Facial Thread Lifting Complications in China: Analysis and Treatment

Li, Yilin; Li, Zehui; Chen, Xueying; Xing, Wenshan; Hu, Jintian

doi:10.1097/gox.0000000000003820

Cited by 14 publications

(21 citation statements)

References 41 publications

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“…Side-effects and complications: One of the most common complications of thread lifting is skin dimpling (30%), which is often associated with the subcutaneous thread being too shallow or uneven [6]. This was not reported in our study patients but can occur if suture threads are placed within an incorrect placement plane.…”

Section: Discussionmentioning

confidence: 71%

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Twenty-four months long-term follow-up report on the effect of poly lactic-co-glycolic acid suspension suture in Asian with mild-moderate face laxity

Lam¹,

Fung²,

Lam³

et al. 2022

J Cosmet Med

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Background: There was evidence of improvement in mid-face laxity using three pairs of suspension sutures in mid-face lifting in our early and mid-term follow-up.Objective: This 24-month prospective follow-up study aimed to determine the efficacy of mid-face lifting and lower jawline contouring using poly lactic-co-glycolic acid (PLGA) sutures in Asian patients.Methods: Ten healthy volunteers received three pairs of 8-cones bidirectional cones sutures at the mid-face. One of the ten volunteers lost to follow-up, and all remaining patients followed up for 24 months. Our primary outcome measure is the change in the facial laxity rating scale (FLRS), an "improvement" defined as at least "one-grade change" in FLRS. Other assessment parameters include the severity of the nasolabial fold (NLF), assessed on the wrinkle severity rating scale (WSRS). The secondary outcome measures were the self-satisfaction rating scale (SSRS) and global aesthetic improvement scale (GAIS), rated by participants at each follow-up interval.Results: A linear improvement in the mid-face was observed almost immediately after treatment, with progressive improvement up to at least 12 months following the intervention and no deterioration by 24 months. This improvement was significant (p<0.05), and the differences between before and after treatment at each follow-up interval were large (Cohen's d>0.8). Contour improvement for the lower face followed a similar trend, except for a delay in the observable differences at three months (Cohen's d=0.29, 0.8 at six weeks and three months, respectively). The differences in the level of patient satisfaction were significant (p<0.05) from 6 weeks to 24 months, peaking between 12 and 18 months, based on both the GAIS and SSRS ratings. No observed complications. Conclusion:Mid-facing lifting in Asian patients with mild-to-moderate laxity is safe and effective with PLGA bidirectional cone sutures, with concurrent improvement in the lower face contour and elevated patient satisfaction over the 24-month follow-up period.

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Section: Discussionmentioning

confidence: 71%

“…This was not reported in our study patients but can occur if suture threads are placed within an incorrect placement plane. Other complications, such as slippage or breakage of sutures, have previously been reported [6].…”

Section: Discussionmentioning

confidence: 89%

Twenty-four months long-term follow-up report on the effect of poly lactic-co-glycolic acid suspension suture in Asian with mild-moderate face laxity

Lam¹,

Fung²,

Lam³

et al. 2022

J Cosmet Med

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show abstract

“…Transient thread visibility was reported in 16.3% of patients in a retrospective review ( n = 31; 71% visible, 29% only palpable), most requiring no treatment and achieving complete recovery within 2 to 5 months; only 5 patients required partial thread removal. 4 Thread extrusion was documented in 10 patients (5.3%), occurring 3 to 20 days postimplantation, with most ( n = 7) extruding from the initial insertion point. Removal was performed by grasping threads with forceps or via small incisions.…”

Section: Discussionmentioning

confidence: 97%

Retained Periorbital Subdermal Polydioxanone Threads

Verma,

Friedmann

2023

Dermatol Surg

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“…Depending on the study, bacterial complications occurred in 6.2% 3 or 2% of cases. 4 A study on the treatment of 190 complications of PDO thread lifts 10 showed that bacterial complications accounted for 8.9% of all complications. In addition, some case reports were also published.…”

Section: Discussionmentioning

confidence: 99%

Barbed PDO Thread Face Lift: A Case Study of Bacterial Complication

Surowiak

2022

Plastic and Reconstructive Surgery - Global Open

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Summary: Procedures with polydioxanone (PDO) threads are increasingly used for aesthetic indications. To date, eight cases of serious complications following the use of PDO threads have been published. In this case report, we present a case of a serious bacterial complication after a procedure with four PDO threads. A 52-year-old female patient presented to our center 1 month after undergoing the procedure at another center. Despite early symptoms, no treatment had previously been implemented. Perforating abscesses were found along the course of the threads. After 5 days of antibiotic therapy (amoxicillin 875 mg and clavulanic acid 125 mg p.o. every 12 hours), the threads were surgically removed due to skin rippling. During the procedure, the threads were found to be fragile, and several incisions were necessary to remove them. After 1 month, no signs of inflammation were reported. However, persistent deformities occurred due to delayed treatment implementation. Bacterial complications seem to be a typical complication following the procedure with PDO threads. PDO threads can be difficult to remove due their fragility. The possible need for surgical removal of the threads should be considered when selecting areas for application.

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Facial Thread Lifting Complications in China: Analysis and Treatment

Cited by 14 publications

References 41 publications

Twenty-four months long-term follow-up report on the effect of poly lactic-co-glycolic acid suspension suture in Asian with mild-moderate face laxity

Twenty-four months long-term follow-up report on the effect of poly lactic-co-glycolic acid suspension suture in Asian with mild-moderate face laxity

Retained Periorbital Subdermal Polydioxanone Threads

Barbed PDO Thread Face Lift: A Case Study of Bacterial Complication

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