An analysis of the aesthetic results of armouring procedures using HA- and PLLA/PCL-enriched absorbable threads in a single-blind comparison
Keywords:
Absorbable thread, Thread lifting, HA-enriched threads, AestheticsAbstract
Background
Absorbable threads represent one of the most exciting breakthroughs in aesthetic medicine. The innovative composition of absorbable poly-L-lactic acid (PLLA)/caprolactone (PCL) threads enriched with hyaluronic acid (HA) has triggered the interest of aesthetic practitioners.
Objective
To compare the aesthetic outcomes of armouring procedures with absorbable PLLA/PCL threads versus the same procedure performed with PLLA/PCL/HA threads (APTOS, Tbilisi, Georgia threads).
Materials and Methods
Eight patients underwent thread insertion in the face (PLLA/PCL threads on one side and PLLA/PCL/HA threads on the other). Aesthetic outcome was determined subjectively by the patient after 7 days using a 5-point rating questionnaire. Wrinkles were evaluated objectively using 3D photosystem software after 7, 30, and 90 days.
Results
Seven days after treatment there was significantly less pain, less swelling, less burning and a faster reduction of skin irregularities on the side treated with HA-enriched threads (all p<0.05). The side of the face treated with HA-enriched threads also demonstrated faster and more obvious improvement of wrinkles.
Conclusion
Absorbable PLLA/PCL threads have a reliable reputation for oval correction of the face and long-lasting biostimulation. The new HA-enriched threads shorten the post-procedure downtime, accelerate rejuvenation and provide more significant patient satisfaction.
References
Sulamanidze M, Sulamanidze G. Facial lifting with Aptos methods. J Cutan Aesthet Surg. 2008; 1: 7-11. doi: 10.4103/0974- 2077.41149
Sulamanidze M, Sulamanidze G, Sulamanidze C. Elimination of aesthetic deformations of the midface area our experience. Aesthet-ic Plast Surg. 2018; 42: 774-790. doi: 10.1007/s00266-018-1112-3
De Masi EC, De Masi FD, De Masi RD. Suspension threads. Fa-cial Plast Surg. 2016; 32(6): 662-663. doi: 10.1055/s-0036-1597541
Cornette de Saint Cyr B, Benouaiche L. Face rejuvenation with tensor threads. Ann Chir Plast Esthet. 2017; 62(5): 488-494. doi: 10.1016/j.anplas.2017.07.013
Su Z, Ma H, Wu Z, Zeng H, et al. Enhancement of skin wound healing with decellularized scaffolds loaded with hyaluronic acid and epidermal growth factor. Mater Sci Eng C Mater Biol Appl. 2014; 44: 440-448. doi: 10.1016/j.msec.2014.07.039
Sudha PN, Rose MH. Beneficial effects of hyaluronic acid. Adv Food Nutr Res. 2014; 72: 137-176. doi: 10.1016/B978-0-12-800269- 8.00009-9
WMA Declaration of Helsinki History. Ethical Principles For Medical Research Involving Human Subjects. Web site. https:// www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/. Ac-cessed July 26, 2015.
Bertossi D, Botti G, Gualdi A, Fundarò P, et al. Effectiveness, Submit your article to this journal | https://openventio.org/submit-manuscript/ longevity, and complications of facelift by barbed suture insertion. Aesthet Surg J. 2019; 39: 241-247. doi: 10.1093/asj/sjy042
Rachel JD, Lack EB, Larson B. Incidence of complications and early recurrence in 29 patients after facial rejuvenation with barbed suture lifting. Dermatol Surg. 2010; 36: 348-354. doi: 10.1111/j.1524- 4725.2009.01442.x
Wu Z, Fan L, Xu B, Lin Y, Zhang P, Wei X. Use of decellular-ized scaffolds combined with hyaluronic acid and basic fibroblast growth factor for skin tissue engineering. Tissue Eng Part A. 2015; 21(1-2): 390-402. doi: 10.1089/ten.TEA.2013.0260
Gaston J, Thibeault SL. Hyaluronic acid hydrogels for vocal fold wound healing. Biomatter. 2013; 3(1): e23799. doi: 10.4161/ biom.23799
Gupta RC, Lall R, Srivastava A, Sinha A. Hyaluronic acid: Mo-lecular mechanisms and therapeutic trajectory. Front Vet Sci. 2019; 6: 192. doi: 10.3389/fvets.2019.00192
Patel S. Role of injectable hyaluronic acid in skin rejuvena-tion: a literature review. Journal of Aesthetic Nursing. 2018; 7(2). doi: 10.12968/joan.2018.7.2.76
Alessandrini A, Di Bartolo C, Pavesio A, Pressato D. ACP gel: A new hyaluronic acid-based injectable for facial rejuvenation. Pre-clinical data in a rabbit model. Plast Reconstr Surg. 2006; 118(2): 341- 346. doi: 10.1097/01.prs.0000227686.95099.58
Wiest L, Kerscher M. Native hyaluronic acid in dermatology– results of an expert meeting. J Dtsch Dermatol Ges. 2008; 6(3): 176- 180. doi: 10.1111/j.1610-0387.2008.06639.x
Neudecker BA, Csoka AB, Mio K, Maibach HI, Stern R. Hy-aluronan: The natural skin moisturizer. In: Elsner P, Maibach HI, eds. Cosmeceuticals Drugs vs. Cosmetics. New York, USA: CRC Press; 2000.
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