A novel technique for repositioning facial soft tissues with barbed polydioxanone threads based on the main aging vector force of rejuvenation

Abstract

Background: With the evolution of facial rejuvenation procedures, thread lifts have gained space among western patients who seek cosmetic improvement without undergo to surgeries. Absorbable wedge-shaped polydioxanone (PDO) sutures are currently available, and in mid-lower face and mandibular jowl lift, threads are most often implanted in a diagonal vector force from medial-inferior up to lateral-superior site, near the temple. Herein, the authors introduce a new technique based on this oblique sum of anti-aging vector force to reposition and anchorage facial soft tissues, aimed for natural youth rejuvenation. Objective: Describe a novel technique for counteracting the facial ptosis and laxity skin, as well as the duration of clinical lifting result and of skin quality improvement. Methods: More than 84 patients were underwent in this thread technique once. The outcomes were assessed objectively using serial photography and subjectively based on the patients’ spontaneous satisfaction through over these 4 years. Complications were also reported. Results: Most patients considered the results satisfactory. The incidence of complications was low, and most of them were minor and temporary. Conclusion: Wedge-shaped PDO thread repositioning and anchorage soft tissue is safe and effective method for rejuvenation.