摘要

Objectives: To present a combined approach for facial rejuvenation that overcomes the limitations of dermal fillers by using suspension threads and autologous fat grafting (microfat and nanofat) to reposition tissues, stimulate collagen, and promote dermal regeneration with natural outcomes. Introduction: Dermal fillers alone cannot address all aspects of facial aging and may lead to artificial results when misused. A regenerative alternative using suspension threads made of polycaprolactone and poly-L-lactic acid combined with nanofat and microfat grafting offers collagen biostimulation, repositioning, and volume restoration in a natural, harmonious way. Materials / method: A prospective case series with four patients included facial lifting with suspension threads made of polycaprolactone and poly-L-lactic acid, followed by autologous fat grafting after six months. Microfat was used for structural support and nanofat intradermally for skin quality. Outcomes were assessed using GAIS by two independent physicians and patient satisfaction scores. Results: A prospective case series with four patients included facial lifting with suspension threads made of polycaprolactone and poly-L-lactic acid, followed by autologous fat grafting after six months. Microfat was used for structural support and nanofat intradermally for skin quality. Outcomes were assessed using GAIS by two independent physicians and patient satisfaction scores. Conclusion: A prospective case series with four patients included facial lifting with suspension threads made of polycaprolactone and poly-L-lactic acid, followed by autologous fat grafting after six months. Microfat was used for structural support and nanofat intradermally for skin quality. Outcomes were assessed using GAIS by two independent physicians and patient satisfaction scores.