Resumo

Objectives: Facial Gold Reinforcement: 28 Years of Experience in the Use of Gold Threads Objectives: To present clinical outcomes from over 11,000 gold thread interventions performed over 28 years. To outline patient selection, technique, and optimal anatomical layer for lasting results. To assess patient satisfaction and complication rates using the Patient Satisfaction Scale (PSS). To review histological evidence of collagen stimulation, angiogenesis, and skin improvement. To confirm the compatibility of gold threads with future aesthetic interventions. Introduction: Gold threads gained popularity in aesthetic surgery in the early 1990s. Manufactured in Spain, they consist of a 5/0 thread made of 99.99% pure gold (0.1 mm in diameter) combined with a polyglycolic component. Since their introduction, ongoing debate has surrounded their effectiveness. This study focuses on evaluating their clinical value based on long-term experience. Materials / method: Gold thread implantation was performed on 11,062 patients over 28 years in four Moscow clinics. This retrospective study analyzed pre- and post-procedure photo collages and patient satisfaction using the Patient Satisfaction Scale (PSS). A detailed evaluation was conducted on 492 facial cases from 1996 to 2024. Among them, 86% were women aged 30–60, 11% women aged 20–30, and 3% men aged 25–60. Results: One year after implantation, the Patient Satisfaction Scale (PSS) indicated a 91% success rate with minimal complications. Satisfaction scores were 4.8 after one month, 4.7 after six months, and 4.6 after one year, confirming stable long-term outcomes. Conclusion: Gold thread implantation reinforces connective tissue, enhances skin hydration and elasticity, and provides a long-term rejuvenating effect. It does not interfere with future surgical or non-surgical aesthetic interventions, making it a safe and compatible technique in facial rejuvenation.