PDO Threads Ruined My Face: Risks & Correction

The insertion of Polydioxanone (PDO) threads, a procedure marketed as a minimally invasive method for facial rejuvenation, carries inherent risks that, in certain cases, can lead to undesirable outcomes. Reports of complications arising from PDO thread lifts are increasing, with some individuals expressing that PDO threads ruined my face, leading to significant physical and psychological distress. The Food and Drug Administration (FDA) has approved PDO threads for specific uses, but their off-label application for comprehensive facial contouring is not without potential adverse effects. Consequently, understanding the corrective options available at clinics specializing in cosmetic dermatology becomes crucial for those experiencing complications following a PDO thread procedure.

Understanding the Landscape of PDO Thread Lifts: Risks, Rewards, and Informed Decisions

Polydioxanone (PDO) thread lifts have witnessed a surge in popularity within the aesthetic medicine arena. This minimally invasive procedure promises facial rejuvenation without the extensive downtime associated with traditional surgery. However, beneath the allure of a quick and relatively painless lift lies a critical need for comprehensive understanding.

This section serves as an introduction to the complex world of PDO threads. We'll explore the fundamental aspects of the procedure, examine its growing appeal, and, most importantly, underscore the imperative of being fully informed about its potential risks and available mitigation strategies.

Defining PDO Threads and Thread Lift Procedures

PDO threads are biocompatible, synthetic sutures composed of Polydioxanone. This material has a long history of safe use in surgical procedures. In thread lifts, these threads are strategically inserted beneath the skin to achieve two primary effects: immediate mechanical lifting and long-term collagen stimulation.

The thread lift procedure involves inserting these threads into the subcutaneous tissue using a needle or cannula. Once in place, the threads create a scaffolding effect. This provides immediate lift and support to sagging tissues. Over time, the PDO material stimulates fibroblasts. These produce new collagen, elastin, and hyaluronic acid, leading to gradual skin tightening and improved skin texture.

The Rising Tide of PDO Thread Lifts: Prevalence and Appeal

The appeal of PDO thread lifts stems from several factors. It offers a less invasive alternative to traditional facelift surgery. The procedure boasts a shorter recovery period and is generally more affordable.

This has contributed to its rising popularity among individuals seeking subtle yet noticeable facial rejuvenation. Furthermore, the relative ease of the procedure, in terms of execution, has led to its wider availability. This further fueled its appeal among both practitioners and patients.

However, the increasing prevalence of PDO thread lifts should not overshadow the importance of rigorous patient selection and comprehensive pre-procedural counseling. The pursuit of aesthetic enhancement must always be balanced with a thorough understanding of potential complications.

Navigating the Risks: Informed Consent as a Cornerstone

Before considering a PDO thread lift, individuals must be fully aware of the potential complications and how to manage them. While often marketed as a low-risk procedure, thread lifts are not without their challenges.

These can range from common side effects like bruising and swelling to more serious issues such as thread migration, infection, granuloma formation, and even nerve damage.

Informed consent is paramount. It requires a candid discussion between the patient and practitioner about the procedure's limitations, potential risks, and alternative treatment options.

Furthermore, it necessitates a clear understanding of the practitioner's experience and qualifications. A well-informed patient is empowered to make a responsible decision. This decision is grounded in a realistic assessment of the potential benefits and risks involved. It's not solely based on the allure of aesthetic enhancement.

How PDO Thread Lifts Work: Mechanism of Action and Expected Outcomes

Understanding the Landscape of PDO Thread Lifts: Risks, Rewards, and Informed Decisions Polydioxanone (PDO) thread lifts have witnessed a surge in popularity within the aesthetic medicine arena. This minimally invasive procedure promises facial rejuvenation without the extensive downtime associated with traditional surgery. However, beneath the allure of a quick fix lies a complex interplay of biological mechanisms and surgical techniques.

This section aims to dissect the scientific underpinnings of PDO thread lifts, elucidating how these threads interact with the body to achieve their purported aesthetic effects. A critical examination of the expected outcomes, alongside a classification of the various thread types, is crucial for both practitioners and patients seeking a comprehensive understanding of this increasingly prevalent procedure.

Biostimulation and Neocollagenesis: The Body's Response to PDO Threads

The foundation of PDO thread lift efficacy rests on the principle of biostimulation. Once implanted, the PDO threads trigger a foreign body response within the surrounding tissues. This response, while intended to be controlled, is characterized by the activation of fibroblasts.

Fibroblasts are the cells responsible for synthesizing collagen, elastin, and other vital components of the extracellular matrix. The presence of the threads acts as a continuous stimulus, prompting these cells to increase their production of collagen.

This process, known as neocollagenesis, leads to a gradual thickening and tightening of the skin. The new collagen fibers create a supportive scaffolding, providing structural integrity and improving skin elasticity. However, the extent and duration of this collagen production vary significantly among individuals.

Factors such as age, genetics, and overall health can influence the body's ability to generate new collagen, thereby affecting the longevity and degree of the achieved results.

Vectoring Techniques: Sculpting the Face with Precision

The placement and orientation of PDO threads, often referred to as vectoring, play a critical role in achieving specific aesthetic outcomes. By strategically inserting threads along defined lines of tension, practitioners can effectively lift and reposition sagging tissues.

The choice of vector is dictated by the patient's unique facial anatomy and the desired outcome. For example, threads placed along the jawline can create a more defined contour, while those inserted in the mid-face can elevate the cheeks and reduce the appearance of nasolabial folds.

The precise angle and depth of thread insertion are also crucial considerations. Improper technique can lead to uneven lifting, dimpling, or other undesirable complications. Mastery of vectoring techniques requires a thorough understanding of facial anatomy and a high degree of surgical skill.

Furthermore, it is important to manage patient expectations. While vectoring can provide noticeable improvements, it cannot replicate the results of a surgical facelift.

Classifying PDO Threads: A Spectrum of Options

PDO threads are not created equal. They come in various shapes, sizes, and configurations, each designed for specific purposes and anatomical regions. Understanding the different types of threads is essential for selecting the most appropriate option for each patient.

Barbed Threads (Cog Threads): Lifting and Anchoring Tissue

Barbed threads, also known as cog threads, are characterized by the presence of small barbs or cogs along their length. These barbs act as anchors, gripping onto the surrounding tissues and providing a lifting effect.

When the thread is pulled, the barbs engage with the subcutaneous tissue, elevating the skin and underlying structures. Cog threads are particularly effective for addressing sagging in the mid-face, jawline, and neck.

The design and orientation of the barbs are also important considerations. Unidirectional barbs provide lift in a single direction, while bidirectional barbs offer a more comprehensive lifting effect.

Smooth Threads: Collagen Stimulation and Skin Tightening

Smooth threads, as the name suggests, lack barbs and are primarily used for collagen stimulation and skin tightening. These threads are typically inserted in a mesh-like pattern to cover a wider area.

Unlike cog threads, smooth threads do not provide an immediate lifting effect. Instead, they rely on the body's natural healing response to stimulate collagen production and improve skin texture.

Smooth threads are often used to treat fine lines, wrinkles, and crepey skin in areas such as the forehead, cheeks, and neck. The results are gradual and subtle, but can provide a noticeable improvement in skin quality over time.

Screw Threads (Twisted Threads): Enhanced Collagen Production and Volume

Screw threads, also known as twisted threads, are characterized by their spiral or corkscrew shape. This unique configuration increases the surface area of the thread, maximizing contact with the surrounding tissues.

The increased surface area promotes greater collagen stimulation, leading to improved skin volume and elasticity. Screw threads are often used to address volume loss in areas such as the cheeks and temples.

The twisted shape of the thread also provides a degree of immediate volumization, further enhancing the aesthetic outcome. However, caution must be exercised to avoid overcorrection or contour irregularities.

Potential Complications: A Comprehensive Overview of Risks

As with any medical procedure, understanding the full spectrum of potential complications is paramount before undergoing a PDO thread lift. While generally considered safe, it's essential to acknowledge and carefully consider the risks involved to make an informed decision. These complications can be categorized based on their timing, ranging from immediate post-procedure issues to those that manifest weeks or even months later, as well as potential systemic reactions.

Immediate Post-Procedure Complications

These are the complications that typically arise within the first few days following the procedure. While often minor and self-limiting, awareness and proper management are still crucial.

Bruising

Bruising is a common occurrence due to the insertion of threads beneath the skin, disrupting small blood vessels.

The extent of bruising varies depending on individual factors like skin sensitivity, medication use (e.g., blood thinners), and the technique employed by the practitioner.

Typically, bruising resolves within one to two weeks.

Applying cold compresses immediately after the procedure can help minimize its severity.

Swelling

Swelling, or edema, is another expected side effect caused by tissue trauma and the body's inflammatory response.

It usually peaks within 24 to 48 hours and gradually subsides over the following days.

Mild to moderate swelling is normal.

Elevating the head while sleeping and using cold compresses can aid in reducing swelling.

Pain

Some degree of pain or discomfort is anticipated, varying from mild tenderness to a more noticeable ache.

The level of pain depends on the individual's pain tolerance, the area treated, and the type of threads used.

Over-the-counter pain relievers like acetaminophen or ibuprofen are usually sufficient for pain management. In rare cases, stronger pain medication may be required.

Delayed Complications

These complications emerge weeks or months after the procedure, requiring vigilance and prompt intervention.

Thread Migration

Thread migration occurs when the threads shift from their original placement.

This can happen due to various factors, including improper insertion technique, excessive facial movements, or inadequate anchoring of the threads.

Migration can lead to asymmetry or a change in the intended lifting effect.

In some cases, migrated threads may become palpable or visible under the skin.

Thread Extrusion

Thread extrusion refers to the thread poking through the skin's surface.

This can occur if the thread is placed too superficially or if the skin is thin or compromised.

Extrusion increases the risk of infection.

Prompt removal of the extruded thread by a qualified professional is necessary.

Infection

Infection, although rare, is a serious complication.

It can arise from inadequate sterilization of instruments, poor aseptic technique during the procedure, or subsequent introduction of bacteria into the insertion site.

Signs of infection include redness, warmth, swelling, pain, and pus discharge.

Treatment typically involves antibiotics, and in severe cases, removal of the threads may be necessary.

Granulomas

Granulomas are inflammatory nodules that can form around the threads as a reaction to a foreign body.

They may appear as firm, raised bumps under the skin.

Diagnosis often requires a biopsy to confirm the presence of granulomatous inflammation.

Treatment options include corticosteroid injections or surgical excision.

Scarring

Scarring is generally minimal with PDO thread lifts due to the small insertion points.

However, hypertrophic scars or keloids can occur in individuals prone to excessive scarring.

Proper technique and minimizing skin trauma during the procedure are crucial for preventing scarring.

Scar management techniques, such as silicone sheets or laser therapy, can be employed if necessary.

Dimpling

Dimpling, or skin irregularities, can occur if the threads are placed unevenly or if there is excessive tension on the skin.

It can create an undesirable "orange peel" effect.

Massage and manipulation of the skin may help to reduce dimpling.

In some cases, thread repositioning or removal may be required.

Asymmetry

Asymmetry, or unevenness in the lifting effect, can arise from variations in tissue response, thread placement, or thread migration.

Careful pre-operative planning and precise thread placement are essential for minimizing asymmetry.

If asymmetry occurs, additional threads may be needed to balance the lifting effect, or in some cases, thread removal may be considered.

Nerve Damage

Nerve damage, although uncommon, is a potential risk, especially in areas with superficial nerves.

It can manifest as numbness, tingling, or even muscle weakness.

Most nerve damage is temporary and resolves spontaneously within weeks to months.

However, in rare cases, nerve damage can be permanent.

Overcorrection

Overcorrection refers to an excessive lifting effect that results in an unnatural or distorted appearance.

This can happen if too many threads are used or if the threads are placed with too much tension.

Massage and time can help to relax the tissues.

In some instances, thread removal may be necessary to reverse the overcorrection.

Undercorrection

Undercorrection occurs when the lifting effect is insufficient to achieve the desired outcome.

This can be due to inadequate thread placement, insufficient number of threads, or poor tissue response.

Additional threads can be added to enhance the lifting effect.

"Cobblestoning" Effect

The "cobblestoning" effect refers to the appearance of small, raised bumps on the skin surface, resembling cobblestones.

This can occur when threads are placed too superficially or if there is an inflammatory reaction.

Massage, steroid injections, and hyaluronidase injections (to dissolve any associated filler) are potential remedies.

Systemic Complications

Systemic complications, affecting the entire body, are extremely rare but require immediate attention.

Allergic Reaction

Allergic reactions to PDO material are uncommon, but possible.

Symptoms can range from mild skin rash and itching to severe anaphylaxis.

Anaphylaxis is a life-threatening allergic reaction characterized by difficulty breathing, swelling of the throat, and a drop in blood pressure.

Immediate administration of epinephrine and other supportive measures are crucial in managing anaphylaxis.

Diagnosis and Correction: Addressing Complications Effectively

As with any medical procedure, understanding the full spectrum of potential complications is paramount before undergoing a PDO thread lift. While generally considered safe, it's essential to acknowledge and carefully consider the risks involved to make an informed decision. These complications, ranging from minor inconveniences to more serious events, necessitate prompt and effective diagnostic and corrective strategies. This section will meticulously outline the tools and measures at our disposal for managing such eventualities.

Diagnostic Modalities

Accurate diagnosis is the cornerstone of effective complication management. The ability to precisely identify the underlying issue is crucial for selecting the most appropriate intervention.

Clinical assessment, including a thorough patient history and physical examination, remains the first line of investigation. However, in many cases, advanced imaging techniques are indispensable.

The Role of Ultrasound Imaging

Ultrasound imaging has emerged as a valuable non-invasive tool for visualizing PDO threads and surrounding tissues. Its primary utility lies in confirming thread placement, identifying thread migration or extrusion, and detecting fluid collections suggestive of infection or granuloma formation.

High-resolution ultrasound can delineate the subcutaneous tissue architecture, allowing for a detailed assessment of any distortions or abnormalities caused by the threads. Moreover, Doppler ultrasound can evaluate blood flow to rule out vascular compromise.

Despite its advantages, ultrasound has limitations. Image quality can be affected by factors such as tissue depth and the presence of scar tissue. Furthermore, interpretation requires specialized training and expertise.

Therefore, while ultrasound is a valuable adjunct to clinical assessment, it should not be considered a replacement for it.

Corrective Measures and Interventions

Once a complication has been accurately diagnosed, the next step involves implementing appropriate corrective measures. The choice of intervention will depend on the nature and severity of the complication, as well as patient-specific factors.

Surgical Removal: A Last Resort

Surgical removal of PDO threads is typically reserved for cases of thread extrusion, migration causing significant discomfort or functional impairment, or persistent infection unresponsive to conservative management. The procedure involves making a small incision over the affected area and carefully dissecting out the thread.

This procedure should only be performed by a qualified and experienced surgeon with a thorough understanding of facial anatomy. Incomplete removal can lead to persistent inflammation and scarring.

Steroid Therapy for Inflammatory Complications

Corticosteroids play a crucial role in managing inflammatory complications such as granulomas. These medications work by suppressing the immune system and reducing inflammation.

They can be administered topically, intralesionally (injected directly into the granuloma), or systemically, depending on the severity and extent of the inflammation. Intralesional injections are often preferred, as they deliver a high concentration of the drug directly to the affected area while minimizing systemic side effects.

Prolonged or high-dose steroid use can have significant side effects, including skin thinning, adrenal suppression, and increased risk of infection. Therefore, steroid therapy should be carefully monitored by a physician.

Addressing Infections with Antibiotics

Antibiotics are essential for treating infections associated with PDO thread lifts. Infections can occur due to contamination during the procedure or secondary to thread extrusion.

The choice of antibiotic will depend on the type of bacteria causing the infection. In mild cases, oral antibiotics may be sufficient. However, more severe infections may require intravenous antibiotics and surgical drainage.

It is crucial to promptly recognize and treat infections to prevent them from spreading and causing serious complications. Prophylactic antibiotics (antibiotics given before the procedure) are generally not recommended for PDO thread lifts, as they can contribute to antibiotic resistance.

In conclusion, the successful management of complications arising from PDO thread lifts relies on accurate diagnosis and the judicious application of appropriate corrective measures. A thorough understanding of the available diagnostic tools and interventions is essential for practitioners performing these procedures. Ongoing research and innovation will undoubtedly lead to further refinements in our ability to prevent and manage complications, ultimately improving patient safety and outcomes.

The Importance of Professional Expertise: Choosing the Right Provider

As with any medical procedure, understanding the full spectrum of potential complications is paramount before undergoing a PDO thread lift. While generally considered safe, it's essential to acknowledge and carefully consider the risks involved to make an informed decision. These considerations underscore the critical importance of selecting the right provider.

The success and safety of a PDO thread lift are inextricably linked to the expertise of the professional performing the procedure and managing any subsequent complications. A qualified provider is not merely someone certified to perform the procedure; they possess a deep understanding of facial anatomy, thread lift techniques, and the potential pitfalls that may arise.

Cosmetic Surgeons: Masters of Complex Corrections

Cosmetic surgeons offer a distinct advantage when managing complex PDO thread lift complications. Their extensive surgical training equips them with the skills to address issues that may require surgical intervention.

This includes thread migration, extrusion, or the formation of significant granulomas that are unresponsive to conservative treatments. Their detailed anatomical knowledge is critical for safe and effective thread removal and reconstruction.

In cases where significant scarring or asymmetry occurs, a cosmetic surgeon can employ advanced techniques to restore a more natural and balanced appearance. Choosing a board-certified cosmetic surgeon ensures that you are entrusting your care to a professional who has met rigorous standards of training and expertise.

Dermatologists: Skin Specialists and Problem Solvers

Dermatologists play a crucial role in identifying and treating skin-related issues following PDO thread lifts. Their expertise in skin physiology and pathology allows them to diagnose and manage complications such as infections, granulomas, and allergic reactions.

They are adept at prescribing appropriate topical or systemic medications to address these concerns. Moreover, dermatologists can offer valuable guidance on skincare regimens to optimize healing and minimize scarring.

Their deep understanding of skin structure and function makes them invaluable members of the team responsible for patient care after a thread lift.

Aesthetic Practitioners and Injectors: Precision and Prevention

The skills and experience of the aesthetic practitioner or injector directly impact the likelihood of complications. Proper technique is paramount to minimize adverse effects.

This includes precise thread placement, appropriate tension, and a thorough understanding of facial anatomy. Inadequate training or improper technique can significantly increase the risk of thread migration, extrusion, and asymmetry.

Choosing an injector with extensive experience and a proven track record is essential. Look for certifications, before-and-after photos, and patient testimonials.

It's also important to inquire about their approach to complication management. A well-prepared practitioner will have a clear plan for addressing potential issues.

Selecting Reputable Clinics: A Foundation of Safety

The setting in which the procedure is performed also matters. Choosing established cosmetic clinics, hospitals, or medical spas (Med Spas) offers several advantages.

These facilities typically adhere to strict safety protocols, maintain high standards of hygiene, and have access to the necessary equipment and resources to manage complications effectively. Furthermore, reputable clinics often employ a team of experienced professionals, including nurses and support staff, who can provide comprehensive patient care.

Be wary of practitioners offering thread lifts in non-medical settings or at significantly discounted prices. These may indicate a lack of proper training, inadequate facilities, or a compromise on safety standards. Your health and well-being should always be the top priority.

Patient Considerations: Pre- and Post-Procedure Care

As with any medical procedure, understanding the full spectrum of potential complications is paramount before undergoing a PDO thread lift. While generally considered safe, it's essential to acknowledge and carefully consider the risks involved to make an informed decision. These considerations are integral to ensuring patient safety and satisfaction with the outcome.

A comprehensive understanding of patient care, encompassing both pre- and post-operative stages, significantly enhances the likelihood of a successful procedure and minimizes the potential for adverse events. This requires a meticulous approach from both the practitioner and the patient.

Pre-Procedure Consultation and Risk Assessment

The initial consultation serves as the bedrock for a successful patient journey. It is during this crucial stage that a thorough risk assessment must be conducted, evaluating the patient's medical history, current health status, and suitability for the procedure. This involves a detailed discussion regarding potential risks, benefits, and alternative treatment options.

Informed consent is not merely a formality; it is an ethical and legal obligation to ensure that the patient fully comprehends the procedure, its potential complications, and the limitations involved.

A detailed understanding of the procedure allows patients to participate actively in their care. This helps them make well-informed decisions.

This process also includes establishing realistic expectations, as thread lifts may not achieve the same dramatic results as surgical facelifts.

Managing Patient Expectations: A Critical Component

One of the most crucial elements of pre-operative care lies in effectively managing patient expectations. It is imperative to emphasize that PDO thread lifts are not a substitute for traditional surgical interventions.

They are best suited for patients seeking subtle to moderate improvements in facial laxity.

A detailed discussion of the potential outcomes, including limitations, is crucial to avoid disappointment and unrealistic expectations post-procedure.

Visual aids, such as before-and-after photos, can be helpful but should be presented with caution. Ensure to showcase realistic results that reflect the patient's specific condition and expectations.

Post-Procedure Care and Monitoring: Vigilance is Key

Post-procedure care is equally crucial in ensuring optimal outcomes and minimizing the risk of complications. Patients must be provided with clear and concise instructions regarding wound care, activity restrictions, and potential warning signs.

These instructions should be provided both verbally and in written form. This reinforces understanding and compliance.

Follow-up appointments are essential to monitor healing. They also enable early detection and management of any complications that may arise.

Patients should be educated on the importance of recognizing and reporting any unusual symptoms. These symptoms include excessive pain, redness, swelling, or signs of infection.

Prompt intervention can significantly reduce the severity of any complications. It can also prevent long-term adverse effects.

Tools and Substances: Supporting the Procedure and Managing Complications

As with any medical procedure, understanding the full spectrum of potential complications is paramount before undergoing a PDO thread lift. While generally considered safe, it's essential to acknowledge and carefully consider the risks involved to make an informed decision. These considerations also extend to the critical role played by surgical instruments and anesthetics, not only during the initial procedure but also in managing any complications that may arise. The judicious selection and application of these tools and substances are vital for ensuring patient safety and optimizing outcomes.

The Role of Surgical Instruments in Managing Complications

The management of PDO thread lift complications often necessitates the use of specialized surgical instruments. The precision and effectiveness of these instruments are crucial for minimizing further trauma and achieving desired corrective outcomes.

Instruments for Thread Removal and Manipulation

In cases of thread migration, extrusion, or granuloma formation, surgical intervention may be required to remove or reposition the threads. Fine-tipped forceps are essential for grasping and extracting threads with minimal tissue damage.

Small retractors may also be employed to improve visualization and access to the affected area. Furthermore, specialized instruments like curettes can assist in the removal of granulomatous tissue that may form around the threads.

The choice of instrument will depend on the specific complication, location, and depth of the threads. Improper handling can lead to further tissue damage, scarring, or even infection. Therefore, the expertise of the surgeon in selecting and utilizing these instruments is paramount.

Importance of Sterilization and Proper Technique

Regardless of the instrument used, strict adherence to sterilization protocols is non-negotiable. The risk of infection is a significant concern, and utilizing properly sterilized instruments is a fundamental step in mitigating this risk.

Similarly, the surgeon’s technique is critical. Gentle and precise manipulation of the tissues is essential to avoid causing further damage or complications. Thorough anatomical knowledge and meticulous surgical skills are prerequisites for effectively managing PDO thread lift complications.

Anesthetics: Ensuring Patient Comfort and Safety

Anesthetics play a crucial role in both the PDO thread lift procedure itself and in the management of any subsequent complications. Adequate anesthesia is essential for minimizing patient discomfort and anxiety, while also facilitating precise surgical maneuvers.

The Utility of Local Anesthetics

Local anesthetics, such as lidocaine, are typically used during PDO thread lift procedures to numb the treatment area. This allows the practitioner to insert the threads with minimal pain or discomfort for the patient.

In the event of complications requiring surgical intervention, local anesthetics are again indispensable. They provide pain relief during thread removal, granuloma excision, or other corrective procedures. Furthermore, the use of local anesthetics can help to reduce bleeding and swelling, thereby improving visualization and surgical precision.

Considerations for Anesthetic Use

While generally safe, local anesthetics can carry potential risks, including allergic reactions and systemic toxicity. It is crucial for practitioners to have a thorough understanding of anesthetic pharmacology and to be prepared to manage any adverse events that may occur.

Careful attention must be paid to the dosage of anesthetic administered, taking into account the patient’s weight, medical history, and the specific anesthetic being used. Monitoring the patient’s vital signs during the procedure is also essential for detecting any early signs of anesthetic toxicity.

In conclusion, the effective management of PDO thread lift complications relies heavily on the judicious use of specialized surgical instruments and appropriate anesthetic techniques. A thorough understanding of these tools and substances, combined with meticulous surgical skills and a commitment to patient safety, is essential for achieving optimal outcomes and minimizing the risk of adverse events.

So, yeah, that's my PDO threads ruined my face story. It wasn't pretty, but hopefully, sharing my experience helps you weigh the risks and make an informed decision. If you're already dealing with complications, know you're not alone, and there are definitely options to explore to get things back on track!