Eyebrow lifting with barbed threads: A simple, safe, and effective ambulatory procedure

Abstract

Introduction: Changes in brow positioning are one of the first facial aging signs. A more beautiful and younger look can be achieved by repositioning the tissues involved in brow descent and sagging eyelids. Methods:We report the outcome of eyebrow thread lifting in a series of patients who came to our clinic to improve their gaze. Response to treatment was assessed at 6-and 12-months using FACE-Q ™ upperlids and eyebrow/forehead scales.Results: A total of 38 patients with mild-to-moderate brow ptosis or without ptosis underwent eyebrow thread lifting (mean age 35.5, all female). No serious complications were observed during or after treatment. All patients were satisfied with the outcome of the intervention. Mean FACE-Q ™ scores improved at six months compared with baseline. A statistically significant increase in mean FACE-Q ™ scores was still seen at 12 months and was more evident in younger women. Patients were able to go back to their daily lives the day after the procedure. Conclusion:Eyebrow thread lifting is a minimally invasive procedure able to overcome mild-to-moderate ptosis with excellent aesthetic results. In the absence of ptosis, thread lifting is a good choice to reposition the brow and improve the gaze. The technique is simple to perform and safe.

Retracted: Is it possible to obtain long‐lasting results with thread lift in the brow region? Introduction of a new suspension technique and evaluation of 50 patients

“…From the perspective of safety profile, thread lift procedures have a great safety profile except for minor complications. Santorelli et al 14 reported hematoma, minor extrusion in two patients of 38 patients. Rezaee Khiabanloo et al 15 reported tumefaction in one patient and ecchymosis in four patients in their eight brow lift patients.…”

“…From the perspective of safety profile, thread lift procedures have a great safety profile except for minor complications. Santorelli et al 14 However, they noted that there might be significant advantages if thread lift sutures were combined with an open procedure. 4 In the literature, authors evaluating the efficacy of threads for midface lift reported that the results were moderate and durability was not sufficient.…”

“…Santorelli et al evaluated results of 38 patients who underwent eyebrow lifting with threads composed of poly L‐lactide‐co‐ε‐caprolactone in their current study and reported that FaceQ scores were still high at 6 and 12 months compared with baseline. According to the technique they applied, barbed bidirectional thread was introduced from the hairline to the brow arch and tail in an inverted V shape arrangement at the level of supraperiosteum 14 . Rezaee Khiabanloo et al shared results of PDO thread lift patients with their innovative technique.…”

“…V shape arrangement at the level of supraperiosteum. 14 were moderate for brow lift. In their technique, they introduced one or two threads depending on the need from the hairline of the scalp to arch of the eyebrow and/or midway between the arch and tail of the eyebrow, they placed the threads in a shape of inverted v or w on the upper border of the eyebrow above the superficial muscular aponeurotic system in the subcutaneous fat tissue.…”

Experimental investigation of biostimulatory effects after polydioxanone thread insertion in a pig model

“…

Thread-lifting plastic surgery techniques are favored due to their relative safety, ease of procedure and effectiveness, and low risk of side effects. 1,2 Recently, absorbable threads have been developed as an alternative to non-absorbable cogged threads, which are associated with rejection and are not conducive to adjustment. 3 These absorbable threads mechanically lift the skin immediately after implantation, 4 and do so for approximately 6 months, when the threads degrade through hydrolysis.

…”