Which lifting, non surgical treatment has the lowest complication rates?

Question

Which non-surgical procedure (i.e., pdo threads, accutite, rf microneedling, ultherapy) for lifting sagging cheeks/nasolabial folds has the lowest complication rate? Thank you for sharing your expertise and time.

Anna Chacon, MD, FAAD · Answer

When considering non-surgical lifting treatments for sagging cheeks and nasolabial folds, each option has its own set of benefits and risks. Here's a brief overview of the complication rates associated with some popular treatments:

PDO Threads: These are absorbable threads used to lift and tighten the skin. Complications can include thread visibility, infection, and uneven results. However, they are generally considered safe with low complication rates when performed by experienced practitioners.

AccuTite: This is a minimally invasive radiofrequency (RF) treatment that uses heat to stimulate collagen production and tighten the skin. Complications can include temporary swelling, bruising, and skin irregularities. It is generally well-tolerated but requires precise technique to minimize risks.

RF Microneedling: This combines microneedling with radiofrequency energy to stimulate collagen production and improve skin texture. Common side effects include redness, swelling, and minor scarring, but serious complications are rare.

Ultherapy: This uses focused ultrasound to stimulate collagen production and lift the skin. It is generally safe with low complication rates, such as temporary redness or swelling. However, it may not be as effective for everyone, especially those with significant sagging.

Lowest Complication Rate: Among these options, Ultherapy is often noted for having a very low complication rate due to its non-invasive nature and precise targeting of deeper tissue layers. However, it's essential to consult with a qualified healthcare professional to determine the best treatment for your specific needs and skin type. They can provide personalized advice based on your individual factors.

Camille Cash, MD · Answer

Each treatment that you mentioned has risks and benefits.  It's important to meet with a board certified plastic surgeon for a consultation to discuss what your concerns are.  She will evaluate you and recommend the tool that best addresses your concerns.  Part of the conversation will be the risks to consider.

William Portuese, MD · Answer

Much more information is needed, such as a full set of facial photographs and your age to make a determination about the most appropriate surgical or non-surgical procedure. The energy based devices really don't offer much improvement and PDO threads are very temporary.

Which lifting, non surgical treatment has the lowest complication rates?

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