Outcomes of Polydioxanone Knotless Thread Lifting for Facial Rejuvenation

Suh, Dong Hye; Jang, Hee Won; Lee, Sang Jun; Lee, Won Seok; Ryu, Hwa Jung

doi:10.1097/dss.0000000000000368

Cited by 140 publications

(146 citation statements)

References 11 publications

(10 reference statements)

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“…It is safe and effective and is associated with only minor complications when performed on patients with modest face sagging, fine wrinkles, and/or marked facial pores. The incidence of these complications is low and not serious [6]. Therefore, with the results of four interesting cases in which brow ptosis and accompanying uncomfortable symptoms were instantly improved using PDO thread, the authors propose the possibility of a new treatment method to improve the abovementioned side effects.…”

Section: Introductionmentioning

confidence: 99%

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Immediate treatment of botulinum toxin type A-induced brow ptosis with polydioxanone cog thread insertion

Kang¹,

Chai

2017

J Cosmet Med

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Background: Botulinum toxin is most commonly used as a safe cosmetic injectable to improve dynamic wrinkles. However, side effects still occur. Among them, brow ptosis is known to occur relatively infrequently. The condition is self-limiting; however, for about 3 months post-injection, the patient must endure related uncomfortable symptoms. Several methods have been recommended to prevent this complication; however, no treatment has been developed to improve such symptoms instantly. Currently, various processed threads, such as polydioxanone (PDO), are widely used for facial rejuvenation; PDO thread is bio-absorbable.Objective: The authors performed brow lifting using a cogged PDO thread to improve uncomfortable symptoms associated with brow ptosis. Methods:In total, 14 PDO threads with multi-bidirectional cogs (two 1.0 threads, with lengths of 9.0 cm each, and twelve 1.0 threads, with lengths of 6.0 cm each) were placed in 7 rows, which were inserted into the superficial fat layer and deep fat layer (dual plan insertion) separately, at approximately 1.0-cm intervals.Results: Following the use of the thread, the positions of the left and right eyebrows were observed to have slightly increased by an average of 1.43±0.65 mm and 1.7±0.9 mm after two weeks, respectively; the patients indicated a high degree of satisfaction with immediate improvement of the uncomfortable symptoms. Conclusion:It is suggested that PDO thread brow lifting would be a reliable procedure to immediately treat botulonum-toxin induced brow ptisos noninvasively.

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Section: Introductionmentioning

confidence: 99%

“…In this case series, we performed brow lifting using cogged [5,6]. It is safe and effective and is associated with only minor complications when performed on patients with modest face sagging, fine wrinkles, and/or marked facial pores.…”

Section: Introductionmentioning

confidence: 99%

Immediate treatment of botulinum toxin type A-induced brow ptosis with polydioxanone cog thread insertion

Kang¹,

Chai

2017

J Cosmet Med

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“…Interestingly, many Korean plastic and cosmetic physicians have begun to utilize PDO threads, a suture material employed in open-heart surgeries, for non-invasive cosmetic procedures such as facial tightening and lifting [4]. Importantly, due to their bio-absorbability in tissue, PDO threads have a lower risk of complications.…”

Section: Introductionmentioning

confidence: 99%

Improvement of aged lower eyelid by insertion of polydioxanone threads

Hwang¹,

Kwon²,

Cho

et al. 2017

J Cosmet Med

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Orbital fat protrusion, skin laxity with wrinkling, and tear trough deformity with hyperpigmentation of the lower eyelid make individuals appear fatigued and elderly. For cosmetic correction of the aged lower eyelid, either invasive blepharoplasties or less invasive procedures such as filler, high frequency device therapy or laser therapy are popularly performed. Currently in Korea, polydioxanone (PDO) thread is commonly utilized to tighten and lift the aged face. We present a case report demonstrating improvement of orbital fat protrusion, skin laxity with wrinkles, and tear trough deformity following insertion of PDO threads into the lower eyelid of an aging patient. Twenty PDO threads (6.0 USP, 30 mm in length, New Up PDO suture Kit ® produced by Meditronic Dongjun) were inserted at 1-mm intervals into the submuscular layer and the protruded orbital fat pads of both lower eyelids of a 54-year-old patient. Two months following intervention, the patient presented with flattening of the protruded orbital fat, skin tightening and wrinkle improvement, volume restoration in tear trough deformity, and skin whitening; the patient was satisfied with the results of the therapy. Common complications such as persistent swelling, hematoma, skin irregularity, and infection were not observed during follow-up assessments. Our findings suggest that PDO thread insertion may be a useful, non-invasive procedure to rejuvenate the aged lower eyelid of patients with anxieties regarding potential complications due to invasive lower blepharoplasty.

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“…Although several acute or delayed complications after using nonabsorbable thread type were reported [5,[7][8][9][10], few studies on the absorbable thread type have examined its associated risks and complications. Moreover, the majority of previous studies reported only about the floating type, ignoring the anchoring type.…”

Section: Introductionmentioning

confidence: 99%

Early Complications from Absorbable Anchoring Suture Following Thread-Lift for Facial Rejuvenation.

Yeo

Lee²,

Han

2017

Arch Aesthetic Plast Surg

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Outcomes of Polydioxanone Knotless Thread Lifting for Facial Rejuvenation

Abstract: Facial rejuvenation using PDO thread is a safe and effective procedure associated with only minor complications when performed on patients with modest face sagging, fine wrinkles, and marked facial pores.

Cited by 140 publications

References 11 publications

Immediate treatment of botulinum toxin type A-induced brow ptosis with polydioxanone cog thread insertion

Immediate treatment of botulinum toxin type A-induced brow ptosis with polydioxanone cog thread insertion

Improvement of aged lower eyelid by insertion of polydioxanone threads

Early Complications from Absorbable Anchoring Suture Following Thread-Lift for Facial Rejuvenation.

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