PDO & PLACL Fine Threads Contouring Treatment Consent Form

Introduction

Threads contouring treatment has been available for more than 10 years. This treatment failed to gain a lot of popularity due to the invasive nature and level of discomfort associated with threads treatments. Most threads used up to now are not biodegradable and the end result can cause visible asymmetry.

Polydioxanone (PDO) threads are not a new type of thread. Doctors have been using it for wound closure worldwide for more than 15 years. This type of thread is safe and has less discomfort and downtime that is associated with its less invasive insertion technique. PDO threads are fully biodegradable and only new collagen remains after 6 months. It is non-allergenic and discomfort after insertion is moderate lasting only 3-4 days. Paracetamol 500mg 2-3 times a day after meals is recommended if required. Avoid taking Ibuprofen or other non-steroidal anti-inflammatories because they will suppress the inflammation that is necessary for neo-collagenesis. Bruising associated with the threads is minimal but patients taking aspirin or other blood-thinning medicine such as Plavix may be more prone to bruising. Some degree of swelling can be expected lasting about 2-3 days up to 6 weeks.

Existing facial asymmetry may not be completely rectified. PDO threads are not a replacement treatment for plastic surgery. Results are not guaranteed and no money refund guarantee is applicable.

Pre-Treatment Procedure

• Taking of your medical history
• Examination of the area to be treated
• Photography
• Although polydioxanone (PDO) is anti-bacterial, prophylactic antibiotic cover as an additional precaution is advised when deep multi-direction, 3D Spiral Cogged threads are inserted: oral Azithromycin 500mg one hour before the procedure and for an additional 2 days
• Oral antihistamine to reduce swelling if the patient is not going to self-drive home
• Topical anesthetic cream is sufficient analgesia for insertion of superficial PDO threads
• Local anesthetic injections (lignocaine) to numb the treatment areas. Your face will feel numb and your mouth may be asymmetrical for a few hours, similar to that of dental injections. Please refrain from chewing or drinking hot liquids until your face has regained full sensation.

Treatment Procedure

The standard treatment procedure, which may vary in individual circumstances, includes:

• Insertion of PDO Cog threads underneath your skin in the jawline and cheek areas. The effect is LIFTING of sagging connective tissue underneath the skin
• PDO monofilament threads are inserted into the skin to stimulate skin tightening

Post-Treatment Procedure

The standard post-treatment procedure includes, but may vary with each individual case:

• Application of antibiotic cream to Deep Cog insertion areas
• Ice packs if required
• Gently wash your face on the same day after the procedure
• Do not open the mouth wide and do not have routine dental treatment for at least 4 weeks after the treatment
• Avoid taking aspirin for 7 days after the treatment unless it is prescribed for a medical reason
• Avoid extreme temperatures (sauna, etc.) and exercise for 14 days after the treatment
• Avoid having other cosmetic treatments for 14 days after the treatment