Fios de sustentação em procedimentos estéticos: avaliação das intercorrências e manejo clínico

Abstract

INTRODUCTION: In recent years, non invasive aesthetic procedures, such as PDO thread lifting, have grown in popularity due to the demand for facial rejuvenation with minimal recovery time. Although these procedures are safe and effective, they can present complications that depend on the technique and the professional. Thus, the qualified performance of the aesthetic biomedical professional is crucial to ensure patient safety. This study analyzes the risks, complications, and strategies for adequate management, aiming for safe and efficient clinical practice. OBJECTIVES: To evaluate the complications associated with the use of thread lifting in aesthetic procedures and the strategies used for clinical management. METHODOLOGY: The study is a systematic review of the literature, following the PRISMA protocol. Articles published between 2015 and 2025, in three languages, were selected from databases such as PubMed and SciELO. The data were extracted and analyzed narratively, and the quality of the studies was evaluated using the Joanna Briggs Institute. RESULTS and DISCUSSION: The systematic review analyzed 34 articles published between 2015 and 2025, of which 30 met the inclusion criteria. Most studies were composed of literature reviews (43.3%) and case reports (43.3%), reflecting the predominance of observational data on the use of PDO threads in aesthetics. A significant growth in the use of these threads was observed, highlighting their ability to provide immediate lifting and stimulate neocollagenesis. Complications such as infection (40%), skin irregularities (20%), pain/hematomas, and thread migration (13.3% each), as well as allergic reactions and thread exposure (6.7%), were the most reported. The most adopted management strategies included the use of antibiotics (46.2%), thread removal (30.8%), laser/PTT (15.4%), and OHB (7.7%). The studies indicate that the success of the procedure is directly related to the correct technique, anatomical knowledge, professional qualification, and careful patient evaluation. Although PDO threads are considered safe, the lack of technical preparation and improper use of the technique can increase the risk of complications, highlighting the need for more standardized clinical protocols and specialized training.FINAL. FINAL CONSIDERATIONS: PDO threads are an effective and non invasive technique for facial rejuvenation, with immediate results and collagen stimulation. Safe use depends on professional training, biosecurity, and compliance with standards. Complications usually result from technical failures, and new research is essential to strengthen evidence-based clinical practice and boost aesthetic biomedicine in Brazil.