Abstract
Background
Thread lifting was first described in the early twentieth century, but for many years it remained a relatively debatable technique due to the unreliability of the long-term results. Very few papers described the long-term follow-up of the patients. Until now there has been no ideal thread that can demonstrate the long-lasting results.
Method
A long-term study of mesh suspension thread in Bhumibol Adulyadej Hospital and Bangkok Skin-Plastic Surgery Center was conducted during February 2016 to December 2018. In all, 21 patients, 20 females and one male, were treated. The follow-up period ranged from 6 months to 2 years. The results were evaluated by both patients themselves and an independent investigator using the Global Aesthetic Improvement Scale (GAIS), Modified Fitzpatrick Wrinkle Scale and Marionette Lines Grading Scale at 6 months, 1 year and 2 years.
Results
No serious complications were involved in all cases. The most frequent complaint was mild to moderate pain at the temporal area at the night of surgery that gradually improved in a few days. The improved result could be maintained up to 1 year among 14 patients (66.6%) and 2 years among eight patients (38%). The follow-up period up to 2 years showed a favorable result. Most cases received the same GAIS scores by patients and those of the investigator. Some patients rated their outcome higher than the investigator. No obvious contradiction in the scores was observed between both groups.
Conclusion
We performed a long-term clinical study to validate the efficacy of mesh suspension thread. The result showed that this novel thread could provide a long-lasting result up to 2 years.
Level of Evidence IV
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All procedures performed in this study were in accordance with the ethical standards of the Institutional Review Board of Bhumibol Adulyadej Hospital (IRB No 57/62) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
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Wattanakrai, K., Chiemchaisri, N. & Wattanakrai, P. Mesh Suspension Thread for Facial Rejuvenation. Aesth Plast Surg 44, 766–774 (2020). https://doi.org/10.1007/s00266-019-01561-9
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DOI: https://doi.org/10.1007/s00266-019-01561-9