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An Assessment and Comparison of Adverse Effect Rates in Differing Absorbable Thread Lift Suture Materials.

Avaneesh Sean Ojha1, Navid Farahbakhsh2, Sami K Saikaly2,3

  • 1University of Central Florida College of Medicine, Orlando, Florida.

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|October 23, 2024
PubMed
Summary
This summary is machine-generated.

Thread lift complication rates vary by suture material and fixation method. Absorbable thread lifts generally have a favorable safety profile with under 5% complication rates, though specific factors influence outcomes.

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Area of Science:

  • Aesthetic Medicine
  • Dermatology
  • Plastic Surgery

Background:

  • Thread lifting offers a minimally invasive alternative to traditional rhytidectomy (facelift).
  • The shift towards absorbable sutures in thread lifting necessitates understanding their safety profiles.
  • Existing data on complication rates across various thread properties is limited.

Purpose of the Study:

  • To systematically compare complication rates in thread lifts.
  • To analyze the impact of suture materials, textures, fixation methods, and lift locations on adverse events.
  • To evaluate the safety of absorbable sutures in aesthetic procedures.

Main Methods:

  • A systematic review adhering to PRISMA guidelines was conducted up to February 2024.
  • Included studies focused exclusively on absorbable sutures for thread lifting.
  • Statistical analysis involved Chi-Square tests with Bonferroni correction to compare complication rates.

Main Results:

  • Nineteen studies with 1,406 patients reported 876 complications.
  • Most frequent complications included ecchymosis (19.49%), swelling (16.79%), and tenderness (9.96%).
  • Barbed threads, polycaprolactone sutures, and midface lifts were associated with higher rates of swelling and ecchymosis compared to other types.

Conclusions:

  • Suture material and fixation techniques significantly influence thread lift complication rates.
  • Absorbable thread lifts demonstrate a favorable safety profile, with overall complication rates below 5%.
  • Further research into specific thread characteristics can optimize patient safety and outcomes.