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Mid-face reshaping using threads with bidirectional convergent barbs: A retrospective study
Adriano Santorelli1, Fabio Cerullo1, Pierfrancesco Cirillo2,3
1Academy of Aesthetic Sciences, Naples, Italy.
Journal of Cosmetic Dermatology
|February 28, 2021
Summary
Thread suspension techniques offer effective mid-face rejuvenation. Definisse™ free floating threads demonstrated significant aesthetic improvement and high patient satisfaction with minimal complications in a 60-patient study.
Area of Science:
- Plastic Surgery
- Aesthetic Medicine
- Minimally Invasive Procedures
Background:
- Facial rejuvenation trends favor minimally invasive techniques like thread suspension.
- Limited data exists on the efficacy and outcomes of suture suspension for mid-face reshaping.
Purpose of the Study:
- To evaluate treatment outcomes and patient satisfaction using Definisse™ free floating threads for mid-face reshaping.
Main Methods:
- Retrospective analysis of 60 patients undergoing mid-face reshaping with Definisse™ threads.
- Assessment at 6 months using Mid-Face Volume Deficit (MFVDS), Global Aesthetic Improvement Scale (GAIS), and FACE-Q™ scales.
Main Results:
- All patients showed at least a one-point reduction in MFVDS score after 6 months.
- Significant improvements were observed in MFVDS and FACE-Q™ scores.
- High patient and investigator satisfaction reported, with no major complications.
Conclusions:
- Definisse™ free floating threads provide a safe and effective minimally invasive option for mid-face rejuvenation.
- The procedure offers good aesthetic results and low complication rates.
- It serves as a viable alternative to traditional rhytidectomy for select patients.

