Yes, in selected circumstances. Although PDO threads are designed to absorb over time, sometimes a complication makes waiting for degradation inappropriate or undesirable. Reasons can include extrusion, migration, persistent severe dimpling, persistent pain, infection involving the thread, visible superficial threads, significant contour distortion or other structural complications.
No. Removal itself can create swelling, bruising, trauma, scarring, additional tissue irregularity or damage to surrounding structures. For a mild problem that is already improving, removal may create more harm than observation.
Not always. Difficulty depends on thread architecture, barbs or cogs, depth, insertion vector, time since treatment, tissue fibrosis, location and fragmentation.
Potentially. Sometimes the clinically problematic portion is accessible. Whether leaving a portion behind is appropriate depends on thread type, symptoms, infection, location and stability.
Potentially, but an assessment is required. Outside procedures are more difficult when there are no records, thread brand is unknown, vectors are unclear, several layers exist, filler is also present or treatment was performed abroad.
Yes, in selected cases. Ultrasound may provide additional anatomical information when thread location is unclear, several procedures have been performed or a deep complication is suspected.
The mechanical support created by a lifting thread may be reduced when that thread is removed. Final appearance depends on how long the thread has been present, original laxity, which thread is removed, how many remain and tissue healing.
Usually there should be a clear reason before introducing new implanted material into recently manipulated tissue, especially if the original problem involved infection, inflammation, extrusion or significant trauma. Correct the complication first and reassess the aesthetic plan later.
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