Facial Thread Lifting Complications: Underlying Causes

Introduction: Thread lifting procedures are becoming increasingly popular for facial rejuvenation. However, various complications can arise during these procedures, many of which are influenced by anatomic factors. Methods: In this section, the authors explore the potential side effects associated with thread lifting and emphasize the anatomic structures that require careful attention. Techniques to mitigate these risks are also discussed, focusing on methods such as reticular cutis gathering and pinching techniques. Results: Complications from thread lifting can include dimpling, protrusion, skin penetration due to skin tagging, parotitis, and nerve damage. These issues often stem from anatomic causes. In addition, granulomas, infections, and excessive fibrosis may occur, sometimes necessitating thread removal as the safest course of action. Discussion: Proper techniques, such as reticular cutis gathering and pinching, can help minimize side effects and ensure the safe placement of threads within the intended layer. Aligning threads with tissue movement and the superficial musculoaponeurotic system (SMAS) layer is crucial to preventing complications or deep penetration. Conclusion: By focusing on anatomic structures and using careful techniques, the risks associated with thread lifting can be significantly reduced, leading to safer and more effective outcomes.