Objectives: The methods described in this review are used to develop minimally invasive non-surgical procedures for managing posttraumatic and paralytic face deformities. Following patients post treatment effects functional and facial symmetry improvement was observed.
Problems associated with a disability of closing the eye, mastication and speech difficulties have been reduced, while a clear improvement of facial symmetry and self-esteem have been seen in all cases.
Introduction: Facial paresis is a life changing condition associated with loss of facial muscle movement ability that can be permanent or temporary. The Human face is one of the most functionally, socially, and aesthetically important parts of the body. Modern approaches have their limitations, this is the reason for demand of less invasive procedures for overall functional and aesthetic improvement. Thread Methods can be a substitution to static surgical interventions, a mini-invasive procedure with long-lasting results which can improve functional and aesthetic problems associated with Facial paresis.
Materials / method: A 20-year observational study of patients who underwent correction of visual aesthetic manifestations of the paresis in different face zones by thread lifting method was analyzed.
Correction was performed at: one-sided brow ptosis, inferior eyelid edge, cheek soft tissues, angles of mouth and other parts of the face. The thread used in such patients was
P(LA/ CL)barbed threads, P(LA/ CL)Spiral threads, same barbed threads composed of non-absorbable material proline.
Results: Satisfactory facial symmetry, tissue elevation, and volume creation are obtained without surgical interventions. 90 % of patients evaluated their appearance as a more attractive version of per-procedural appearance. These results demonstrate that thread methods are mini-invasive procedures that treat cosmetic problems effectively with facial paresis. The following result lasts up to 2 years but due to muscular activity absence in patients with facial paresis results are preserved longer.
Conclusion: This review found consistent evidence of barbed threads placement as an effective treatment for improving quality of life in facial palsy patients, with minimal risk of complications, short procedural, and recovery time, and provide long-lasting functionally and aesthetically favorable results.
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