Facial aging represents a series of anticipated, continuous morphological changes that commence as early as 25 years old. The skin undergoes thinning and a loss of elasticity attributed to declining collagen as we age. Progressive lipoatrophy, characterized by the localized loss of fat tissue, particularly from the buccal and malar fat pads, perioral, periorbital regions, and chin, contributes to a flattened and hollowed appearance in the cheeks, infraorbital, and perioral regions. The gradual weakening of facial-retaining ligaments and the superficial muscular aponeurotic system (SMAS) results in the elongation and accentuation of the nasolabial fold, and mid and lateral face ptosis, ultimately forming the characteristic 'jowl.'
In the typical individual, youthful facial contours result from targeted fat deposition in specific compartments. In a younger face, the compartmentalization of fat is not readily apparent due to the widespread and harmonious distribution of both superficial and deep fat pad layers. However, with the aging process, there is a redistribution of fat tissue, causing a loss of facial fullness. Distinct 'fat bags' become apparent as separate compartments, sliding downward due to the effects of gravity.
Surgical face-lift procedures have often been employed to remove redundant skin for facial rejuvenation. Nevertheless, patients undergoing surgical face-lifting are vulnerable to postoperative complications, including infection, skin necrosis, hematoma, nerve damage, and noticeable scars, along with an extended recovery period. Consequently, there is a pressing need for the development of minimally invasive facial rejuvenation techniques that offer reduced morbidity and rapid wound healing compared to conventional surgical face-lift procedures.
Today, minimally invasive thread lift procedures, which entail the insertion of barbed sutures, have gained popularity as a viable alternative for addressing facial tissue ptosis. Given that facial skin is firmly connected to the underlying fat, the act of traction and suspension on sagging tissue plays a crucial role in effectively retightening the face. Following this rationale, thread-lifting sutures are employed to reposition fat tissues, achieving a natural appearance without disrupting the underlying ligaments. It is imperative to consider the need for repositioning or filling deeper tissues first before tightening the skin using energy devices.
Dynamic of Thread Lift
The barbs along the thread function as cogs, adept at grasping, lifting, and suspending the facial fatty tissue. These barbs unfold in a manner reminiscent of an umbrella, establishing a supportive structure that effectively elevates sagging tissue. Consequently, tension builds within the thread, leading to the uplifting of the skin tissue. Notably, collagen formation occurs in the vicinity of the threads and their barbs, resulting in the production of progressively strengthening collagen bundles.
Classification Based on Biomaterial
Polycaprolactone (PCL) | Absorbable, tends to dissolve in around 12-15 months |
Poly-L-lactic acid (PLLA) | Absorbable, tends to dissolve after 12 months |
Polydioxanone (PDO) | Absorbable, tends to dissolve after 6 months |
Are You The Right Candidate for Thread Lift?
Prior to undergoing any aesthetic procedures, it is advisable to consult with a well-trained doctor. This step is crucial to gain a comprehensive understanding of the exact indications and limitations, potential complications, and realistic expectations. Trust in your aesthetic doctor is paramount throughout this aesthetic journey. You are not the thread-lifting candidate if you:
Have a history of multiple allergic skin reactions
Have compromising diseases or infectious diseases
Have keloid predisposition history
Have blood coagulation disorders
Are pregnant or in lactation
Facial aging characterized by profound ptosis cannot be adequately reversed solely through thread lift procedures. Patients with features like excessively sagging skin or a heavy/rugged skin texture, advanced age, and obesity, may experience limited improvement with thread lifts. It's important to note that thread lifts are strictly contraindicated for individuals with prior facial implants and permanent fillers, such as silicone or other non-absorbable materials. To achieve enhanced results, a comprehensive approach involving complementary techniques like injectable fillers, radiofrequency, and ultrasound energy becomes essential. These methods effectively address additional signs of aging by providing volume replacement and skin tightening, ensuring a more comprehensive and satisfying outcome.
Post-treatment Care
After the procedure, it is customary for the doctor to prescribe oral antibiotics for 5 to 7 days. Oral NSAIDs can be taken if necessary to minimize discomfort and swelling. Following a thread lift, it is important to refrain from additional facial aesthetic procedures, including laser, IPL, HIFU, or dermal fillers, until at least 2 weeks later. Moreover, avoid excessive facial movements or massage during this period. Gentle washing of the face without rubbing is recommended for the first 7 days. It is crucial to refrain from vigorous physical exercises and dental treatments for at least 2 weeks post-procedure.
Nutshell
In summary, facial thread lifting represents a minimally invasive approach to facial rejuvenation, offering an office-based treatment with minimal downtime and a low complication rate in contrast to traditional facelift surgery. It is crucial to emphasize that thread lifting should not be positioned or promoted as a low-risk substitute for surgical facelifts. The procedure's success hinges on the expertise of a skilled and board-certified aesthetic physician. Opting for our clinic ensures a personalized and professional experience tailored to your unique needs. Take the transformative step towards a more youthful appearance and renewed confidence – entrust us to be your steadfast partner in the journey to a revitalized and refreshed you.
