Severe swelling and pain after Nova Thread, 1 day post op. (photo)

That that appears to be an unusual amount of swelling after a thread procedure. You may have a hematoma which is a collection of blood under the skin from a pierced blood vessel, or perhaps an infection. In either case you should certainly return to your practitioner to have him her examine you and determine what went wrong and what the proper therapy should be.

You should get in touch with your doctor immediately as this could be a sign that some of critical facial structures could be damaged, most concerning would be the parotid duct if the cannula was inserted too deep.

Hello jrose1212,

Based on the pictures you've provided, the amount of swelling you are experiencing is not typical after a thread lift. You may be experiencing a hematoma, and I would contact your doctor as soon as possible for diagnosis or peace of mind! Best of luck.

This is a very unusual amount of swelling following a polydioxanone thread insertion.
It is a very safe technique and a retrospective chart review called Outcomes of polydioxanone knotless thread lifting for facial rejuvenation (Suh DH, et al. Dermatol Surg. 2015) confirmed this. The results were good, and complications were low and not serious (bruising).
This looks like a hematoma (blood collection) and I would advise you to notify your physician immediately for follow up and treatment. Until then, ICE and more ICE.
Dr. Anna Sylwestrowicz MD, FRCP(C)
Victoria, BC

Occasionally an area can have significant swelling and bruising after threads and will resolve but often slowly. Recommend icing and delay future threads until healed.