Objectives: To study the effects of Bi-directional Barbed Thread for facial fat repositioning and contouring of the face

Introduction: Aging is the natural process of skin laxity, loss of facial fat, hypercontraction of the facial muscles , relaxation of the retaining ligament and lastly resorption of the facial bony structure. There are several modality of the treatment including the energy based devices, Fillers, Botulinum Toxin, PRP, fat graft and Thread to rejuvenate all the facial structures. Thread is becoming more acceptable and reliable outcomes. We have many kinds of thread starting from plane suture, coned thread, cogs and barbed thread with different kinds of materials. We had utilized Nylon, Gold, Polylactic acid,

Materials / method: We have conducted our study using Bidirectional barbed thread for 15 cases with the new approach for Asian face shape to lift up and repositioning of the fat to contour the nice looking of the face. We inserted one direction of the thread to the jowl and nasolabial fold area in superficial fat compartment plane and another direction up to the scalp in the loose space interfascial plane above the Deep temporal fascia to avoid the vascular structures. We use 2-3 threads on each side of the face. We used tumescent anasthesia with hydrodissection of the plane with cannula in order to achieve the a

Results: We can get improvement of the lifting effect and recontouring the shape of the face accessed by photo before and after the treatment. We have one case of hematoma. It resolved by itself. We don't have other serious complication such as major nerve injury or parotid gland injury.

Conclusion: Thread can be one good alternative treatment for facial laxity by the fat repositioning and contouring of the face.

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Objectives: Learn the Asian face characteristic and the new design placement and vector for “thread lifting” without make some special feature(such as prominent zygoma) worse

Introduction: There are many signs of an aging face, including volume loss (sunkeness/depression), wrinkles, folds, laxity, sagging, pigmentations, and changes in skin texture. Among these, sagging is usually treated with surgical intervention of face-lift procedures.

Materials / method: In recent years, thread lifting, one of the minimal invasive approaches available to treat sagging, has become increasingly popular. Asian patients usually have prominent zygomatic bone.

Results: Patient selection, thread lift design and placement level, and operator technique are the three key factors for this procedure, and the physician should pay careful attention to all three to achieve an optimal result and patient satisfaction.

Conclusion: In this presentation, I will present new design methods of the thread lift procedure for Asian patients with the prominent zygomatic bone condition.

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Objectives: The presentation is aimed at underlining the main steps for a perfect correction of the jawline in the current practice: Selecting a proper patient; Enhancing a skin quality; Minimizing extra fat quantity with lipolysis (surgical & injectables); Reducing depressors muscles activity with neuroprotein injections; Filler or collagen stimulator products revolumizations in case of volume deficit before or after thread lifting; Choosing a different type, materials of threads and description of preferable thread lifting techniques and protocols; Applying a specialist post-treatment care;

Introduction: Aesthetic patients often present with a loss of continuity that comes with a straight, youthful jawline, commonly associated with age-related changing. Facial ageing is a result of skin laxity and quality deterioration, fat atrophy, volume loss from both bone resorption and tissue descent and sagging of ligaments.
Therefore modifications of a mandibular line, appearance pre-jowl sulcus and formation marionette lines and in the future „bitterness” „bitterness” folds is one of the most frequent requests of our patients starting from the age of 35.

Materials / method: My personal experience in combination treatments for precise of jawline for patients 35-50 years old.

Results: During the presentation there will be clinical cases before and after thread lifting, techniqies and video of procedure demonstrated. Following all main steps listed above, you are supposed to get the best prevention and correction results of jawline with a short post-procedure period of time for the patients from the age of 30 to 50. In summary, the thread lifting treatment is considered as a mandatory procedure in modern anti-age protocols.

Conclusion: Following all main steps listed above, you are supposed to get the best prevention and correction results of jawline with a short post-procedure period of time for the patients from the age of 30 to 50. In summary, the thread lifting treatment is considered as a mandatory procedure in modern anti-age protocols.

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Objectives: Avoid nerve injury during thread lifting

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Objectives: Notched threads represent for most of physicians and patients a quite recent, non accomplished and imperfect technique, still unable to replace the surgical face lift. A rigourous technical frame is clearly missing.

Introduction: The strong promotion of resorbable threads perfectly inefficient in this indication is probably the main reason of this bad opinion.
A certain and regrettable lack of exigency from practitioners can also explain why notched threads stay for long in the small courtyard of minor techniques.

Materials / method: Time is now changing. Permanent notched threads, implanted thanks to a technique requiring precise rules, can achieve long lasting outcomes highly satisfying for patients.
So, some rules of good practice can be laid down to ensure the quality of the implantations.

Results: And well beyond these interesting and regular results, to follow these rules will also allow you to acceed to precious aesthetic benefits, as malar area repositionning, skin vascular integrity preservation and long lasting durability beyond 10 years.

Conclusion: An exigent aesthetic practitionner must now follow these rules. A precise protocole already published will help for that.

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