Asymmetrical Correction of Facial Rotation Using Unilateral Thread Insertion

Area of Science:

• Aesthetic Medicine
• Dermatology
• Plastic Surgery

Background:

• Facial asymmetry, especially rotational, significantly affects facial harmony and perceived attractiveness.
• Conventional rejuvenation methods often use symmetrical approaches, potentially overlooking rotational patterns.
• This study explores asymmetrical thread lifting for correcting facial rotation.

Purpose of the Study:

• To assess the effectiveness of unilateral thread placement in the nasolabial fold for correcting facial rotational asymmetry.
• To establish a standardized method for treating clockwise facial rotation patterns.

Main Methods:

• Forty-five patients with facial rotation underwent asymmetrical insertion of JETEMA threads using a reverse technique.
• Threads were placed unilaterally in the nasolabial fold area.
• Facial rotation was assessed using standardized photography and a 4-point Facial Rotation Grading Scale (FRGS) pre-treatment and at 6-month follow-up.

Main Results:

• 89% of patients showed improvement in facial symmetry at 6 months, per the FRGS.
• Severe rotation cases improved to mild, and most moderate cases improved to mild.
• Average patient satisfaction was 8.3/10, though results require cautious interpretation due to assessment limitations.

Conclusions:

• Standardized unilateral thread lifting with a reverse technique shows potential as a minimally invasive option for facial rotational asymmetry.
• Further studies are necessary, utilizing validated assessment tools and objective measurements, due to methodological limitations like a non-validated scale and short follow-up.