The PDO Thread Podcast for Injectors & Plastic Surgeons: Recent Episodes

Les Encres, LLC

If you are an Injector in the Aesthetics industry, or thinking of growing your PDO Thread practice, this radio show is for you! We talk to the top PDO, PLLA and PCL Thread Injectors from across the US to learn about the REAL business issues they are facing, thread treatment complications, wins/misses and the key to their own professional and personal success. Helping you to bring the artistry of cosmetic threading to life!

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All threads come in different sizes. They come in different USP sizes, which is the size of the thread. Now, the average person, they see the gauge of the cannula, and they see an 18 gauge cannula. They think, the thread inside is an 18 or a little bit smaller, maybe a 19 gauge to fit that cannula.

Not all companies are the same and that is not always the case. Anytime you have a molded thread with bigger, barbs or little arrowhead pieces on them you have a thicker product. It is designed to be used differently. The thicker the product, the longer it's going to last.

Now, if you insert a molded thread incorrectly, it's going to take a long time for that to dissolve, and that's undesirable, but if you're using a lifting thread, you want that thread to last a long time. That is a desirable outcome. So it's important to know what's actually in your cannula and which thread to pick for which job that you're doing.

Common Misconceptions and Training Issues

You've, worked with quite a few thread companies, have you heard any type of, narrative that you see as actually hurting our clients, hurting our practitioners from even, liking threads in general, or even liking PDO or getting the confusion between, Oh, well I've used threads before.

It was just a terrible experience. I never want to use threads again and they just assume it's PDO or they just assume it was the same thread. Well, yes, but most of the time it is from poor training as opposed to the actual product that they're putting in someone's face because we hope that all of the people we're working with are using FDA approved products.

Les Encres is FDA approved. If it's FDA approved, the one thing you know is that if it's a PDO thread, it's a PDO material in the cannula, which is a safe product to use because it dissolves in the skin in four to six months. So, the biggest thing I see that really causes people not to get good results or not to want to use threads is because they were not trained properly.

Proper Techniques and Planes for Thread Insertion

They're not in the correct, plane of skin. the correct plane is the dermal layer, Where collagen and fibrin is built. If you're not in that plane, if you go too superficial, you're going to see the thread. If you go too deep, basically you're just not doing any good because it's gone too deep.

It's in the fat layer. It's not actually pulling and lifting. It's dissolving. There's no collagen being built because it's not in the right plane.

Pain Management and Thread Migration

They will actually put lidocaine to the end of a cannula and shoot lidocaine into the track as they're laying down the thread and I don't ever do this because two reasons the biggest reason is If you're not in the dermal layer and you go too superficial, it's going to hurt.

The client is going to know because there's more nerve endings towards the epidermis of the skin. That tells you adjust your, trajectory and move smoothly. If you go too deep, you're getting into the nerve bed and it's going to hurt. If you numb that whole track, you have no way to know if you're staying in the plane.

if you, uh, flood it and use too much liquid, then the barbs will not connect into the tissue, so it's going to float around in there and that will cause you to have a thread that migrates. It will also cause you not to get pull with a thread. So if you're inserting correctly, then you know that it's not going to hurt

and if you are an advanced injector and have had the training on Sculptra, Radiesse, and some of the other products that use cannula, you know exactly what I'm talking about. It's the same principle with threads. I see that a lot where they're saying, Hey, my thread is migrating.

One of the things that I do lik

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Join Michelle from Les Encres and Denise Merdich, a Nurse Practitioner specializing in non-surgical aesthetic procedures, as they delve into the transformative potential of aesthetic threads. Denise shares her extensive experience in the industry, discussing the evolution of threads, patient selection, safety protocols, combination treatments with other aesthetic procedures, and the return on investment for practitioners. They also address common misconceptions, highlight the importance of proper training, and share practical insights for achieving optimal results in aesthetics.

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This month’s Vlog is all about how to add elements of health coaching to your time with your weight loss patients; increasing both your success rates and improving patient satisfaction.

Join Mona Jisr from Morph Mind & Body and Stacey Reynolds from Les Encres Threads for a short but helpful discussion about the magic of health coaching.

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If you are an Injector in the Aesthetics industry or thinking of growing your PDO Thread practice, this radio show is for you! We talk threads with Keeley Walker, APRN, CNP and owner of The Luxe Clinic in Perdido Key, Florida. Learn about the REAL business issues they are facing, thread treatment complications, wins/misses and the key to their own professional and personal success. Les Encres and The Luxe Clinic helping you to bring the artistry of cosmetic threading to life!

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If you are an Injector in the Aesthetics industry or thinking of growing your PDO Thread practice, this radio show is for you!  We talk threads with Lisa Vuich, MD.  Dr. Vuich is Board Certified by the American Academy of Aesthetic Medicine and is a skilled Injector and Trainer based out of Derry, New Hampshire.  Learn about the REAL business issues she is facing, thread treatment complications, wins/misses and the key to their own professional and personal success.  Les Encres and Renew Med Spa helping you to bring the artistry of cosmetic threading to life!

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If you are an Injector in the Aesthetics industry or thinking of growing your PDO Thread practice, this radio show is for you!  We talk threads with Sheila Barbarino, MD, FAAO, FAACS, FACS, a renowned cosmetic surgeon and key opinion leader in both Los Angelos and Austin Texas.  Dr. Barbarino is also the owner of Barbarino Surgical Arts in Austin, Texas.  Learn about the REAL business issues she is facing, thread treatment complications, wins/misses and the key to their own professional and personal success.  Les Encres and Barbarino Surgical Arts Clinic helping you to bring the artistry of cosmetic threading to life!

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If you are an Injector in the Aesthetics industry or thinking of growing your PDO Thread practice, this radio show is for you!  We talk threads with Barbara Beckford, NP, Owner/Nurse Skin Esteem located in Queens, New York.  Learn about the REAL business issues they are facing, thread treatment complications, wins/misses and the key to their own professional and personal success.  Les Encres and Skin Esteem helping you to bring the artistry of cosmetic threading to life!