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Basics for threads: a beginner’s guide to perfecting techniques - (under an educational grant from Aptos)

Partner of the session

SOMALDEC

Société Marocaine de Lasers, Dermatologie Esthétique et Chirurgicale

Marruecos

Programa

Sala: Webinar
Fecha: miércoles 28 abril 2021 de 11:00 a 12:30
Formato: SESIÓN ENFOCADA > presentación que cubre una temática principal del congreso

Moderador

Dr Patrick J TREACY

Cirujano Cosmético

Irlanda

Las presentaciones

Horas	Oradores	Título de la presentación	Resumen	Número
11:00	Dominique DU CREST	Introduction		108998
11:05	Dr Pierre NICOLAU	Anatomy review	Ver	108994
11:17	Dr George SULAMANIDZE	Importance of threads’ composition - Overview of absorbable and non-absorbable threads	Ver	108996
11:29	Dr Fatima Zahra BELGNAOUI	Booster with non-permanent threads	Ver	108995
11:41	Dr Thomas RAPPL	Threads for nose with non-permanent threads		108997
11:53	Dr Thomas RAPPL	Challenging thread case from IMCAS Alert		110250
12:01		Discussion and Q&A with the audience		108999

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Dominique DU CREST

Representante de la Industria

Francia

Otro(s) autor(es) :

Introduction

Dr Pierre NICOLAU

Cirujano Plástico

España

Otro(s) autor(es) :

Anatomy review

Objectives: To learn and understand the anatomical and physiological changes during facial ageing. This should allow for trying to compensate for these changes, without creating an abnormal anatomy

Introduction: Knowledge of the physiology of facial aging allows us to understand the changes in the "youth appearance" anatomy.

Materials / method: Changes involve muscles, which become thinner and permanently contracted, leading to displacement of peri-muscular fat compartments.
Superficial fat, accounts for 57% of total facial fat, and has two components: the Hypodermis, third layer of the skin, and the fat in superficial compartments. It does not change with age, but with weight.
Deep Compartment fat looses about 1% of its volume every year as from the age of 30,and is displaced through muscular movements and contracture.

Results: All these changes lead to the formation and deepening of the functional folds, naso-labial and genio-labial.
It has been well demonstrated by V. Lambros that skin does not move as we believed, but follows the changes of the deep fat structures. Therefore, we have to try to correct these changes, but without creating an abnormal anatomy.

Conclusion: Restoring volume losses can be achieved by deep, pre periosteal injection of volumizing fillers, to lift up the anatomical structures, and/or direct repositioning of the fat compartments through tensioning threads. The skin, which follows fat displacement, is therefore repositioned and tightened, in a physiological way that cannot be maintained through simple superficial pulling.

Declaraciones

¿Ha recibido algún tipo de financiamiento para realizar su investigación sobre esta temática?
No

¿Ha recibido algún pago, honorario u otra compensación por su trabajo acerca de esta investigación?
No

¿Tiene vínculos financieros con alguna entidad que podría llegar a competir estrechamente con los medicamentos, materiales o instrumentos tratados en su investigación?
No

¿Posee o ha solicitado una patente relacionada a los materiales, productos o instrumentos utilizados en su investigación?
No

Este trabajo no cuenta con el apoyo de ningún financiamiento directo o indirecto. El autor asume plena responsabilidad sobre el mismo.

Dr George SULAMANIDZE

Cirujano Plástico

Georgia

Otro(s) autor(es) : M. Sulamanidze, C. Sulamanidze, A. Kajaia

Importance of threads’ composition - Overview of absorbable and non-absorbable threads

Objectives: Recently, thread lifting methods are more widely applied in dermatology and aesthetic surgery areas. The main idea of thread lifting was always fighting against soft tissues sagging – Anti ptosis. But there is not enough just reposit the tissues mechanically for total face rejuvenation, it is required to influence the skin structure and quality as well. Different manufacturers using different type of thread composition.

Introduction: Unfortunately, chemical composition of the offered threads in the market (PDO, PDS, PGA, PLA, CL, Polypropylene, Silicone) is not always provided with the required effect. As of today, the best substance for this matter is hyaluronic acid. Knowing this fact, almost every specialist is combining thread lifting procedure with hyaluronic acid injections.

Materials / method: Since 2016, we apply P(LA-CL) threads with hyaluronic acid additionally in the thread composition (thread formula looks as P(LA-CL)HA). We have performed procedures for more than 100 patients. During this period some patients underwent the procedure twice or more. Mainly, threads were injected in the middle and lower face thirds per 5 threads per each side. Diameter of the thread is 2/0 with multi-directional barbs.
We have also performed histological researches in rats comparing P(LA-CL) threads and P(LA-CL) threads with hyaluronic acid addition in the thread composition.

Results: Histological researches of P(LA-CL) threads and P(LA-CL)HA comparison have provided with the following results in favour of threads with hyaluronic acid:
- Decrease of inflammatory process and joint capsule around the thread
- Decrease of elastin around the thread from the first week of implantation
- Increase of I and III type of collagen for 55% and 20% accordingly

Conclusion: This research and the results in patients have showed the application of thread with hyaluronic acid hastens rehabilitation process after the procedure, excludes risk of subcutaneous scars appearance, increases development of elastin and collagen naturally influencing upon skin quality and structure. Application of threads with P(LA-CL)HA and multidirectional barbs allows to receive as effect of soft tissues reposition as improvement of skin quality and structure.
By our practice P(LA-CL)HA thread composition is the best for skin stimulation effect we can get from thread lifting procedures.

Declaraciones

¿Ha recibido algún tipo de financiamiento para realizar su investigación sobre esta temática?
No

¿Ha recibido algún pago, honorario u otra compensación por su trabajo acerca de esta investigación?
No

¿Tiene vínculos financieros con alguna entidad que podría llegar a competir estrechamente con los medicamentos, materiales o instrumentos tratados en su investigación?
No
Por favor especifique las entidades (individuo, empresa, sociedad): Aptos

¿Posee o ha solicitado una patente relacionada a los materiales, productos o instrumentos utilizados en su investigación?
Si
Por favor especificar la fecha...: Patent
y el estado: 1996

Este trabajo es presentado gracias al apoyo de: Aptos

Dr Fatima Zahra BELGNAOUI

Dermatólogo

Marruecos

Otro(s) autor(es) :

Booster with non-permanent threads

Objectives: to present and discuss the contribution of non permanent booster threads among the other esthetic procedures

Introduction: The esthetic fields is on constant evolution and it’s very interesting to see that people now are not only searching for reducing wrinkles, having volumization…..
Improving skin quality became one of the most frequent thing we are asked for by our aged or younger patients .

Materials / method: Multiple procedures can be suggested to improve hydratation, brighteness, firmness, surface … : Hyaluronic acid or other stimulating agents, remodeling lasers, peelings, microneedling, mesotherapy and booster threads.
In this talk, we are going to see wich type of threads can be used for this effect, how they work and which advantages they can give

Results: Composition of most known resorbable booster threads is PDO (Polydioxanone), PLA (polylactic acid) and/ or PCL (Polycaprolactone).
All of them are able to induce the constitution of connective dense tissue and then to achieve and maintain results obtained by threads, even after their complete resorption.
Many areas could be treated by these technics shown by videos and photos for results
In this field, the interest of using some lifting threads to improve skin quality is also discussed

Conclusion: advantages of using threads instead of other booster procedures are presented.

Declaraciones

¿Ha recibido algún tipo de financiamiento para realizar su investigación sobre esta temática?
No

¿Ha recibido algún pago, honorario u otra compensación por su trabajo acerca de esta investigación?
No

¿Tiene vínculos financieros con alguna entidad que podría llegar a competir estrechamente con los medicamentos, materiales o instrumentos tratados en su investigación?
Si
Por favor especifique las entidades (individuo, empresa, sociedad): I'm Aptos trainer

¿Posee o ha solicitado una patente relacionada a los materiales, productos o instrumentos utilizados en su investigación?
No

Este trabajo no cuenta con el apoyo de ningún financiamiento directo o indirecto. El autor asume plena responsabilidad sobre el mismo.

Dr Thomas RAPPL

Cirujano Plástico

Austria

Otro(s) autor(es) :

Threads for nose with non-permanent threads

Dr Thomas RAPPL

Cirujano Plástico

Austria

Otro(s) autor(es) :

Challenging thread case from IMCAS Alert

Discussion and Q&A with the audience

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Academy Programa

Basics for threads: a beginner’s guide to perfecting techniques - (*under an educational grant from Aptos*)

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Las presentaciones

Academy
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Basics for threads: a beginner’s guide to perfecting techniques - (under an educational grant from Aptos)