A poignant medical liability piece for aesthetic nurses undertaking polydioxanone (PDO) thread lifting. The author provides the clinical background, as well as the anatomical areas which may benefit from rejuvenation with PDO threads. There is some discussion surrounding comparison with other types of threads (bidirectional and unidirectional barbed threads), along with patient suitability. A greater emphasis could have been placed on the importance of accurate assessment, although contraindications to treatment are acknowledged. It may have been prudent to discuss the implications of treating patients who have previously received threads, in terms of safety and anatomical considerations, as well as the importance of medical photography as part of the informed consent process. The author stresses that in light of the relatively new nature of the procedure, techniques are continually evolving and that this is in part owing to the level of experience of the practitioner undertaking the treatment. The importance of robust training as well as an accurate anatomical awareness is crucial prior to undertaking any aesthetic procedure. The author provides insight into current UK statistics concerning litigation surrounding PDO threads, with examples of claims made based upon unsatisfactory treatment results, as well as compensation costs.

Polydioxanone thread-lifting: reducing the risks involved with a relatively new procedure.
Di-Scala N.
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Anna Baker

BJN Aesthetic Nurse of the Year 2016.

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