Horizontal necklines correction with absorbable braided polydioxanone threads: Case series

Abstract

AbstractIntroductionThe prevalence of horizontal neck lines as a cosmetic concern is widely acknowledged, yet the available treatment options are limited, and no studies have investigated the use of polydioxanone‐barbed threads. These threads, characterized by a finely braided structure, function as a scaffold to attract regenerative factors and facilitate the migration and proliferation of cells. This study aims to evaluate the outcomes of concurrent application of braided polydioxanone‐barbed threads for addressing horizontal neck wrinkles.MethodologyA retrospective case series involving four female participants (aged 41, 43, 45, and 46) treated with polydioxanone‐barbed threads for horizontal neck wrinkles between January 2023 and July 2023 was conducted. Adult patients were assessed at an 8‐week follow‐up, revealing a significant reduction in wrinkle intensity based on the Horizontal Neck Wrinkle Severity Scale.ResultsThe analysis of horizontal neck lines demonstrated a notable decrease in wrinkle intensity according to the Horizontal Neck Wrinkle Severity Scale at the 8‐week mark, and this improvement maintained statistical significance. Both patient Global Aesthetic Improvement Scale (GAIS) scores (90%–100%) and physician GAIS scores (100%) were rated as excellent.ConclusionThe subdermal application of polydioxanone‐barbed threads for horizontal neck lines proves to be a secure and efficacious approach for treating horizontal neck wrinkles, with no observed Tyndall effect. This technique shows promise for rejuvenating the skin in the horizontal neckline region.