The Thread Question

Threads are either a miracle or a disappointment, depending on who you ask and which patient they are describing. Both are often true. Neither is the whole answer.

PDO threads tension soft tissue in the short term and induce collagen in the medium term. PLLA threads do less immediate lifting and more long arc remodeling. Neither is a facelift. Both can be magnificent on the right face, placed at the right vector, for the right reason.

The only framework I use

**Thread the patient who does not yet need surgery, but will.**

**Thread the patient whose laxity is mild and whose skin quality is good.**

**Do not thread the patient whose expectation is a facelift.** Refer, kindly.

Threads are a judgment tool. The judgment is the product.