Resumo

Objectives: The topic concerns personal experience in using two popular procedures for full face 1. Thread lifting 2. Liquid PLLA - which has recently been called Liquid threads by trend. During the treatment of patients mainly 40+, two procedures in combination gave very good results in terms of bio stimulation and tissue reposition. The combinations worked especially well in patients who had not previously undergone any aesthetic procedures. In case of combinations 1st Liquid PLLA was injected and month later Solid multidirectional threads for tissue lifting. Introduction: In recent years, liquid PLLA has been introduced into the practice of aesthetic medicine even more intensively due to its qualities as safety, biostimulation and lifting effect. Based on this, many doctors offer patients so-called liquid threads, i.e. injections of liquid PLLA and persuade them from threads with fixators. Although in personal practice, one should not make enemies of these two procedures, since it is obvious that they both have different categories of patients and, moreover, if they are combined, then in combination, especially in 40+ patients they give impeccable results Materials / method: The presentation shows an example of 20 patients of different ages in three categories: Ptosis degree 1,2,3. In patients with ptosis degree 1, only liquid PLLA injections were used, since there was no particular need for tissue repositioning. In the remaining degrees, liquid PLLA injections were initially made and only then, after a month, tissue repositioning was done with barbed threads. In both procedures, the material was injected using a fan technique in the mental and middle third of the face, correcting the contour of the lower jaw and the volume in the middle third of the face. Results: Results showed, in patients with ptosis 1st injection of PLLA collagen stimulator was enough to receive natural and satisfying results. In ptosis 2 and 3 with excess skin and needs of tissue reposition combination of PLLA collagen stimulator and than barbed threads gave us stronger fixation of the threads after their reposition and natural results. Previously injected PLLA at the top of 1 month gave enough fibrosis and collagen stimulation which allowed the threads to better adhere to previously treated tissues and lift sagging areas. Patients reported improved skin elasticity and tone. Conclusion: In conclusion, we can say that both methods and products are effective not only in a single treatment but also in combination. Considering that a bit complicated patients with ptosis of 2 and 3 degrees, loss of volume and low quality of tissues, always need such a combination, we can freely say that these two methods, procedures should be friends rather than competitors.