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Malar reshaping technique using bidirectional barb thread suspension procedure for 3-dimensional aging in Asian
1Asian Medical Experts Academy, Dermatology and Minimally Invasive Aesthetic Surgery, Central, Hong Kong.
International Journal of Women'S Dermatology
|January 14, 2022
Summary
Bidirectional suspension-barbed threads effectively rejuvenate Asian faces, improving sagging and volume loss. This minimally invasive procedure offers safe, long-term aesthetic enhancement for aging skin.
Area of Science:
- Aesthetic Medicine
- Dermatology
- Plastic Surgery
Background:
- Aging causes skin texture changes, volume loss, and altered facial topography.
- Asian facial aging presents unique characteristics requiring specific treatment strategies.
Purpose of the Study:
- To evaluate the efficacy and safety of malar reshaping using bidirectional suspension-barbed threads in Asian patients.
- To assess aesthetic improvements in facial contour and aging signs.
Main Methods:
- Prospective interventional study involving Asian patients with mild-to-moderate facial aging.
- Treatment utilized Definisse double-needle barbed threads for malar reshaping.
- Outcomes assessed via Global Aesthetic Improvement Scale and patient questionnaires; safety monitored for adverse events.
Main Results:
- Significant aesthetic improvement reported, with nasolabial folds disappearing and slimmer facial appearance noted.
- High patient satisfaction with cosmetic enhancement, despite transient side effects like redness and swelling.
- Adverse events were temporary, resolving within four weeks, indicating a favorable safety profile.
Conclusions:
- Definisse thread-based malar reshaping is an effective and safe minimally invasive procedure for 3D facial rejuvenation in Asian patients.
- The technique addresses multiple signs of aging, including sagginess, jowling, and tissue descent, providing immediate and lasting results.
- Absorbable barbed sutures offer satisfactory aesthetic enhancement for both female and male Asian patients seeking to combat facial aging.

