Superficial Temporal Artery Pseudoaneurysm Following Facial Thread-Lift: A Rare Complication

Thread lifting has become widely adopted worldwide as a nonsurgical facial rejuvenation technique due to its simplicity and short recovery period. However, despite its generally favorable safety profile, various complications may occur, with pseudoaneurysms being extremely rare. Herein, we present a case of iatrogenic superficial temporal artery pseudoaneurysm (STAP) following facial thread lifting. A 60-year-old woman developed a soft pulsatile mass in the temporal region 2 months after undergoing a thread lift at a cosmetic clinic. She was referred to our hospital, where STAP was diagnosed. The pseudoaneurysm was completely excised, and the patient recovered uneventfully without recurrence. While STAP most commonly occurs after trauma, it may also arise from head and facial surgeries or injections. Surgical excision is generally considered the treatment of choice, although embolization or conservative management may be appropriate in selected cases. To minimize complications, physicians performing thread lifting should undergo adequate training and pay close attention to the anatomy of the face and neck during the procedure.

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Publication Details

Journal
Journal of Craniofacial Surgery
Published
2025-12-26
DOI
https://doi.org/10.1097/scs.0000000000012291
Primary Topic
Facial Rejuvenation and Surgery Techniques
Type
article
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article

Superficial Temporal Artery Pseudoaneurysm Following Facial Thread-Lift: A Rare Complication

S L Li, Weigang Cao, Lingling Sheng, Fang Yu et al.
Journal of Craniofacial Surgery
Facial Rejuvenation and Surgery Techniques
article

Superficial Temporal Artery Pseudoaneurysm Following Facial Thread-Lift: A Rare Complication

S L Li, Weigang Cao, Lingling Sheng, Fang Yu, Songrui Zhang, Tingting Dai, Ziyou Yu, Jianda Zhou, Yi Zhang, Haibo Li
article en

Abstract

Thread lifting has become widely adopted worldwide as a nonsurgical facial rejuvenation technique due to its simplicity and short recovery period. However, despite its generally favorable safety profile, various complications may occur, with pseudoaneurysms being extremely rare. Herein, we present a case of iatrogenic superficial temporal artery pseudoaneurysm (STAP) following facial thread lifting. A 60-year-old woman developed a soft pulsatile mass in the temporal region 2 months after undergoing a thread lift at a cosmetic clinic. She was referred to our hospital, where STAP was diagnosed. The pseudoaneurysm was completely excised, and the patient recovered uneventfully without recurrence. While STAP most commonly occurs after trauma, it may also arise from head and facial surgeries or injections. Surgical excision is generally considered the treatment of choice, although embolization or conservative management may be appropriate in selected cases. To minimize complications, physicians performing thread lifting should undergo adequate training and pay close attention to the anatomy of the face and neck during the procedure.

Journal of Craniofacial Surgery
Central South University (CN), Shanghai Ninth People's Hospital (CN), Third Xiangya Hospital (CN)
Good health and well-being
Openalex Percentile: Top 23%
Facial Rejuvenation and Surgery Techniques
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