#1-2. The Association of Minimal Invasive Plastic Surgery Column – Thread lifting

Jeong Youngchoon, M.D.

Director

HERSHE Plastic Surgery & Dermatology, Seoul Korea

Various thread lift techniques

I perform silhouette lifting most often as I believe it has superior mechanism of action. Instead of regular cogs of other threads, this thread has absorbable PDO cones that deliver 360° pulling strength combined with nonabsorbable knots that carry out the cog functions after the cones are biodegraded. Unlike other types of threads, it is an anchoring-type lifting technique, which brings better efficacy.

However, the procedure using this thread is costly as a lot of thread is needed for optimal effect. This is the main reason why such an effective thread is not as widely used.

Figure 1. Before and after silhouette lifting of nasolabial folds and jowl line.

Figure 2. Before and after silhouette lifting of nasolabial folds and jowl line.

Figure 3. A vertical line from the lateral orbital rim divides the face into the mobile anterior and fixed lateral regions.

Figure 4. Floating-type lift for the anterior face. (A) The bidirectional, barbed threads are shown(yellow arrows). (B) The soft tissues were gathered toward the midline. Yellow arrows show the vector of the force. The ptotic soft tissues on lower portion were lifted.

Figure 5. The left side of the patient shows the broadened malar area due to the lateral lift by the fixed-type thread. On the right side of the patient, a floating-type thread retains the tissue in the central region of the thread and prevents malar area broadening.

References

Sulamanidze M-A, Paikidze T-G, Sulamanidze G-M, et al. Facial lifting with “ APTOS” threads: Featherlift. Otolaryngol Clin N Am 2005; 38: 1109-7

Kaminer MS, Bogart M, Choi C, et al. Long term efficacy of anchored barbed sutures in the face and neck Dermatol Surg 2008; 4: 1041-7

Sulamanidze M, Sulamanidze G. APTOS Suture Lifting Methods: 10Years of Experience Clin Plastic Surg2009:36;281-306

Won-suk Lee, Sang-joon Lee, Hwa-jung Yoo, Ga-yeon Jang, Dong-hye Seo: Standards of absorbable thread lifting, Seoul, Jungwoo Medical Publishing, 2014

Tae Joo Ahn, Hyun Ho Han, Nam Ho KiM, et al : Combined, Minimally Invasive, Thread-based Facelift. Arch Aesthetic Plast Surg 2014;20(3):160-164