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CC BY-NC-ND 4.0 · Arch Plast Surg 2022; 49(03): 296-303
DOI: 10.1055/s-0042-1748641
Cosmetic
Original Article

A New Complex Minimally Invasive Thread Lift Method for One-Time Three-Step Fixation of the Face and Neck Soft Tissues

Olga Zhukova 
1   Department of Dermatology and STD, RUDN Peoples' Friendship University of Russia, Moscow, Russia
,
Sergey Dydykin 
2   Department of Topographical Anatomy and Operative Surgery, Sechenov University, Moscow, Russia
,
Eliska Kubíková 
3   Anatomical Institute, Comenius University, Bratislava, Slovakia
,
Natalia Markova 
4   S.R.O. “Medical Esthetic”, Prague, Czech Republic
,
Yuriy Vasil'ev 
2   Department of Topographical Anatomy and Operative Surgery, Sechenov University, Moscow, Russia
,
Marina Kapitonova 
5   Department of Basic Medical Sciences, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia
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Abstract

Background In recent years thread lift has become widespread; however, existing methods need to improve their long-term outcome, which requires considering topographic anatomy of face and neck, especially the ligamentous apparatus. This study aims to assess the effectiveness and safety of an innovative method of one-time three-step thread facelift, which provides an additional support to the ligamentous structures of the upper, middle, and lower thirds of the face and neck.

Methods The study included 357 patients aged 32 to 67 years with various morphotypes of aging. The original method of thread lift was applied, and its effectiveness was followed up for to 2 years. The Wrinkle Severity Rating Score (WSRS) and Global Aesthetic Improvement Scale (GAIS) scores were used for assessment by investigators, independent observers, and patients. Statistical significance was determined using paired t-test and chi-square test.

Results The mean WSRS score was 3.88 ± 0.88 before the thread lift, 1.93 ± 0.81 one month after the procedure, and 2.36 ± 0.85 after 2 years of follow-up. The mean GAIS was 4.80 ± 0.04 one month after thread lift, and 4.01 ± 0.04 after 2 years, while in the patients' assessment Global Satisfaction Scale was 4.86 ± 0.02 and 4.10 ± 0.02, respectively. There were no clinically significant complications throughout the observation period.

Conclusion The new method of one-time three-step thread fixation of the soft tissues of the face and neck demonstrated a high degree of satisfaction by both experts and patients after 2 years of follow-up. It showed high efficacy and safety, including in the group of patients with pronounced age-related changes of the skin of face and neck.

Keywords

aesthetic - face - minimally invasive facial lifting procedures

Author Contributions

O.Z.: Conceptualization; data curation; formal analysis investigation; writing—original draft; writing—review and editing. S.D.: Conceptualization; data curation; writing—original draft; writing—review and editing. E.K.: Data curation; formal analysis validation; visualization. N.M.: Data curation; formal analysis; project administration; resources. Y.V.: Software supervision validation; visualization; writing—review and editing. M.K.: Methodology project administration; writing—original draft; writing; review and editing.


Ethical Approval

This study was approved by the institutional ethics committee (Protocol N09–14, 06.03.2019).


Patient Consent

Informed consent was obtained from all individual participants included in the study.




Publikationsverlauf

Artikel online veröffentlicht:
27. Mai 2022

© 2022. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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