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The craniofacial muscles are a collection of approximately 20 thin skeletal muscles situated beneath the skin of the face and scalp. These muscles, primarily responsible for the vast array of human facial expressions, originate from the bones or fibrous structures of the skull and extend outwards to connect with the skin. While most skeletal muscles in the body are enveloped in thick fascia, facial muscles generally have a more delicate fascial covering, with the buccinator muscle being a...
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Revolutionizing thread lifting: Evolution and techniques in facial rejuvenation.

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Summary

This review examines aesthetic thread lifting materials, highlighting the effectiveness of high-quality absorbable cog threads over traditional sutures. Proper selection requires evaluating multiple factors beyond mere duration for optimal results.

Keywords:
facial agingfacial rejuvenationmesh‐liftingpolydioxanonepoly‐L‐lactic acidthread‐lifting

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Area of Science:

  • Aesthetic Medicine
  • Biomaterials Science

Background:

  • Thread lifting utilizes specialized materials distinct from traditional sutures for aesthetic enhancement.
  • The evolution of these materials includes the prior use of cog threads for tissue manipulation.

Purpose of the Study:

  • To explore the diverse composition, intended use, and performance of modern thread lifting materials.
  • To differentiate these materials from conventional sutures in aesthetic applications.

Main Methods:

  • Contextualizing thread lifting materials through their literal and material significance.
  • Tracing the historical development and adoption of these materials in plastic surgery.

Main Results:

  • Comparing the efficacy and longevity of absorbable versus non-absorbable threads.
  • Identifying high-quality absorbable cog threads as particularly efficient.

Conclusions:

  • The variety of thread lifting materials extends beyond polydioxanone (PDO).
  • Selecting threads requires comprehensive evaluation of multiple factors, not just duration.
  • Informed material choice is crucial for successful aesthetic lifting procedures.