Early Complications from Absorbable Anchoring Suture Following Thread-Lift for Facial Rejuvenation
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Early Complications from Absorbable Anchoring Suture Following Thread-Lift for Facial Rejuvenation

Background:
Thread lifting has been known as a minimally invasive procedure compared with the standard incisional surgery for facial rejuvenation. Although there have been several  reports  on  acute  or  delayed  complications  after  using  non-absorbable  thread  type, there have only been a few studies on such complications after using absorbable thread  type.  Hence,  the  aim  of  this  study  was  to  introduce  various  complications  of  thread lifting using the absorbable anchoring type for facial rejuvenation and to discuss about how to resolve it.

Methods:
A retrospective review of 144 cosmetic patients, who underwent absorbable barbed thread lifting between July 2013 and December 2015, was performed. The procedure was done using the temporal anchoring technique. The thread used in this study are  polydioxanone  moulding  cog  (PMC)  and  polydioxanone  cutting  cog  (PCC),  which are both the absorbable type.

Results:
The results are as follows: Dimple was developed in 3 cases (2.1%); thread exposure was developed in 5 cases (3.5%); alopecia was developed in 3 cases (2.1%); undercorrection was developed in 3 cases (2.1%); asymmetry was developed in 1 case (0.7%); and  parotid  gland  injury  was  developed  in  1  case  (0.7%).  Out  of  the  total  144  patients,  sixteen  (11.1%)  patients  developed  at  least  1  complication.  There  was  no  detectable  inflammation or consistent skin excavation.

Conclusions :
Most complications of absorbable thread lifting are minor ones, and such complications resolve by retouching or widening the anchoring gap, but it is important to keep in mind the possibility of parotid gland injury.

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