Yes. Migration or displacement is a recognised potential complication. A thread may shift from its intended position, become more superficial, produce abnormal contour, become visible beneath skin or become exposed through the skin.
Extrusion means part of the thread becomes exposed through skin or an entry point. Do not pull it yourself.
Some patients can temporarily feel a thread or fixation point during early healing, and this may become less noticeable. A thread that becomes increasingly prominent, painful, superficial, visible or exposed should be assessed.
Possible contributing factors include insufficient tissue fixation, inappropriate tissue plane, thread architecture, excessive movement, incorrect vector, thread breakage, placement technique and tissue characteristics.
Yes. Signs can include increasing redness, heat, pain, swelling, discharge, pus, bad smell, fever or feeling unwell.
Sometimes early displacement may have management options. In other situations removal may be safer. Decision-making depends on timing, material, design, location, depth, symptoms, tissue integration and infection.
Potentially. High-frequency ultrasound can be useful in selected cases to clarify thread position and surrounding anatomy, especially when multiple threads or other injectables are present.
Reasons include extrusion, persistent infection, severe pain, significant migration, persistent contour distortion, skin compromise, symptomatic superficial thread or another structural complication
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