Mid‐face reshaping using threads with bidirectional convergent barbs: A retrospective study

Abstract

Background: Minimally invasive procedures, such as thread suspension techniques, are a growing trend for facial rejuvenation. However, not enough data are available on the efficacy, outcomes, and morbidity of suture suspension techniques in mid-face reshaping.Aims: Our goal was to assess treatment outcomes and patient satisfaction following mid-face reshaping using threads with bidirectional convergent barbs (Definisse TM free floating threads).Patients/Methods: We performed a retrospective analysis of 60 patients who underwent treatment for mid-face reshaping using Definisse TM free floating threads.Response to treatment was assessed at 6 months using the mid-face-specific Mid-Face Volume Deficit scale (Allergan ® ), Global Aesthetic Improvement and FACE-QTM scales.Results: Sixty patients underwent mid-face treatment with the suspension thread technique (mean age 51.3, 90% female). No concomitant procedures were done. A reduction by one point or more in the Mid-Face Volume Deficit Scale (MDFVS) score treatment was seen in all patients after 6 months. Mean overall MFVDS and FACE-Q TM scores were significantly improved. On the GAIS, most patients were rated as improved or better both by the evaluating investigators and during self-assessment. No major complications were observed, and none of the patients requested the removal of the threads (mean follow-up 9.8 months, range 6-14 months). Conclusion:Our results suggest that mid-face reshaping with Definisse TM free floating threads is a safe and reliable procedure characterized by low complication rates and good esthetic results. This minimally invasive procedure is a good alternative for normal or combination skin patients who refuse or want to delay the need for traditional rhytidectomy.

Effectiveness of jawline, jaw angle, and marionette lines correction in combination with double needles threads (APTOS) and a collagen‐stimulating dermal filler (ELLANSE): An innovative technique

“…In addition, the surgeons’ satisfaction scores (excellent, very improved, and improved levels) at 6 months after surgery were 2%, 30%, and 64% (totally: 96% for the surgeon), and 2%, 22%, and 72% (totally: 96% for the independent surgeon). Contrary to the study conducted by Santorelli A. et al 15 our study has shown greater satisfaction scores in both patients and surgeons 6 months after facial rejuvenation surgery.…”

“…In a study conducted by Santorelli A. et al 15 most patients, who underwent mid‐face treatment with the suspension thread technique, reported improved and excellent satisfaction based on GAIS score. Based on patients’ improvement assessment, 6 months after the surgery, about 30% reported improved satisfaction, and about 60% of patients reported a much‐improved level of satisfaction.…”

Absorbable Barbed Threads for Lower Facial Soft-Tissue Repositioning in Asians

“…Thread resorption most likely occurred between 8 and 12 months post-procedure. Based on previous studies and the thread’s composition, neocollagenesis was most likely initiated at 1 month post-implantation [ 18 , 23 , 26 , 28 ].…”

“…In this study, we used Definisse™ threads, which consist of absorbable p(LA-CL) monofilaments that provide subdermal support or filling, confer elasticity, and prolong thread stability when implanted [ 26 , 28 ]. The double needle threads are convergent bidirectional barbs and are available in 12- or 23-cm versions with 9- or 15-cm 24G straight needles at both thread extremities [ 20 , 28 ].…”

“…Upon resorption, the fully biodegradable and soluble thread polymers hydrolyze into low-molecular-weight molecules, which induce collagen and hyaluronic acid production [ 23 ]. Definisse™ received a Conformité Européenne marking in 2015, and preliminary studies reported excellent outcomes with minimal complications [ 20 , 26 ].…”