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Outcomes of Polydioxanone Knotless Thread Lifting for Facial Rejuvenation

Suh, Dong Hye MD, PhD*; Jang, Hee Won MD; Lee, Sang Jun MD, PhD*; Lee, Won Seok MD; Ryu, Hwa Jung MD, PhD

doi: 10.1097/DSS.0000000000000368
Original Article

BACKGROUND 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.

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

METHODS 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.

RESULTS 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.

CONCLUSION 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.

*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

Address correspondence and reprint requests to: Hwa Jung Ryu, MD, PhD, Department of Dermatology, Korea University Ansan Hospital, College of Medicine, Korea University, 516 Gojan-dong, Ansan, Gyeonggi-do 425-707, Korea, or e-mail:

Supported by a Korea University Grant.

The authors have indicated no significant interest with commercial supporters.

© 2015 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.
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