Facial Plast Surg 2020; 36(04): 447-452
DOI: 10.1055/s-0040-1714266
Original Article

Use of Polydioxanone Threads as an Alternative in Nonsurgical Procedures in Facial Rejuvenation

1   Department of Otolaryngology,Centro Médico Imbanaco, Cali, Colombia
› Author Affiliations

Abstract

Minimally invasive cosmetic procedures are in increasing demand worldwide. Patients are constantly searching for office-based techniques that can help improve the signs of aging but without the morbidity of a surgical procedure. Thread lifting with polydioxanone (PDO) sutures is a cosmetic procedure where lax tissue is lifted and repositioned trying to create a more youthful looking facial contour. The threads are absorbable and come in different shapes and lengths. The rate of complications and the downtime of the procedure are low, which are something patients are looking for. Ideally, these procedures should be performed by trained specialists who have complete knowledge of the facial anatomy, thus enhancing and improving results. Thread lifting with PDO absorbable threads has become an excellent option for minimally invasive facial rejuvenation procedures with a high satisfaction among patients and very few complications. It is a new tool that can be introduced in the armamentarium of specialists who work in the field of facial plastic surgery and who can offer this option to their patients with improved outcomes.



Publication History

Article published online:
31 August 2020

© 2020. Thieme. All rights reserved.

Thieme Medical Publishers
333 Seventh Avenue, New York, NY 10001, USA.

 
  • References

  • 1 Sulamanidze MA, Paikidze TG, Sulamanidze GM, Neigel JM. Facial lifting with “APTOS” threads: featherlift. Otolaryngol Clin North Am 2005; 38 (05) 1109-1117
  • 2 Sulamanidze MA, Fournier PF, Paikidze TG, Sulamanidze GM. Removal of facial soft tissue ptosis with special threads. Dermatol Surg 2002; 28 (05) 367-371
  • 3 Kaminer M-S, Bogart M, Choi C, Wee SA. Long-term efficacy of anchored barbed sutures in the face and neck. Dermatol Surg 2008; 34 (08) 1041-1047
  • 4 Villa M-T, White L-E, Alam M, Yoo SS, Walton RL. Barbed sutures: a review of the literature. Plast Reconstr Surg 2008; 121 (03) 102e-108e
  • 5 Wong V, Rafiq N, Kalyan R. , et al. Hanging by a thread: choosing the right thread for the right patient. J Dermat Cosmetol. 2017; 1 (04) 86-88
  • 6 Fukaya M. Long-term effect of the insoluble thread-lifting technique. Clin Cosmet Investig Dermatol 2017; 10: 483-491
  • 7 Kim B, Oh S, Jung W. , eds. Understanding PDO. In: The Art and Science of Thread Lifting. Singapore: Springer; 2019: 69-70
  • 8 Suh DH, Jang HW, Lee SJ, Lee WS, Ryu HJ. Outcomes of polydioxanone knotless thread lifting for facial rejuvenation. Dermatol Surg 2015; 41 (06) 720-725
  • 9 Fukaya M. Two mechanisms of rejuvenation using thread lifting. Plast Reconstr Surg Glob Open 2018; 6 (12) e2068
  • 10 Panprapa Y, Punyaphat S, Pakjira S. Thread lift: classification, technique, and how to approach to the patient. Int J Med Health Sci 2016; 10 (12) 547-555
  • 11 Tong LX, Rieder EA. Thread-lifts: a double-edged suture? A comprehensive review of the literature. Dermatol Surg 2019; 45 (07) 931-940
  • 12 Yeo SH, Lee YB, Han DG. Early complications from absorbable anchoring suture following thread-lift for facial rejuvenation. Arch Aesthetic Plast Surg 2017; 23 (01) 11-16
  • 13 Yoo KH, Kim WS, Hong CK, Kim BJ. Chronic inflammatory reaction after thread lifting: delayed unusual complication of nonabsorbable thread. Dermatol Surg 2015; 41 (04) 510-513
  • 14 Shin JJ, Park JH, Lee JM, Ryu HJ. Mycobacterium massiliense infection after thread-lift insertion. Dermatol Surg 2016; 42 (10) 1219-1222
  • 15 Kim J, Zheng Z, Kim H, Nam KA, Chung KY. Investigation on the cutaneous change induced by face-lifting monodirectional barbed polydioxanone thread. Dermatol Surg 2017; 43 (01) 74-80
  • 16 Kim J, Kim HS, Seo JM, Nam KA, Chung KY. Evaluation of a novel thread-lift for the improvement of nasolabial folds and cheek laxity. J Eur Acad Dermatol Venereol 2017; 31 (03) e136-e179
  • 17 Kang SH, Byun EJ, Kim HS. Vertical lifting: a new optimal thread lifting technique for Asians. Dermatol Surg 2017; 43 (10) 1263-1270
  • 18 Lee H, Yoon K, Lee M. Outcome of facial rejuvenation with polydioxanone thread for Asians. J Cosmet Laser Ther 2018; 20 (03) 189-192