Hi and thank you for sharing your question! The issues that you are facing are mainly related to the PDO thread placement technique. Kenalog injection and radiofrequency are the 2 options that we have to make it smooth, but if neither helps, then the only other option left might be to remove the threads unless the lumps are rather subtle and you want to wait for them to gradually degrade by themselves over time. I hope it helps and good luck!
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