Anatomical Considerations and Technique for Nasolabial Fold Thread Lifting

Area of Science:

• Aesthetic Medicine
• Plastic Surgery
• Dermatology

Background:

• Nasolabial folds are a common aesthetic concern.
• Previous thread-lifting techniques had limitations.
• Anatomical variations, especially in Asian populations, require specific considerations.

Purpose of the Study:

• To classify nasolabial folds based on etiology.
• To present an optimized thread-lifting technique using the Lore fascia.
• To evaluate the efficacy and safety of this novel approach.

Main Methods:

• Classification of nasolabial folds into three types: volume deficiency, tissue laxity, and muscular insertions.
• Utilizing the Lore fascia as a key anatomical landmark for thread placement.
• Employing a combination of bidirectional (Sihler Bi Lift) and volumizing threads (Sihler Volume).

Main Results:

• The Lore fascia provides an optimal adhesion point, superior to the temporal approach.
• The technique effectively addresses tissue repositioning and fine line correction.
• Consideration of the facial artery's anatomical course, particularly medial crossing in Asian populations, minimizes risks.

Conclusions:

• A new classification system for nasolabial folds aids in targeted correction.
• Thread-lifting using the Lore fascia offers an effective and safe method for nasolabial fold rejuvenation.
• This technique provides predictable results with a low complication rate.