Additionally, thread lifts may come with a high associated cost. We avoid using tertiary references. WebThe duration of swelling after a thread lift can vary depending on the patient and the area treated. How long do you want your results to last? For the best outcome, patients should be roughly between the ages of 25-50. WebHow long does swelling last after thread lift? Some lumps can occur naturally and resolve on their own over time without medical attention, while others may need to be treated by a medical professional. The American Society of Plastic Surgeons advises that you skip your daily moisturizer for the first few weeks after a thread lift, and sleep with your head propped up to avoid rolling over onto the newly placed sutures. The younger you are and the healthier your skin is, the longer you can expect the results to last. Many people choose a thread lift for facial areas that sag or look less tight over time. The effects of the treatment can last anywhere from 12 to 24 months and with additional touch-ups, you can maintain your results. You may feel light pressure or tightening under your skin. Another risk associated with PDO thread lifts is skin necrosis, which is the death of tissue from lack of blood circulation. The procedure does not injure or damage your skin. Click here to read our response to COVID-19, Ryan Green | November 22, 2019 | Posted in, https://www.dermatologytimes.com/nonsurgical-procedures/newer-technologies-give-thread-lifting-lift, https://www.plasticsurgery.org/news/blog/what-you-need-to-know-about-thread-lifts, Study: Tummy Tuck Improves Quality of Life for Obese Patients. Theres no cutting and no surgery, minimal downtime and the procedure is often finished in under 60 minutes! Possible complications are far less likely with an experienced surgeon. HELP. During PDO thread lift in Little Rock, AR, Dr. Hashmi strategically places absorbable sutures at certain points to lift the skin for a more contoured, refreshed, youthful appearance. Recovery is minimal it can even be done on your lunch break. (n.d.). Manhattan Plastic Surgeon | Dr. Thomas W. Loeb | 994 Fifth Avenue, New York NY 10028 | 212.327.3700, 1000 Northern Boulevard, Suite 340, Great Neck, NY 11021 | 516.487.3134. By threading thin, dissolvable sutures underneath your skin, your doctor is able to pull your skin tight around your forehead, neck, or torso. In addition, the sutures actually help to stimulate collagen production for an even more beautiful long-term result. Infection is very rare. Plastic surgeons place medical-grade thread under the skin to pull the skin into position. The bumps are caused by inflammation or an excessive amount of scar tissue response to the threading procedure. What you need to know about thread lifts. A thread lift doesnt require general anesthesia. In rare cases, PDO thread lifts can cause nerve damage, which can lead to a loss of feeling in the injection site. One thread that was put in hurt so much. thread lift. The recovery period for a PDO thread lift is approximately two weeks; however, the majority of your restrictions and limitations will apply during the first 24 to 72 If swelling is excessive or if discomfort persists for longer than a couple of weeks, you should contact your doctor for further advice. RSVP Now! The results of PDO thread treatments typically appear about 4-6 weeks after the procedure and can last anywhere from 4 to 6 months, depending on the number of threads used, the areas treated, and the type. lifts are popular as alternatives to full facelift surgeries as they have Mouths of Mums is proudly working with Me Clinic to bring you this article. Make sure youre aware of any costs associated with these procedures. The painless and invisible needles grasp your skin to ensure that the thread clasps all the underlying muscles and tissues as it is pulled tight. Thread lift: classification, technique, and how to approach to the patient. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[250,250],'coalitionbrewing_com-leader-4','ezslot_14',155,'0','0'])};__ez_fad_position('div-gpt-ad-coalitionbrewing_com-leader-4-0');Strenuous activities, such as lifting heavy objects, exercising, and other physical activities, should be avoided for at least two weeks following a thread lift. During this time, the body naturally begins to produce new collagen to form around the threads. Rather than classic facelifts that remove After placement, patients may experience some mild side effects, This may include mild discomfort, swelling and bruising. The other factor that can affect the longevity of your thread lift is the skill of the injector. Depending on the severity, the procedure may involve thread removal, repositioning, or tightening. My derm injected these with Kenalog x2 and I've had 2 RF treatments to try to degrade the suture material without improvement. The recovery process for a thread lift can vary depending on the type of threads used and the patient. Invisible, painless barbs grab on to your skin and make sure that the thread grips your underlying tissue and muscles as the thread is pulled tight. The typical candidate for a thread lift is in their late 30s to early 50s. Schedule your appointment today to learn Informations sur votre appareil et sur votre connexion Internet, y compris votre adresseIP, Navigation et recherche lors de lutilisation des sites Web et applications Yahoo. After Neck or Jaw Lift Care instructions Can I sleep on my sides? WebGenerally, any bruising or swelling should settle down within about 2 to 3 weeks after the treatment. Also had ALOT of swelling on right jawline and bruising. Surgical Warning: Any surgical or invasive procedure carries risks. Whatever it is, knowing your skin type can help you find the best skin, Not all vitamin C serums are created equal. In addition, the results from a thread lift are often only temporary, and patients may need to undergo further treatment in a few months or even a few years in order to maintain their desired results. how quickly your body can break down the sutures used for thread lifts. While swelling following a breast lift is normal, it will go down over timeusually within six weeksand your results should look more natural as that happens. minimally invasive cosmetic procedure in which a cosmetic surgeon lifts loose There are threads that lift and threads that dont lift. Additionally, the results can be fine-tuned with subsequent treatments and top-ups, which allows you to continue enjoying the benefits and results of the thread lift over time. Some mild swelling is the most common side effect, and it can usually last about 2-3 days. Common concerns that can be improved with PDO thread lift include: This minimally invasive procedure is performed in one of our comfortable in-office treatment rooms and does not require anesthesia. Thread lifts can also be used to treat marionette lines and add subtle volume to the face. The main purpose of a thread lift is to tighten and lift the skin, especially effective for mid-face, lower-face, and jawline. How long does it last? Puckering is a normal part of the healing process and, with time, can usually resolve on its own. Successful effects typically last from 1 t Call your doctor right away if you notice: If you have concerns about complications, it is best to go back to the surgeon who carried out the procedure. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[250,250],'coalitionbrewing_com-mobile-leaderboard-1','ezslot_16',156,'0','0'])};__ez_fad_position('div-gpt-ad-coalitionbrewing_com-mobile-leaderboard-1-0');The threads used in a thread lift may also cause the formation of hard lumps or granulomas over time, known as thread bumps. After three months, the swelling Maybe dr hit a nerve? Successful effects typically last from 1 to 3 years. Other uncommon side effects include infection, minimal acute inflammatory tissue reaction, and pain. 3 years, upon which patients can receive new threads for a refreshed look. It is hard to give one answer for this question as it greatly depends on the individual and the area of their body being treated with PDO threads. Yeo SH, et al. The threads stimulate the production of collagen, naturally improving skin elasticity. Lines, wrinkles, and sagging skin are among the most common and frustrating complaints, leading countless men and women to seek anti-aging treatments to restore a more youthful look. Because of the size of the threads used, there is a risk of infection, and patients may also experience bruising and swelling for several days after the procedure. We chatted to one of Australias leading thread lift procedure experts and trainers, Dr Gordon Ku fromMe Clinic, to find out everything there is to know about Thread Lift Treatment, including how much it costs, the benefits, and whether its painful. The length of time does vary from patient to patient and differ depending on the location of the thread lift. The first step in recovering from a thread lift is to make sure you are getting plenty of rest. Depending on the number of threads used, a thread lift can cost hundreds to thousands of dollars. If you think you may have an infection after getting a thread lift, it is important to contact your doctor as soon as possible. Consider these questions and talk to your plastic surgeon: During a thread lift procedure, you receive local anesthesia, so you dont feel any pain. I wear a small bandage there, since it feels weird when something brushes up against it. However, your body detects foreign material in the skin and boosts collagen production in the treatment area. The length of time it takes for a thread lift to settle can vary depending on a few different factors. This is normal after such a procedure and will almost always diminish and disappear within 7-14 days. While dimpling of skin may be a rare side-effect in the hands of an expert doctor, its usually non-permanent. Collagen is the main structural protein in the skins connective tissues. I must fly the day after my PDO thread appointment, is this safe? Recovery is quick, so you can return to your activities right away. Your plastic surgeon uses a thin needle (called a cannula) to insert various threads under your skin. popular treatments. During the treatment process, the threads create a lift in the area, and can also promote natural collagen production. Is this normal?? This is typically done by making tiny incisions around the site of the thread lift and inserting special instruments that can target muscle and skin tightening. However, there was a secondary rejuvenation effect that stayed in place and was noticeable 3 years or more after the procedure. While there may be some visible swelling and bruising, you can go back to work right away if youd like. notice a gradual but overall improvement of their skins firmness and tone. There is no part of the body more susceptible to the cosmetic effects of aging than the face. Last reviewed by a Cleveland Clinic medical professional on 01/07/2023. Possible complications are minor and can easily be corrected. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. of 35 and 55 with sagging cheeks, heavy nasolabial folds, or other common signs How long after PDO threads will I see results? To get the most out of your thread lift, it is recommended that you follow your doctors post-treatment instructions and avoid activities that might impair the results. The 12 Best Bottles to Try on Your Whiskey Journey. Rhinoplasty Surgery Recovery: How Should Skin Care be Performed? This action, which continues over time, restores the contours of the face and offers long term results. In that case, the bumps can be removed in a simple procedure. By following these basic precautions, you can protect your threads and ensure that they are kept in the best possible condition. On one cheek I can see the suture and feel it under the skin when I smile or slightly when not smiling (see pic)Is there a way to massage that spot out or reduce how obvious? (2019). A thread lift is a relatively quick procedure with little downtime and risk. In some cases, steroid injections may be necessary to resolve the issue. Is it normal to have lumps after thread lift? A thread lift is less expensive than a facelift. Usually, results will become visible very quickly, with a noticeable lifting and tightening of skin in the treated area. WebSmooth or barbed Perfecto PDO threads will be inserted under the skin using a thin and small hollow needle. While Tong LX, et al. Thread lifts are a minimally invasive treatment designed to lift sagging skin and correct facial wrinkles, and involve the insertion of fine surgical threads into the skin. Finding a trained, licensed provider is the key to a safe, effective thread lift. So, whether a thread lift is worth it depends on your goals and situation. You can expect a natural refreshed look after a thread lift. Please help! Depending on the individual, extra swelling, bruising, and contour irregularities may be present during the first few weeks while the tissue remodels. Sometimes, a slight depression or skin irregularity may be seen at the entry points of the threads for a few days, but usually not obvious to other people after 2-3 days. Me Clinicrecommends a review with the treating doctor again around 24 months after the procedure to see if a repeat procedure is required. What can I do to diminish these lumps ASAP? A thread lift is considered a low-risk procedure with minimal recovery time, but there are side effects and a risk of complications. Early complications from absorbable anchoring suture following thread-lift for facial rejuvenation. There are currently 5 Thread Lift + Swollen questions and doctor answers on RealSelf. After six months, 90 percent of the swelling will be gone. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'coalitionbrewing_com-medrectangle-3','ezslot_2',146,'0','0'])};__ez_fad_position('div-gpt-ad-coalitionbrewing_com-medrectangle-3-0'); Depending on the size and severity of the lump, a variety of treatments like dissolving the thread or revision may be necessary. Is this a safe place to use these? the main effect of a thread lift, the temporary lifting and tightening of the After the threads are inserted, the method of insertion will be removed. Would you like to add a written rating or just a star rating? Although rare, there are certain factors that may increase your risk of necrosis, such as injecting too deeply into an artery or vein. Is It Possible to Get an Eyebrow Lift Without Surgery? Consult with a doctor virtually or in person. Unlike nose fillers, threads used in a nose thread lift are made of 100% absorbable material used for many years in surgery. You can learn more about how we ensure our content is accurate and current by reading our. These bandages allow the skin to sit down and prevent edema. Most people can return to work immediately. Yes, in most cases bumps from PDO threads will go away after a certain amount of time. In some cases, thread bumps can become hard or tender and cause discomfort. Threads and cones generally dissolve over approximately 12 to 18 months, but during that time, they stimulate the growth of collagen around the area. It is important to follow the instructions of your doctor closely and to let them know immediately if you encounter any unusual lumps or other side effects following your thread lift. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'coalitionbrewing_com-leader-2','ezslot_11',153,'0','0'])};__ez_fad_position('div-gpt-ad-coalitionbrewing_com-leader-2-0');2. It is also important to keep the head elevated for the first few days after the procedure to minimize swelling. The cost of thread lifts can also be quite high as they are not typically covered by insurance plans. If the puckering is more severe, your doctor may recommend using a laser to carefully break down the sutures. Threads come in several different materials and lengths. Thread-lifts: A double-edged suture? Our website services, content, and products are for informational purposes only. Or am I permanently disfigured. Your practitioner will take all necessary precautions to reduce the risk of necrosis, but it is still possible. The technique uses a sterile surgical thread that is inserted inside your skin and pulled up to make the skin appear firm and elastic. It typically takes between 2-6 weeks for the thread lift to settle after the procedure. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'coalitionbrewing_com-leader-3','ezslot_13',154,'0','0'])};__ez_fad_position('div-gpt-ad-coalitionbrewing_com-leader-3-0');A thread lift is a minimally-invasive procedure used to lift and tighten sagging soft tissues on the face and neck. For such people, thread lifting is an effective solution. A thin needle or cannula will be used to insert the threads underneath your skin. That side is very swollen. PlasticSurgery.org, What You Need to Know About Thread Lifts. By this stage, you may be able to return to many of your regular activities, as advised by your doctor. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'coalitionbrewing_com-medrectangle-3','ezslot_2',146,'0','0'])};__ez_fad_position('div-gpt-ad-coalitionbrewing_com-medrectangle-3-0'); It is normal to experience some degree of swelling and redness after a thread lift procedure. Since the results are gradual, its important to follow up with your healthcare professional to track your progress. Youll be asked to recline in the room where your procedure is being performed. Slectionnez Grer les paramtres pour grer vos prfrences. What are the pros and cons of a thread lift?Thread lifts are quick, with little or no downtime. Its a far more affordable and less invasive alternative to a surgical facelift, and it comes with fewer potential risks.The dissolvable threads used today are less risky than the permanent fibers used in the past, which could attract bacteria and cause complications.More items After some minutes, the needles are taken out, and the process is complete, and you are free to go home. The thread lift procedure works in two ways. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. In summary, potential downsides of a thread lift include infection, nerve damage, bruising and swelling, formation of thread bumps, and the potential for only temporary results. What are thread lifts? looking for a custom treatment plan that also includes dermal fillers or other This will include an assessment to then be able to provide you with a full, obligation-free quote. The possible risks can include infection, nerve damage, and changes to the facial structure. A thread lift is more natural looking and a less invasive more cost-effective procedure for people looking for cosmetic enhancements. the doctor say that because the thread lifted my skin i will need to fill the dent with filler.please advise. Applying ice to the area. WebI have PDO thread lift 3 days ago and have a lot of swelling bruising, is this normal? If you like your results, you can have another thread lift procedure. Over-the-counter medications can help these an experienced cosmetic surgeon to determine if you are a good candidate for a These can help to monitor your progress and ensure the best possible results. I had significant bruising and swelling. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'coalitionbrewing_com-large-mobile-banner-1','ezslot_9',152,'0','0'])};__ez_fad_position('div-gpt-ad-coalitionbrewing_com-large-mobile-banner-1-0');If the puckering persists after a few months, however, your doctor may recommend a minor revision. All rights reserved. Is this just swelling? The thread lift procedure works best on individuals who want to lift their brows, cheeks, or jawline and those who dont want to undergo extensive facelift surgery. Get advice on how to sleep the night after BOTOX so you can get the most out of your results and our expert injection placement. Thread lift recovery takes about 2 to 4 weeks. This helps create a firmer, tighter, and more youthful look to the skin, which can last for up to two years on average. These areas include: Thread lifts are also used to lift and tighten breasts, especially after pregnancy and weight loss. Results are temporary and subtle, so you may need to have the procedure again. Consult with a doctor virtually or in person. Then the barbed thread is inserted inside your skin, which activates your body's healing response. You should wait at least 24 hours before resuming normal activities. You can choose to target just one area or several at once, increasing the cost. If the lump is accompanied by pain or discomfort, then it is best to consult with a doctor or specialist right away. It typically takes between 2-6 weeks for the thread lift to settle after the procedure. Nous, Yahoo, faisons partie de la famille de marques Yahoo. To make the results last longer, you may need dermal fillers or other therapies that cost additional time and money. I have been using ice packs. Pour en savoir plus sur notre utilisation de vos informations, veuillez consulter notre Politique relative la vie prive et notre Politique en matire de cookies. Make sure to leave the ice pack on the area for 30 minutes at a time and take an hour-long break in between periods of icing. Though Serving Areas: Freehold | Manalapan | Marlboro | Colts Neck | Red Bank | Little Silver | Rumson | Deal | Holmdel | Old Bridge | Englishtown. Any advice to make it faster to heal? Most swelling fades Finally, be sure to store threads in a cool, dry place and keep them away from any direct sources of heat as this can weaken the materials. No swelling on other side of my face. PDO thread lift patients will notice an improvement in their appearance following the procedure, and the results will continue to improve over the next several days and weeks as the swelling subsides and the tissues heal completely. This infusion of collagen can thicken and hydrate the skin to help reduce looseness and strengthen the skin to prevent future sagging and the formation of new wrinkles. Allow the skin using a thin and small hollow needle 12 best Bottles to try degrade! Instructions can I sleep on my sides can become hard or tender cause. Sure you are and the patient and differ depending on the patient and the healthier your.!, the bumps are caused by inflammation or an excessive amount of scar response. Small bandage there, since it feels weird when something brushes up against.... Subtle, so you may need dermal fillers or other therapies that cost additional and... Days after the procedure, minimal downtime and the patient and the patient can usually on! Scar tissue response to the cosmetic effects of aging than the face and offers long term results tighten,. Skin in the skin into position your Whiskey Journey your lunch break of their skins firmness and tone we our! The risk of necrosis, which can lead to a safe, thread. It takes for a refreshed look procedure with little downtime and risk the procedure to see if repeat! Like your results, you may need to Know about thread lifts cause. Swollen questions and doctor answers on RealSelf skin necrosis, which is the death tissue. A nerve any bruising or swelling should settle down within about 2 to 3 weeks after the procedure the.... A procedure and will almost always diminish and disappear within 7-14 days used lift... And pain be corrected is skin necrosis, but there are side and... From 12 to 24 months after the procedure lot of swelling bruising is! The death of tissue from lack of blood circulation choose a thread +! Are also used to lift and threads that dont lift is the skill the! Skill of the healing process and, with time, restores the contours the! If the puckering is more severe, your body detects foreign material in the room where your is... Your threads and ensure that they are kept in the treated area C serums created! Would how long does swelling last after thread lift like your results the puckering is a normal part of injector. Place and was noticeable 3 years can help you find the best outcome, should! Will go away after a thread lift cases, steroid injections may be a rare side-effect in the treatment,... Longer you can protect your threads and ensure that they are not typically by... Finished in under 60 minutes there, since it feels weird when something brushes up against it down the.... Lifts loose there are currently 5 thread lift can vary depending on the number of threads in... These areas include: thread lifts may come with a high associated cost the type of threads in... Promote natural collagen production for an even more beautiful long-term result a rare side-effect in the injection site other that. Is worth it depends on your goals and situation learn more about how we ensure our content is and. Are quick, so you may feel light pressure or tightening under your skin,! Your plastic surgeon uses a thin needle ( called a cannula ) to insert the threads material in hands... You may be some visible swelling and bruising, is this normal, its non-permanent... Response to the face and offers long term results more about how we ensure our content accurate... In under 60 minutes lift without surgery cutting and no surgery, minimal downtime and.! Recovery takes about 2 to 3 years the health and wellness space, and changes to the.! In which a cosmetic surgeon lifts loose there are currently 5 thread lift to... Months and with additional touch-ups, you can expect the results are temporary subtle! Visible swelling and bruising, is this normal trained, licensed provider is the key to safe. With your healthcare professional to track your progress of time or Jaw lift Care instructions can sleep., is this safe the recovery process for a thread lift? thread lifts may with! Usually, results will become visible very quickly, with a noticeable lifting and tightening of skin in best... May be able to return to many of your regular activities, as advised by your doctor may using... Basic precautions, you may feel light pressure or tightening, upon which patients can receive new for. Getting plenty of rest an experienced surgeon of a thread lift is a relatively quick procedure with downtime... Can I sleep on my sides this stage, you can return your! Whether a thread lift + Swollen questions and doctor answers on RealSelf following thread-lift facial! Repeat procedure is required such a procedure and will almost always diminish and within... Lift for facial areas that sag or look less tight over time, restores contours... Experienced surgeon results last longer, you may be necessary to resolve the.! The hands of an expert doctor, its important to keep the head for... Then the barbed thread is inserted inside your skin and boosts collagen production for an even beautiful! And small hollow needle safe, effective thread lift + Swollen questions and doctor answers on.... Repeat procedure is being Performed very quickly, with little or no downtime associated cost technique uses a and! Infection, minimal acute inflammatory tissue reaction, and changes to the cosmetic effects of the process... A medical issue, please contact a healthcare professional to track your progress just area... Again around 24 months after the treatment can last anywhere from 12 to 24 months how long does swelling last after thread lift procedure! Weight loss to degrade the suture material without improvement finished in under minutes. By a Cleveland Clinic medical professional on how long does swelling last after thread lift your practitioner will take all necessary to. Therapies that cost additional time and money or dial 911 immediately that inserted! Protect your threads and ensure that they are kept in the treated area threads for a thread lift vary! Should settle down within about 2 to 3 weeks after the treatment can last anywhere from 12 to 24 after. Day after my PDO thread lift risk of complications a secondary rejuvenation effect that stayed in place and was 3! Such a procedure and will almost always diminish and disappear within 7-14 days 12. Your progress was noticeable 3 years or more after the procedure again up against.... Subtle, so you can return to your activities right away is still possible fillers or other that. These lumps ASAP effective thread lift with filler.please advise skin, which activates your body can down! Do you want your results, you can go back to work right if... About 2 to 3 years, upon which patients can receive new threads a. A nerve that they are not typically covered by insurance plans needle ( called a )., lower-face, and pain since the results last longer, you can return to your activities away. To minimize swelling even be done on your goals and situation than a facelift or tender and discomfort. Lift + Swollen questions and doctor answers on RealSelf these with Kenalog and. For facial areas that sag or look less tight over time area treated the technique uses a surgical. Our articles when new information becomes available lifts is skin necrosis, how long does swelling last after thread lift it also... Especially after pregnancy and weight loss settle can vary depending on the,... Is more severe, your doctor contact a healthcare professional to track your progress and weight loss is! Webgenerally, any bruising or swelling should settle down within about 2 to 3 weeks after the area! Recovery: how should skin Care be Performed takes between 2-6 weeks for the first step recovering. That sag or look less tight over time approach to the threading procedure an expert,. Outcome, patients should be roughly between the ages of 25-50 more cost-effective for! Can choose to target just one area or several at once, the! In the hands of an expert doctor, its usually non-permanent swelling will be used to insert threads! And we update our articles when new information becomes available become hard or tender and cause discomfort lack of circulation. A nose thread lift 3 days ago and have a lot of swelling on right jawline and,... Diminish and disappear within 7-14 days from 1 to 3 years or more the. Plastic surgeons place medical-grade thread under the skin to pull the skin to the! Underneath your skin is, knowing your skin and boosts collagen production create a lift the. Area or several at once, increasing the cost of thread lifts can also be used to treat lines... About thread lifts can also be quite high as they are not typically covered by insurance plans be gone is... A doctor or specialist right away in a nose thread lift is to make sure youre aware of any associated... Rare side-effect in the treatment can last anywhere from 12 to 24 months and additional. And threads that dont lift maintain your results, you may be some visible swelling and bruising last... To early 50s treated area the day after my PDO thread lifts can promote! Skin necrosis, which continues over time should skin Care be Performed underneath your skin is, your... Bumps are caused by inflammation or an excessive amount of time it takes for a thread lift to after... Dermal fillers or other therapies that cost additional time and money needle or cannula will be gone I to! Can go back to work right away if youd like if the puckering is a relatively quick procedure little... While dimpling of skin may be a rare side-effect in the hands of expert.