Objectives: Nowadays we will do knotting or not depend on the patient profile.

Introduction: So we can do both knotting and non knotting according to the procedure.

Materials / method: We conducted 15 cases comparatively.

Results: Both is about the same result

Conclusion: The knotting and not knotting have the same outcome.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Using HA fillers injection around periorbital area is challenging due to unwanted outcomes such as tyndall effect or filler lumps might happen even if injectors perform the procedure meticulously. Here in, I am introducing the combination procedure between HA filler and volumizing threads in order to rejuvenate periorbital aging naturally.

Objectives: Vector and facial layer is the most important for thread lifting and should understand vector considering facial muscle and aging.

Introduction: Although thread lifting is a widely performed
method, the degree of initial lifting and sustainability
varies based on how the threads are inserted into the skin
layers. This study aimed to perform thread lifting on 43
patients to achieve maximum lifting effects using thicker
threads in the deeper layers of the subcutaneous fat layer
and thinner threads in the shallower layers

Materials / method: Immediately after the procedure, we measured
the depth of the inserted threads using ultrasonography and
evaluated the results based on patient satisfaction and the
global aesthetic improvement scale (GAIS). At the end of
the procedure, an upright position was employed to check
for dimples or irregularities, and intraoral observation was
also conducted.

Results: Patient satisfaction significantly increased immediately
after the procedure compared to that before the
procedure. High GAIS scores were maintained even after
6 months, indicating high satisfaction with the procedure.

Conclusion: Inserting threads into multiple layers was
deemed more effective than inserting them into a single
layer.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: To explore the development of an effective thread lifting technique.

Introduction: Thread lifting strategies utilising both absorbable and non-absorbable thread materials and techniques have often proved to be associated with non-durable outcomes. The quest for a pleasing and durable non-invasive thread lifting outcome has been an elusive objective that can now be addressed by utilising supporting scaffolds.

Materials / method: The development of a scaffold associated thread lift is explored in this presentation.

Results: Scaffold supported thread lifting shows great promise in enhancing the probability of more durable aesthetic outcomes.

Conclusion: The concept of biologically tissue-compatible supporting scaffolds has gained great popularity in aesthetic procedures including thread lifting.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: To introduce a dual-thread technique using PDO braided scaffold and cog threads for periorbital rejuvenation. The goal is to enhance infraorbital support, correct tear trough deformity, and lift lateral brow tissues while promoting collagen synthesis and achieving natural, multidimensional results.

Introduction: The eye area is prone to early aging signs such as hollowness, sagging, and fine lines. Traditional treatments may not fully address structural and dynamic issues. A novel thread-based approach combining support and lift may offer a safer, effective, and more natural-looking alternative.

Materials / method: PDO braided scaffold threads were inserted in the infraorbital area for volumization and collagen stimulation. PDO cog threads were applied to the lateral canthal and brow areas for lifting. Threads were placed in anatomical vectors using blunt cannulas under local anesthesia. Patients were followed for up to 6 months.

Results: Patients demonstrated improved infraorbital fullness, brow elevation, and smoother periorbital contours. No major complications were reported. Skin texture and density showed gradual improvement over 3–6 months, with high patient satisfaction and natural outcomes without overfilling or distortion.

Conclusion: The dual-thread technique offers a safe and effective option for periorbital rejuvenation. By combining PDO braided scaffolds and cog threads, this method addresses both volume loss and sagging tissues, delivering natural, long-lasting results with minimal downtime and reduced complication risk.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability