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Objectives: Different manufacturers using different type of thread composition. Unfortunately, chemical composition of the offered threads in the market (PDO, PDS, PGA, PLA, CL, Polypropylene, Silicone) is not always provided with the required effect. As of today, the best substance for this matter is hyaluronic acid. Knowing this fact, almost every specialist is combining thread lifting procedure with hyaluronic acid injections.

Introduction: Recently, thread lifting methods are more widely applied in dermatology and aesthetic surgery areas. The main idea of thread lifting was always fighting against soft tissues sagging – Anti ptosis. But there is not enough just reposit the tissues mechanically for total face rejuvenation, it is required to influence the skin structure and quality as well.

Materials / method: Since 2016, we apply P(LA-CL) threads with hyaluronic acid additionally in the thread composition (thread formula looks as P(LA-CL)HA). We have performed procedures for more than 100 patients. During this period some patients underwent the procedure twice or more. Mainly, threads were injected in the middle and lower face thirds per 5 threads per each side. Diameter of the thread is 2/0 with multi-directional barbs.
We have also performed histological researches in rats comparing P(LA-CL) threads and P(LA-CL) threads with hyaluronic acid addition in the thread composition. The research lasted

Results: Histological researches of P(LA-CL) threads and P(LA-CL)HA comparison have provided with the following results in favour of threads with hyaluronic acid:
- Decrease of inflammatory process and joint capsule around the thread
- Decrease of elastin around the thread from the first week of implantation
- Increase of I and III type of collagen for 55% and 20% accordingly
This research and the results in patients have showed the application of thread with hyaluronic acid hastens rehabilitation process after the procedure, excludes risk of subcutaneous scars appearance, increases development of elas

Conclusion: Application of threads with P(LA-CL)HA chemical composition and multidirectional barbs allows to receive as effect of replacing and soft tissues reposition as improvement of skin quality and structure. By our practice P(LA-CL)HA thread composition is the best for skin stimulation effect we can get from thread lifting procedures.

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请注明名称（个人，公司，学会等等）: Aptos LLC

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请注明名称（个人，公司，学会等等）: Aptos LLC

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请注明日期: published
和审阅情况: 2010

这项工作的完成感谢以下机构的支持： Aptos LLC

Objectives: Abstract

Aging of skin and also sagging buttock is an unavoidable process. Classical buttock lifting is invasive, so it is difficult to recommend it to patients especially to those who do not have severe gluteal ptosis. In addition, the gluteal area is a large area change among the joints. Therefore, this surgery can cause pain during hip flexion after lifting using a conventional thread. Spider Butt Lift using a thread with high satisfaction from patients. All patients underwent lifting of both buttocks using threads.

Introduction: Drew a circle along the outer edge of the buttock like spider web image and put the threads. With the effect of threads, lifting was done. With these threads specifically, because the sutures are largely composed of POLYDIOXANONE (PDO), a bio-stimulatory effect occurs in the skin with the production of both Type 1 and 3 collagen. This collagen increase leads to a volumizing effect that continues for up to two years, enhancing the quality of the skin in the long run.

Materials / method: Spider Butt Lift is effective in pre-ptosis to moderate gluteal ptosis because of the elasticity of the thread, postoperative pain is low on hip flexion, so the lifting is done naturally. Also people wants bigger butts. However traditional procedures for butt lifting and enlargement have multiple disadvantages. In this case with Spider Butt Lift, we used an innovative technique combining thread lift with fat transfer to buttocks. The goal of Spider Butt Lift is to improve the anteroposterior projection of the gluteal region.

Results: The advantages of the technique are its simplicity, that it produces no traumatic effects, and that it is performed with local anesthetic, reducing surgical time. Recovery is rapid and usually produces only mild discomfort. It is possible to combine this procedure with liposuction techniques. As far as I’m concerned, the aim is to tighten the buttocks as well as the overlying skin.

Conclusion: Spider Butt Lift has the advantage of lifting the desired parts of buttocks without scar, under local anesthesia, with little downtime and minimal discomfort and complications as it is a minimally invasive procedure.

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