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Dermatol Surg. 2015 Jun;41(6):720-5. doi: 10.1097/DSS.0000000000000368.

Outcomes of polydioxanone knotless thread lifting for facial rejuvenation.

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*Department of Dermatology, Arumdaun Nara Dermatologic Clinic, Seoul, Republic of Korea; †Department of Dermatology, Korea University College of Medicine, Seoul, Republic of Korea; ‡Department of Plastic Surgery, Gold Plastic Surgical Clinic, Seoul, Republic of Korea.



Thread lifting is a minimally invasive technique for facial rejuvenation. Various devices for thread lifting using polydioxanone (PDO) are popular in aesthetic clinics in Korea, but there have been a few studies regarding its use.


To describe PDO thread and techniques adopted to counteract the descent and laxity of the face.


A retrospective chart review was conducted over a 24-month period. A total of 31 thread lifting procedures were performed. On each side, 5 bidirectional cog threads were used in the procedure for the flabby skin of the nasolabial folds. And, the procedure was performed on the marionette line using 2 twin threads.


In most patients (87%), the results obtained were considered satisfactory. Consensus ratings by 2 physicians found that objective outcomes were divided among "excellent," "good," "fair," and "poor." Texture wise, the outcome ratings were 13 as excellent and 9 as good. Lifting wise, ratings were 11 as excellent and 6 as good. The incidence of complications was low and not serious.


Facial rejuvenation using PDO thread is a safe and effective procedure associated with only minor complications when performed on patients with modest face sagging, fine wrinkles, and marked facial pores.

[Indexed for MEDLINE]

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