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MicroLift with Miracu

PDO thread lifting using Miracu PDO threads is the newest treatment in aesthetics today!

Thread lifts used to involve surgery and became associated with undesirable side effects such as infections and thread breakage. However, the thread lift procedure has radically changed. Most thread lifting procedures today are non-invasive. While there are many different types of thread lifts, the PDO thread lift is amongst the most popular today. The threads are made in South Korea, and is one of the most commonly performed skin lifting procedures today.

CosMedical’s staff have been trained in the latest procedures and hold master certifications from the manufactures. Dr. Larry Segal teaches courses regularly in many of other states outside of Georgia. Make your appointment today to have your personal consultation done by our medical professionals, and see what MicroLift can do for you!

What is a MicroLift?
  • A MicroLift with Miracu threads is a safe esthetic procedure that produces that is subtle, with natural-looking results. This technique developed by Dr. Schreiber Miracu’s master trainer in PDO threads, produces a relaxed appearance still preserving, rejuvenating, enhancing, while still retaining the natural appearance of the patient’s face. MicroLift does not replace a conventional facelift; but does prolong the need for invasive procedures such as a surgical face lift. So, in short, the MicroLift offers patients an innovative, minimally invasive nonsurgical approach to achieving facelift-like results. The cost of this procedure is traditionally about one third the cost of the surgical option but has far less down time depending on the treatment area. Let’s face it we all are going to experience the deflation, and decent of the healthy facial structure we all took for granted in our early to late twenties, and thirties.
How is it performed?
  • A MicroLift utilizes very small barbed and smooth surgical sutures made to be reabsorbed in the body much like the sutures which are used in a traditional surgery. This procedure is designed to lift and support the droopy areas of the brow, cheeks, face and neck and numerous other parts of the anatomy. Miracu threads are inserted in exact locations using a cannula or sharp needle via a very small pilot hole in the case of the cannula, and anywhere necessary in the case of a sharp mono or barbed thread. Once inserted under the skin layers, the barbs attach to the fat pads to form a support structure that lifts and repositions the tissues to a vertical and youthful position. These barbed threads, act as anchors to support the lifting during the adjustment process and continue to do so up to 16 months after the procedures completion. The threads are re-absorbable over 4-6 months, but the body’s own collagen formation around the thread maintains the hold while continuing to revitalize the area where threads have been placed.
  • Once the healing cascade is completed the thread continues to build scaffolding to allow the skin to maintain the position the patient desires. In many cases the outcome of a MicroLift will allow the patient to forego treatments such as fillers, Botox, and laser treatments for months without a negative outcome. But the as is in many cases the opposite effect is that combination treatments have proven to even enhance the MicroLift process further by contributing to a positive outcome.
What are “barbed” sutures?
  • Unlike conventional sutures, which are smooth, bards have very small hair-like barbs which Miracu molds in place, rather than cut them to allow the tread to maintain tinsel strength. Miracu has spent years in the development process to allow their threads to standout worldwide as the best in the market. Through extensive research and because the manufacturer is also the world’s largest manufacturer of insulin, a focus has been placed on developing and distributing the best PDO threads produced. These PDO threads are manufactured in a production facility that means all FDA and USDA standards/regulations. Miracu has been designing and manufacturing sophisticated medical products for the past 30 years. Products like the Vistapen Micro-needling pen, insulin needles, and other needles used in multiple surgical facilities worldwide.
What do the PDO threads look like?
  • Unlike other polydioxanone sutures, Miracu molds all the PDO threads they produce, this avoids the cuts competitors make in the treads to create bards and allows the Miracu manufactured thread to remain the strongest thread in the industry. In addition to the quality of the threads the selection of specialty threads is larger than any supplier currently in the market.
How do they work?
  • Due to the unique thread design of the molded barbs the surrounding tissues act to hold the threads in place without the need for visible scars. The medical professional makes a small incision at the point where the designated vector is to begin then the threads are advanced along the previously marked line of contours to allow the bards to be anchored on the underlying tissues without causing additional trauma. The barbs do all the work of holding by being fixated to tissue, in most cases the fat pad, then they are massaged as they are softly contoured into place. Once in position, your body generates new collagen bundles from the natural healing cascade which occurs when any injury is inflected on the body, and the long-term effect is the surrounding tissue produces and new collagen, fibroblast, and stem cells, which ultimately generate new skin cells which helps maintain the lifting effect. When something happens to disrupt the integrity of your skin such as the placement of a needle in the subdermal layer of the skin to the extent that it has to regenerate, your body’s immediate response is inflammation. White-blood cells leak out of local blood vessels into the wound, which could be a scrape, cut or burn or in the case of PDO a puncture, the science can be made easy to understand if you think about it in common terms.
  • Think of the human body as a fortified castle. When the castle walls are attacked as is the case when you make a puncture with a PDO thread and needle, loyal soldiers set into action to fight off the invaders. In the body, those brave knights are immune cells, which activate the inflammatory response and also k known as the healing cascade to repair damaged tissue and blood vessels. All of this means that more the wounding action is the best active assist for supporting the growth of new collagen to revitalize the skin.
Does it hurt?
  • You will be given a local anesthetic prior to the procedure and possibly some light sedation which in most cases the patient no more than what they would experience if they were to be stung by a bee. Post-procedure, the pain and discomfort vary from patient to patient. Pain sometimes persist when multiple areas experience the effects in one setting. For some patients the pain is very minimal and in others the pain can be strong. When needed patients are prescribed an anti-inflammatory to allow for the trauma to subside more rapidly. Some patients will experience the most pain when sleeping in the first 48 hours. But it will all pass and there I no lasting uncorrectable effects because all threads absorb and have no trace in as few as six months. All pain should subside in the first fourteen days but the effects of the lift last between 16 and 24 months.
Is it safe?
  • When performed in a professional setting by a certified medical professional, the procedure is very safe. Most doctors who use Miracu threads have been certified through professional training courses either conducted by medical training schools or the company. Each medical professional is trained with certain benchmarks which must be reached to obtain the Manufacturers certification. It is an extensive training procedure in which the medical professional under certified trainers observation and guidance places hundreds of threads in qualified models which meet the indication requirements. The risks and complications are uncommon and usually easily correctable. In the rare event of a complication, the sutures can be removed or repositioned as needed. Since it is performed under local anesthesia, there are none of the risks associated with general anesthesia.
How many treatments will I need?
  • When a proper evaluation takes place, it should only take one procedure to achieve the desired lifting effect. However, most candidates wait to have additional procedures once they have seen the initial results. Some patients may be more suited to initially having a revitalizing technique such as Mico-needling done first, followed by a lifting procedure a few weeks later. A number of combination treatments have been used to enhance the results of PDO treatments, Micro-needling has proven to be the low-cost procedure producing measurable results. Of course, fillers in conjunction with Bio-Fil products have shown results as well, but be careful to plan combination treatments using the manufacturers protocols because they can’t all be preformed in the same secession.
What kind of care is required after the procedure?
  • Following the procedure, there are some practical post care instructions that must be followed to avoid dislodging threads from their supportive tissue where the collagen reaction takes place. Some of these instructions you may be asked to follow when having facial procedures are being performed. This may include, avoidance of forceful facial rubbing (massage), strong active movement, in some cases something as simple as a chough can dislodge a thread within the first couple of weeks. Sleeping on the side of your face, must be avoided to assist in protecting the skin where the barbs have been anchored. It is also suggested that excessive mouth opening, such as eating substances which require the mouth to be open extraordinarily wide or yawning. Most certified professionals will tell you to also avoid some sporting activities, such as extensive workouts, including running, lifting weight over five pounds or hanging upside down in compression beds. All of these suggestions are made to enhance the procedure, and in no way are we saying there will be any negative effect other than the procedural outcome. These are recommendations, nothing more than suggestions, to allow your patient to achieve the best possible outcome.
Will I have to avoid work and activities?
  • It is personal preference there may be some minor bruising, swelling but there is rarely an issue of returning to work immediately following the procedure; however, it may take a few days for the inflammation to subside.
How long do the results last?
  • Depending on the patient at the time of the procedure, age, lifestyle practices, and the degree of sagging prior to the procedure as well as, the number of threads inserted by the physician but the basic response based on experience shows the duration varies from one to two years.
What are the possible side effects?
  • Complications are rare and are easily corrected should the minor ones occur. All of the following complications are treatable and may include inflammation, bruising, skin irregularities, puckering and infection. In some cases, patients may feel some tightness or pulling or may be able to feel the threads. These minor side-effects will resolve in time. Since this technique is entirely reversible, unwanted side effects are usually easily corrected under local an aesthetic. You can always add additional threads if the desired results aren’t achieved, experienced professionals usually wait several weeks before preforming touch up procedures.
Can this procedure be combined with other cosmetic procedures?
  • MicroLift designed to be a stand-alone procedure. However, it is not uncommon to have this procedure combined with botulinum toxin (Botox) to reduce facial muscle activity, dermal fillers such as Juvéderm, or Bio-Fil to enhance volume, or peels and laser therapy to improve skin texture. As referenced earlier these combination treatments must be planned in advance to meet the federal guidelines for use of each product.
Are the threads permanent?
  • Miracu threads are re-absorbable, and they will dissolve over time. It takes between four and six months depending on the patient to completely dissolve.
What is the difference between Miracu threads and other threads?
  • Miracu is an FDA cleared and 510K registered re-absorbable barbed sutures. They are designed to anchored to facia and are the only ones that are introduced in the number of sizes to meet the standards of procedures other than mid-face, and neck. Miracu threads are introduced into the tissue with a fine straight needle or a hollow needle known as a cannula, which makes the procedure faster and simpler.When using the cannula needle you are preforming the procedure in the safest manner because you’re not introducing a sharp instrument into the nerve and vascular area should the plain leave the shallow pain manufacturers call for in their protocol. Miracu’s research department continues to add additional stock keeping units to the line which are designed to be specific functions. Custom threads have been produced to allow the professionals to use specially designed threads for lifting the nose, knees, arms, and buttocks.
What areas can be treated?
  • Elevate and readjust sagging eyebrows
  • Adjust asymmetric eyebrows
  • Reposition mid-face skin
  • Elevate soft tissue and jowls of the mid and lower face
  • Smooth and lift while revitalizing premature skin aging
  • Reposition sagging skin at the knee
  • Adjust and elevate the skin in the backs of the arms
What type of results will I see?
  • Most of the desired effects take place on the spot and are immediate. During the time of your consultation your medical professional should demonstrate in a mirror the relative amount of lift that the Miro can achieve. For the most part from each point of attachment when using a barb, you should see a lift about the length of the top of your pinky finger. In sort, the more anchor points or barbed threads inserted the more left can be achieved.
  • As was mentioned earlier in this document combination treatments in most cases enhance the thread insertions. Those combination techniques may include dermal fillers, botulinum toxin (Botox, Xiamen, Dysport), and micro-needling of the neck fat. It takes between 1 to 3 weeks for the whole effect to settle and see the final result. So combination treatments must be planned and the consultation with the patient must address those possibilities before the thread treatment is performed.
Do I need to have anesthesia?
  • In most cases, local anesthesia is required when using a barbed cannula needled thread. The medical professional may also offer you the option of having light sedation. General anesthesia is not necessary for the basic MicroLift.
How long does it take to perform?
  • It most cases and depending on the procedure that is being performed under local anesthesia when using barbs. If the procedure is mid-face or above the procedure usually takes less than 30 to 45 minutes to complete! The variables, are it depends on the number of threads inserted to achieve the desired results. In all cases patients are able to leave soon after the procedure. Some establishments prefer you ask a friend to drive you home if you have had a local.
Can the procedure be adjusted?
  • Yes. If there is loss of lift on one side or both, your doctor can correct this with additional threads and if there is an irregularity or excessive pull then the thread can be released to correct it. Adjustments are based on personal preference some doctors will adjust for the client who is unhappy with the results in certain area, but most Thread treatments are well mapped out in advance so there is only rare cases where adjustments are needed.
Will I still be able to have a conventional facelift or a browlift at another time?
  • The procedure was designed to delay a surgical solution, the threads re-absorbable nature of allows a traditional surgical facelift or browlift procedure when you are ready. But can always be touched up, but it is a fact at some point you will be headed for more aggressive procedure. But threads are designed to delay that process.
What can be done if I don’t like the result?
  • The MicroLift is entirely reversible. Most well trained professionals can remove or replace threads as needed.
Who is a good candidate for a MicroLift?
  • In general, the best candidates include both women and men from late thirties to the early sixties. It is always important to manage the clients expectations. Medical professionals although, trained to manufacturers protocols, develop through experience techniques which allow them to do things others are unable or unwilling to do. Ideally it is for patients with moderate drooping of the facial and neck soft tissues. Ultimately, it’s for those looking for ‘rejuvenation’, all potential candidates need to be assessed by a trained medical professional to ascertain the individual suitability despite the age range quoted above.
  • During the consultation the medical profession should take into consideration, thick or thin-skinned or those patients who have too much skin laxity to achieve the best result. As always, during your procedural consultation you should be honest about your medical history and any medications you are taking, such as blood-thinners, as to how it could affect your suitability for the procedure.
Who is NOT a good candidate?
  • Patients with a very thin, fragile, slack or aged skin or a very thin face
  • Patients who want a dramatic transformation and are unrealistic about the potential result
  • Patients with very heavy, jowly faces, or laxity in the skin on the neck that can move more than one inch in any direction.

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For more information on microthreading treatments or to schedule a consultation, call (770) 632-5500 or fill out our online contact form.

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