The most obvious potential benefits are an improvement in the appearance and elevation of the droopy elements of the face. Every cosmetic skin procedure involves a very small degree of risk and, although uncommon, it is important you understand and accept the rare risks involved with the Threadlift procedure. An individual’s informed decision to undergo any cosmetic procedure is based upon a comparison of the risks to potential benefits, alternatives, and costs. Although the vast majority of Threadlift patients do not ever experience any of these complications, you will have discussed each of them with Dr. Rueckl and his medical assistant to ensure you fully understand the alternatives, risks, potential complications, and average outcomes of these procedures. Possible side effects may include: discomfort, long-term pain, numbness, skin wounds, scarring, pigment changes, skin marks or indentations, infections, asymmetry, redness, and swelling. Individuals who are predisposed to Herpes viruses may experience an outbreak and need medication pre- and post-treatment.

Our specific plan for post care is below.


  1. Use ice packs on areas treated, including lateral forehead, temples, and scalp for 24 hours.
  2. Sleep on your back for the first few weeks. Try not to sleep directly on your face.
  3. Avoid opening your mouth excessively or too wide for one week.
  4. Eat a soft diet for the first few days. After that you may resume your normal diet as tolerated.  Drink lots of liquids.
  5. Avoid any manipulation, forceful rubbing, or trauma to face and frontal scalp.
  6. Expect some bruising in the forehead and temples, which goes from purple to yellow-green in a few days.
  7. It is not unusual to have some swelling in your eyelids on day 2 or 3.
  8. You may rinse your hair with water ONLY the next day.  You may shampoo 48 hours after procedure.
  9. Take pain medication as prescribed or use extra-strength Tylenol for mild discomfort.  Take medication WITH food. Take your antibiotics as prescribed.
  10. If you experience pain, swelling, or fever over 100, call our office at 702-869-6667, or call Dr. Rueckl on his cell phone if it’s after hours.
  11. If you do not understand your instructions or if you still have unanswered questions, please call the office at the number above.

Happy Patient

I am a happy patient of Dr. Rueckl.  I have had Fractora several times.  Couldn’t be happier.
– S.P.


Hi everyone at Lakes Dermatology!!!

Wanted to say “Thank You” to everyone for helping me look my best for my competition this past Saturday July6th.
I WON!!! Took first place ? on both of the categories I competed and took overall on both which I broke record, no-one has won 2 overalls in one show.
Thank you ??


I Love This Place!

I love this place. My first step in their office, I was like, whoa! It’s beautiful! I was sent here by the VA for some skin issues and the doctors here are truly amazing. He listens to every single complaint I’ve had without any judgment and is very positive about my treatment plan! Even the nurses and ladies behind the desks were super friendly. I definitely recommend this place!!


Does The Best Lips!

Does the best lips! He’s also a really skilled injector. I don’t even think he numbed me, but I barely felt anything. It was nice not to do a dental block. He gave me the exact (natural) look I was going for. Not obviously fake at all but I DID get compliments on my lips from a few of my doctor friends!


The Best Doctor Ever!

The best Doctor ever! I’ve been dealing with rosacea for years and he was the only doctor who really help me. Im really glad that i find this amazing person he’s so kind, professional humble