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Usages of thread lifts on nasolabial folds for facial rejuvenating effects

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Abstract

Thread lift treatment has been advanced significantly over the past decades and gained popularity due to its minimally invasive and non-surgically achievable rejuvenating effects. This treatment uses a specifically designed thread(s) to lift/pull up targeted loosed skin on areas of face such as midface, eyebrow, mandible, and neck. The visible effects of the thread lift are more obvious when used to minimize and improve the nasolabial folds that extend to the side of the nose and tend to become more noticeable with age. In this review, we aimed to demonstrate rejuvenating mechanisms and effects of thread lift and explain various materials and shapes of threads as well as thread inserting tools. In addition, we provided advantages and disadvantages of each approach to establish a potential standard procedure of the thread lift that can maximize its rejuvenating therapeutic efficacy.

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References

  1. Goldstein SA, Goldstein SM (2006) Anatomic and aesthetic considerations in midfacial rejuvenation. Facial Plast Surg 22(2):105–111

    Article  PubMed  CAS  Google Scholar 

  2. Ko AC, Korn BS, Kikkawa DO (2017) The aging face. Surv Ophthalmol 62(2):190–202

    Article  PubMed  Google Scholar 

  3. Özkur E, Kıvanç Altunay İ, Aydın C (2020) Psychopathology among individuals seeking minimally invasive cosmetic procedures. J Cosmet Dermatol 19(4):939–945

    Article  PubMed  Google Scholar 

  4. Garvey PB, Ricciardelli EJ, Gampper T (2009) Outcomes in threadlift for facial rejuvenation. Ann Plast Surg 62(5):482–485

    Article  PubMed  CAS  Google Scholar 

  5. Kalra R (2008) Use of barbed threads in facial rejuvenation. Indian J Plast Surg 41:s93–s100

    Article  PubMed  PubMed Central  Google Scholar 

  6. Halepas S et al (2020) Thread-lift sutures: indications and safety. J Oral Maxillofac Surg 78(10):e61

    Article  Google Scholar 

  7. Yongtrakul P, Sirithanabadeekul P, Siriphan P (2016) Thread lift: classification, technique, and how to approach to the patient. World Acad Sci Eng Technol 10:558–566

    Google Scholar 

  8. Keller GS et al (2002) Elevation of the malar fat pad with a percutaneous technique. Arch Facial Plast Surg 4(1):20–25

    Article  PubMed  Google Scholar 

  9. Najafian A, Fattahi T (2021) New trends in midface lift, integrated procedures in facial cosmetic surgery. Springer, New York, pp 567–573

    Book  Google Scholar 

  10. Villa MT et al (2008) Barbed sutures: a review of the literature. Plast Reconstr Surg 121(3):102e–108e

    Article  PubMed  Google Scholar 

  11. Badin AZE, Forte MRC, Silva OL (2005) Scarless mid-and lower face lift. Aesthet Surg J 25(4):340–347

    Article  PubMed  CAS  Google Scholar 

  12. Bertossi D et al (2019) Effectiveness, longevity, and complications of facelift by barbed suture insertion. Aesthet Surg J 39(3):241–247

    Article  PubMed  Google Scholar 

  13. Yoon JH et al (2019) Tissue changes over time after polydioxanone thread insertion: an animal study with pigs. J Cosmet Dermatol 18(3):885–891

    Article  PubMed  Google Scholar 

  14. Kim B, Oh S, Jung W (2019) Understanding PDO in the art and science of thread lifting. Springer, New York, pp 69–70

    Book  Google Scholar 

  15. Wilkinson HN, Hardman MJ (2020) Wound healing: cellular mechanisms and pathological outcomes. Open Biol 10(9):200–223

    Article  Google Scholar 

  16. Yoon J, Kim S, Kim D (2012) Skin rejuvenation to make use of absorbable PDO suture. Regenerative medicine, MD world medical book, Seoul, pp 25–26

  17. Suh DH et al (2015) Outcomes of polydioxanone knotless thread lifting for facial rejuvenation. Dermatol Surg 41(6):720–725

    Article  PubMed  CAS  Google Scholar 

  18. Kwon HH et al (2019) Clinical evaluations of a novel thread lifting regimen using barbed polyglyconate suture for facial rejuvenation: analysis using a 3-dimensional imaging system. Dermatol Surg 45(3):431–437

    Article  PubMed  CAS  Google Scholar 

  19. Rezaee Khiabanloo S et al (2019) Innovative techniques for thread lifting of face and neck. J Cosmet Dermatol 18(6):1846–1855

    Article  PubMed  Google Scholar 

  20. Rezaee Khiabanloo S et al (2019) Outcomes in thread lift for face and neck: a study performed with silhouette soft and promo happy lift double needle, innovative and classic techniques. J Cosmet Dermatol 18(1):84–93

    Article  PubMed  Google Scholar 

  21. Lycka B et al (2004) The emerging technique of the antiptosis subdermal suspension thread. Dermatol Surg 30(1):41–44

    PubMed  Google Scholar 

  22. Sulamanidze M et al (2011) Avoiding complications with Aptos sutures. Aesthet Surg J 31(8):863–873

    Article  PubMed  Google Scholar 

  23. Rezaee Khiabanloo S, Nabie R, Aalipour E (2020) Outcomes in thread lift for face, neck, and nose; a prospective chart review study with APTOS. J Cosmet Dermatol 19(11):2867–2876

    Article  PubMed  Google Scholar 

  24. Kim B, Oh S, Jung W (2019) The art and science of thread lifting-based on pinch anatomy. Springer Nature Singapore Pte Ltd, Singapore

  25. Tong LX, Rieder EA (2019) Thread-lifts: a double-edged suture? A comprehensive review of the literature. Dermatol Surg 45(7):931–940

    Article  PubMed  CAS  Google Scholar 

  26. Cobo R (2020) Use of polydioxanone threads as an alternative in nonsurgical procedures in facial rejuvenation. Facial Plast Surg 36(4):447–452

    Article  PubMed  CAS  Google Scholar 

  27. Goldberg D et al (2013) Single-arm study for the characterization of human tissue response to injectable poly-L-lactic acid. Dermatol Surg 39(6):915–922

    Article  PubMed  CAS  Google Scholar 

  28. Jelonek K et al (2013) Novel poly (L-lactide-co-ε-caprolactone) matrices obtained with the use of Zr [Acac] 4 as nontoxic initiator for long-term release of immunosuppressive drugs. Biomed Res Int

  29. Park JH et al (2017) Preparation of biodegradable and elastic poly (ε-caprolactone-co-lactide) copolymers and evaluation as a localized and sustained drug delivery carrier. Int J Mol Sci 18(3):671

    Article  PubMed  PubMed Central  Google Scholar 

  30. Wong V (2021) The science of absorbable poly (L-lactide-co-ε-caprolactone) threads for soft tissue repositioning of the face: an evidence-based evaluation of their physical properties and clinical application. Clin Cosmet Investig Dermatol 14:45

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  31. Shimizu Y, Terase K (2013) Thread lift with absorbable monofilament threads. Jpn Soc Aesthet Plast Surg 35(2):1–12

    Google Scholar 

  32. Wu WT (2004) Barbed sutures in facial rejuvenation. Aesthet Surg J 24(6):582–587

    Article  PubMed  Google Scholar 

  33. Yeo SH, Lee YB, Han DG (2017) Early complications from absorbable anchoring suture following thread-lift for facial rejuvenation. Arch Facial Plast Surg 23(1):11–16

    Google Scholar 

  34. Tsukahara K (2007) Comparison of age-related changes in facial wrinkles and sagging in the skin of Japanese, Chinese and Thai women. J Dermatol Sci 47(1):19–28

    Article  PubMed  Google Scholar 

  35. Ezure T, Amano S (2012) Involvement of upper cheek sagging in nasolabial fold formation. Skin Res Technol 18(3):259–264

    Article  PubMed  Google Scholar 

  36. Latrenta GS (2004) Atlas of aesthetic face and neck surgery. Saunders/Elsevier, London

    Google Scholar 

  37. Pessa JE, Brown F (1992) Independent effect of various facial mimetic muscles on the nasolabial fold. Aesthet Plast Surg 16(2):167–171

    Article  CAS  Google Scholar 

  38. Snider CC (2017) New insights into the anatomy of the midface musculature and its implications on the nasolabial fold. Aesthet Plast Surg 41(5):1083–1090

    Article  Google Scholar 

  39. Myung Y, Jung C (2020) Mini-midface lift using polydioxanone cog threads. Plast Reconstr Surg Glob Open 8(6):e2920

  40. Lorenc ZP, Goldberg D, Nestor M (2018) Straight-line vector planning for optimal results with Silhouette InstaLift in minimally invasive tissue repositioning for facial rejuvenation. J Drugs Dermatol 17(7):786–793

    PubMed  Google Scholar 

  41. The Aesthetic Society’s Cosmetic Surgery National Data Bank (2020) Statistics 2019. Aesthet Surg J 40(Supplement 1):1–26

    Google Scholar 

  42. Lackey DE et al (2014) Contributions of adipose tissue architectural and tensile properties toward defining healthy and unhealthy obesity. Am J Physiol Endocrinol Metab 306(3):E233–E246

    Article  PubMed  CAS  Google Scholar 

  43. Martin RB et al (2015) Mechanical properties of ligament and tendon in skeletal tissue mechanics. Springer, New York, pp 175–225

    Google Scholar 

  44. Park YJ et al (2021) Maximizing thread usage for facial rejuvenation: a preliminary patient study. Aesthet Plast Surg 45(2):528–535

    Article  Google Scholar 

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Correspondence to YiPing Wu.

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Jun, H., Yi, Y., Lee, J. et al. Usages of thread lifts on nasolabial folds for facial rejuvenating effects. Eur J Plast Surg 45, 873–880 (2022). https://doi.org/10.1007/s00238-022-01961-2

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  • DOI: https://doi.org/10.1007/s00238-022-01961-2

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