Resumo

Objectives: Objectives for this study are to provide doctors with necessary information to avoid possible complications, evaluate and prevent complications, and to manage complications in case of such occurrence. In this article, we review and evaluate several cases involving complications resulting from barbed suture. Introduction: Thread lifting procedures has gained popularity over the past two decades, due to its numerous advantages such as mini-invasiveness, cost effectiveness, ease of performance, immediate results, and long-standing effects.There are many different types of threads represented in the global market, with variable composition, types, methods, and techniques. Along with the frequency of the procedures, different types of complications occur that are caused by incorrect techniques, incorrect techniques, incomplete examination of the patients, as well as by the patients ignoring the recommendations. Materials / method: The thread insertion methods should be performed in the proper layer such as subcutaneous fatty tissue, since this the area where the barbed thread is inserted and where its fixation occurs, after which with a simple motion reposition is performed, on another hand such layer is the safest area since any big branches of arteries, veins and nerves aren’t placed there.The product which is used to insert the threads should be atraumatic, simple to use and easy to guide. The methods for reposition of soft tissues should be simple and considered with anatomical biomechanics of the face. Results: patients are reporting different types of complications, including simple skin retraction, dimpling, asymmetry, contouring, migration, infection, abscess and even necrosis in few cases. In this study we evaluate all these cases with complications and as well as with adverse effects. We analyze ways for the prevention and management of such cases. Conclusion: Thread lifting techniques are becoming more common and hence, complication rates may be higher than initially reported. We believe that, by being informed and aware of the human anatomy, aestheticians and surgeons who perform these procedures will be able to correctly evaluate individual cases, choose safe methods and products, following the aseptic and antiseptic rules, and will achieve effective results.For those patients who follow all the recommend. of the doctors, and in case of identifying any type of changes report and communicate with their doctor willsignificantly decrease the risks.