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An Innovative Thread-looping Method for Facial Rejuvenation

Minimal Access Multiple Plane Suspension

Wang, Chao-Huei, MD; Liu, Heng-Jen, MD; Tsai, Yun-Ta, MD; Lin, Hsin-I, MD; Wu, Po-Yi, MD; Lin, Jheng-Wei, MD

Plastic and Reconstructive Surgery – Global Open: January 7, 2019 - Volume Latest Articles - Issue - p
doi: 10.1097/GOX.0000000000002045
Latest Articles: PDF Only

Background: Management of facial rejuvenation has evolved over past decades. Facelift with barbed suture is a minimally invasive surgical technique for facial rejuvenation. This study examined the efficacy and associated complications of a new thread-looping procedure called minimal access multiple plane suspension.

Methods: A total of 103 thread lifts were performed between 2014 and 2017. Patient satisfaction and adverse effects were evaluated.

Results: In the majority of patients (88/103, 85.4%), the results obtained were considered satisfactory 3 months after the procedure. The incidence of complications was low. Only 5.8% of the patients had slight postoperation asymmetry that was easily corrected. Minor complications experienced by patients included palpable suture knots (12.6%), persistent facial swelling (7.88%), and facial dimpling (2.9%). The causes of procedure-related complications were reviewed and discussed.

Conclusion: Reinforced by select anchoring points, "minimal access multiple plane suspension" suspends ptotic anatomic tissues, serving as an effective facial rejuvenation procedure with minimal downtime and satisfactory cosmetic results.

This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

From the Dr. Shine Clinic, Taiwan.

Received for publication August 4, 2018; accepted October 10, 2018.

Presented at the Aesthetic Medicine World Congress Asia (AMWC Asia) & Taiwan Dermatology Aesthetic Conference (TDAC) 2018 in Taipei, Taiwan.

Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the authors.

Supplemental digital content is available for this article. Clickable URL citations appear in the text.

Yun-Ta Tsai, MD, Dr. Shine Clinic, 6F., No.3, Sec. 1, Zhongshan Rd., Banqiao Dist., New Taipei City 22063, Taiwan, E-mail:

Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Plastic Surgeons. All rights reserved.