deeper structures may be temporary or permanent.


6. ALLERGIC REACTIONS

In rare cases, local allergies to the cleanser, gloves, suture material, or creams have been reported. Systemic reactions, which are more serious, may result from drugs used during surgery and prescription medicines. Allergic reactions may require additional medical treatment.


7. LOCAL ANAESTHESIA

Even local anaesthetic cream can involve risk. There is the small possibility of complications, injury, and even death from all forms of anaesthesia.


8. PIGMENT CHANGES (SKIN COLOUR)

During the healing process, there is a possibility of the treated area either becoming lighter or darker in colour than the surrounding skin. This is usually temporary, but on rare occasions, may be permanent. Use of daily SPF30+ sun protection is very important.


9. PARTIAL LAXITY CORRECTION

Although the threads will give some improvement in laxity (looseness), it will not correct all your facial laxity.


10. DELAYED HEALING

Complications are more likely as a result of infection, pre-existing skin or other medical conditions, medications or smoking, so smoking is discouraged and your surgeon should be informed of all pre-existing conditions or medications.


11. CONTRAINDICATIONS

Any known allergy or foreign body sensitivities to plastic biomaterials. Autoimmune disease, history of granuloma formation or keloid scarring. The threads are non-allergenic so the risk of allergy is low.


AFTERCARE REQUIREMENTS

Immediately after treatment there may be some swelling, redness, itching and tenderness.  This is a normal result of the procedure and will settle.  The swelling may remain for several days, the other symptoms usually settle more quickly. Paracetamol is the recommended painkiller if needed, as aspirin, ibuprofen/brufen and voltarol/diclofenac may cause more bruising.


Make-up to the treated area should be avoided for 24 hours as this may disturb the treatment and increase the risk of infection. Do not massage or disturb the area that has been treated.  


Direct pressure should be avoided for 3 weeks, please try to avoid sleeping on your face.


Keep facial movements to a minimum for 3 weeks and this includes excessive chewing, laughing, talking and yawning.  Avoid drinking through a straw and smoke as little as possible.  


Try to keep the face elevated at least 30 degrees by sleeping on your back with an extra pillow for the first 3 nights. Strenuous exercise or sexual activity should be avoided for one week.


Rippling or dimpling of the skin is very common over the first few days and almost always settles over two weeks. Occasionally firm massage is needed to resolve his.


Pings and twangs are very common over the first few weeks and are simply the barbs settling in. It is VERY important to maintain only upwards facial movement and pressure and to avoid downward movements during, e.g. washing, cleansing, moisturising, whistling etc. as this may loosen the threads. There may be a little over-correction immediately after treatment although if this occurs, this will settle over the next few days to give the final results.


Wait at least 2 weeks before Botox, fillers or other injectable treatments. Delay heat treatments (laser, hair removal, radiofrequency, saunas, sunbeds, sunbathing) for 6 months post procedure as this may make the threads dissolve faster. Do not use a swimming pool or jacuzzi for at least 5 days. Flights should also be avoided for at least 5 days.


ADDITIONAL TREATMENTS

In some situations, it may not be possible to achieve optimal results with a single procedure. Multiple procedures may be necessary. Should complications occur, additional procedures or even surgical treatments may be necessary.

Treatment with fillers may also be desirable to improve the appearance even further following threads.

For more information and videos, plus before and after photos, please visit http://vsoftlift.com/






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Professor Rhoda MacKenzie graduated as a doctor from the University of Aberdeen Medical School in 1992, before training to consultant level in general and vascular surgery.


Rhoda first opened her Age Reversal Therapies clinic in 2005 and offers a discreet, professional, expert aesthetics service at her bespoke medical clinic 15 minutes west of Aberdeen. Both medical and minor surgical procedures are available after a free consultation. She is known for attention to detail, understanding her clients’ needs and her down to earth attitude.





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