An Innovative Thread-looping Method for Facial Rejuvenation: Minimal Access Multiple Plane Suspension

Wang, Chao-Huei; Liu, Heng-Jen; Tsai, Yun-Ta; Lin, Hsin-I; Wu, Po-Yi; Lin, Jheng-Wei

doi:10.1097/gox.0000000000002045

Cited by 14 publications

(11 citation statements)

References 38 publications

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“… 9 Meanwhile, Wang had studied 103 cases of MAMPS PDO thread technology and related complications. 5 The summary of these studies is presented in Table 2 .…”

Section: Discussionmentioning

confidence: 99%

“…Quill suture, first used for wound sutures, has also been used in facelifts. 5 Few reports of complications related to facial thread lifting have been reported. Since 2014, China has begun to approve absorbable threads for facelifts, such as polydioxanone (PDO) threads (including Quill and six other types of barbed sutures), and in 2018, PCL/PLA threads (HappyLift) were approved.…”

Section: Introductionmentioning

confidence: 99%

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Facial Thread Lifting Complications in China: Analysis and Treatment

Chen

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Background: Facial thread lifting technology has been applied for more than 30 years, with relatively few complications. In 2014, China approved polydioxanone thread (an absorbable barbed thread) for large-scale nonsurgical facial lifting. However, due to surgeons’ lack of overall experience, the complications of polydioxanone thread facelift have been relatively high. Methods: From April 2014 to January 2020, a total of 190 patients with postoperative complications of facelifts were treated after they underwent thread lifting in other hospitals. Of these, 189 patients were women and one was a man; the age of patients ranged from 28 to 62 years, with an average age of 37.4 years. Results: Patients were mainly treated in our outpatient clinic for the following complications: skin dimpling (77 cases, 40.5%); contour irregularity (32 cases, 16.8%); visible threads (31 cases, 16.3%); thread extrusion (10 cases, 5.3%); infection (17 cases, 8.9%); swelling (nine cases, 4.7%); incomplete facial paralysis (five cases, 2.6%); hyperpigmentation (four cases, 2.1%); hematoma (four cases, 2.1%); allergy (one case, 0.05%). Follow-up was scheduled 1–24 weeks after treatment. Conclusions: The most common complications of facial thread lifting are, in the following order, skin dimpling, contour irregularity, visible threads, and thread extrusion. The reasons for complications are mainly unfamiliarity with facial anatomy, unskilled surgical operation, and misunderstanding of the facial aesthetics of Asian women.

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“… 9 Meanwhile, Wang had studied 103 cases of MAMPS PDO thread technology and related complications. 5 The summary of these studies is presented in Table 2 .…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Facial Thread Lifting Complications in China: Analysis and Treatment

Chen

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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“…Changes in skin appearance may constitute a source of considerable psychological stress, which in turn adversely affects the quality of life in late adulthood. 11,12 These changes are usually perceived as unfavorable and have a negative impact on self-esteem and psychosocial well-being. They also have a symbolic significance as they place an individual in the group of "the elderly", stereotypically associated with undesirable physical, mental and behavioral features.…”

Section: Discussionmentioning

confidence: 99%

<p>Subjective Evaluation of the Results of Injectable Hyaluronic Acid Fillers for the Face</p>

Matecka¹,

Lelonkiewicz²,

Pieczyńska³

et al. 2020

CIA

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Background: Skin ageing is a physiological process, progressive and irreversible. Hyaluronic acid injection treatments are used to correct the signs of skin ageing. Material and Methods: Hyaluronic acid was implanted in the area of the cheek and the forehead aesthetic units in 57 women, aged 35−55 years. Apart from the clinical observation, self-assessment of the therapeutic results was conducted. The "My skin" questionnaire was used for subjective evaluation of the treatment results. Results: Mean wrinkle score in the pre-menopausal group changed after the treatment, from 3.2±0.6 to 1.1±0.3 and from 3.2±0.6 to 0.8±0.6 for the forehead and the cheek esthetic units, respectively. In the post-menopausal group, the score decreased from 3.8±0.4 to 1.7± 0.7 and from 3.2±0.617 to 0.8± 0.6 for the forehead and the cheek esthetic units, respectively. The changes were age-dependent. Improved appearance of the facial skinhigher satisfaction with skin tone and scentwas reported after hyaluronic acid injections. Higher subjective perception of improvement corresponded to older age, irrespectively of the menopausal status. Correlations between age and the effect of the treatment on maintaining proper skin hydration as well as between improved appearance of the forehead area and feelings of autonomy and well-being were found. Conclusion: Hyaluronic acid injections significantly improved the subjective perception and overall assessment of the scent and appearance of the facial skin.

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“…In the thread-looping method advocated by Wang et al, 21 the passage of the deep plane thread lift provides a minimal invasive way to reposition the buccal fat pad. However, there are doubts concerning the risks of facial structure injuries.…”

Section: Discussionmentioning

confidence: 99%

“…In the thread-looping method advocated by Wang et al, 21 the concept of buccal fat pad repositioning through the deep plane thread lift was proposed. However, the risks of nerve or vessel injuries were questioned.…”

Section: Introductionmentioning

confidence: 99%

The Surgical Anatomy and the Deep Plane Thread Lift of the Buccal Fat Pad

Tsai¹,

Zhang

Wu³

et al. 2020

Plastic and Reconstructive Surgery - Global Open

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Background: Management of facial rejuvenation by the thread lift procedure has evolved over the past few years. The role of deep plane thread lift for buccal fat pad reposition was advocated. However, there are concerns about the risks and the feasibility of the deep plane thread lift. This study was designed to determine whether the deep plane thread lift could achieve effective aesthetic results and to investigate the possible risks of critical tissue injury through cadaveric studies. Methods: Twelve fresh frozen cephalic specimens of 8 male and 4 female Asian body donors (mean age, 63.3 ± 8.0 years) were investigated. The deep plane thread lifts for reposition of the buccal fat pads were performed for all the left hemifaces. Cadaveric dissections were performed to investigate the moving distance of the buccal fat pad and to examine the surrounding tissue of the passage of the deep plane thread lift. Results: The average moving distance of the buccal fat pads after the deep plane thread lift was 3.73 cm. The difference in moving distance of buccal fat pads between bilateral sides was statistically significant (P < 0.001). No injuries of the critical vessels or nerves were found after cadaveric dissection. The passage of the deep plane thread lift was evaluated. Conclusion: The deep plane thread lift for reposition of the buccal fat pad is a safe, effective, and practical method.

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An Innovative Thread-looping Method for Facial Rejuvenation: Minimal Access Multiple Plane Suspension

Abstract: Supplemental Digital Content is available in the text.

Cited by 14 publications

References 38 publications

Facial Thread Lifting Complications in China: Analysis and Treatment

Facial Thread Lifting Complications in China: Analysis and Treatment

<p>Subjective Evaluation of the Results of Injectable Hyaluronic Acid Fillers for the Face</p>

The Surgical Anatomy and the Deep Plane Thread Lift of the Buccal Fat Pad

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