Complications after polydioxanone threads (PDO) for facial lifting - a literature review
DOI:
https://doi.org/10.12775/JEHS.2024.66.010Keywords
polydioxanone threads, facial lifting, complications, cosmeticsAbstract
Introduction: The popularity of cosmetic treatments is increasing, including treatments using polydioxanone (PDO) threads. Among the various complications that PDO threads can cause are swelling, skin dimpling, paresthesia, thread visibility/palpability, infection, and thread extrusion. On the other hand, it is an alternative to surgical facelift.
Purpose of work: To collect information on the complications after PDO threads for facial lifting.
Summary: In the literature review, there were reported complications after PDO threads for facial lifting as edema, allergy, inflammation, infection, skin dimpling, contour irregularity, visible threads, hematoma, thread extrusion, and incomplete facial paralysis. Knowledge of complications after face lifting with PDO threads allows us to prepare for these side effects and act appropriately in the event of their occurrence, thus avoiding the long-term effects of the cosmetic procedure.
References
Niu Z, Zhang K, Yao W, Li Y, Jiang W, Zhang Q, et al. A Meta-Analysis and Systematic Review of the Incidences of Complications Following Facial Thread-Lifting. Aesthetic Plastic Surgery. 2021;45(5):2148-58.
Li YL, Li ZH, Chen XY, Xing WS, Hu JT. Facial Thread Lifting Complications in China: Analysis and Treatment. Plast Reconstr Surg Glob Open. 2021;9(9):e3820.
Mendelson B, Wong CH. Changes in the facial skeleton with aging: implications and clinical applications in facial rejuvenation. Aesthetic Plast Surg. 2012;36(4):753-60.
Kochhar A, Kumar P, Karimi K. Minimally Invasive Techniques for Facial Rejuvenation Utilizing Polydioxanone Threads. Facial Plastic Surgery Clinics of North America. 2022;30(3):375-87.
Villa MT, White LE, Alam M, Yoo SS, Walton RL. Barbed sutures: a review of the literature. Plast Reconstr Surg. 2008;121(3):102e-8e.
Park E, Jang TS, Kim JK. Evaluation of Physical Properties of Coated Polydioxanone Threads. Dermatol Surg. 2024.
Silva-Siwady JG, Díaz-Garza C, Ocampo-Candiani J. A case of Aptos thread migration and partial expulsion. Dermatol Surg. 2005;31(3):356-8.
Halepas S, Chen XJ, Ferneini EM. Thread-Lift Sutures: Anatomy, Technique, and Review of Current Literature. Journal of Oral and Maxillofacial Surgery. 2020;78(5):813-20.
Sakhiya J, Sakhiya D, Dedakiya A, Purohit M, Modi M, Darji P, et al. Recurrent Plaque Morphea Successfully Treated with PDO Mono Threads and Topical Tacrolimus Ointment. J Clin Aesthet Dermatol. 2020;13(10):38-41.
healthline.com: What Is a Polydioxanone (PDO) Thread Lift? [Available from: https://www.healthline.com/health/beauty-skin-care/pdo-thread-lift
Cobo R. Use of Polydioxanone Threads as an Alternative in Nonsurgical Procedures in Facial Rejuvenation. Facial Plast Surg. 2020;36(4):447-52.
Suh DH, Jang HW, Lee SJ, Lee WS, Ryu HJ. Outcomes of polydioxanone knotless thread lifting for facial rejuvenation. Dermatol Surg. 2015;41(6):720-5.
Wong V, Rafiq N, Kalyan R, Hsenriksen A, Funner R, editors. Hanging by a thread: choosing the right thread for the right patient2017.
Suh DH, Jang HW, Lee SJ, Lee WS, Ryu HJ. Outcomes of Polydioxanone Knotless Thread Lifting for Facial Rejuvenation. Dermatologic Surgery. 2015;41(6):720-5.
Goel A, Rai K. Non-surgical facelift-by PDO threads and dermal filler: A case report. J Cosmet Dermatol. 2022;21(10):4241-4.
Tavares JP, Oliveira C, Torres RP, Bahmad F, Jr. Facial thread lifting with suture suspension. Braz J Otorhinolaryngol. 2017;83(6):712-9.
Wu WT. Barbed sutures in facial rejuvenation. Aesthet Surg J. 2004;24(6):582-7.
Bertossi D, Botti G, Gualdi A, Fundarò P, Nocini R, Pirayesh A, Van Der Lei B. Effectiveness, longevity, and complications of facelift by barbed suture insertion. Aesthetic Surgery Journal. 2019;39(3):241-7.
Sulamanidze M, Sulamanidze G, Vozdvizhensky I, Sulamanidze C. Avoiding complications with Aptos sutures. Aesthet Surg J. 2011;31(8):863-73.
Yoo KH, Kim WS, Hong CK, Kim BJ. Chronic inflammatory reaction after thread lifting: delayed unusual complication of nonabsorbable thread. Dermatol Surg. 2015;41(4):510-3.
Shin JJ, Park JH, Lee JM, Ryu HJ. Mycobacterium Massiliense Infection After Thread-Lift Insertion. Dermatol Surg. 2016;42(10):1219-22.
Carrasco GV, Hiramatsu Azevedo L, da Silva AC, Lobo MM, Kirschner R, Moreira de Freitas P. Antimicrobial Photodynamic Therapy in the Approach of Complication After Implantation of Spiculated Polydioxanone Threads. Cureus. 2023;15(7):e42418.
Li YL, Li ZH, Chen XY, Xing WS, Hu JT. Facial Thread Lifting Complications in China: Analysis and Treatment. Plastic and Reconstructive Surgery - Global Open. 2021;9(9):E3820.
Lycka B, Bazan C, Poletti E, Treen B. The emerging technique of the antiptosis subdermal suspension thread. Dermatol Surg. 2004;30(1):41-4; discussion 4.
Horne DF, Kaminer MS. Reduction of face and neck laxity with anchored, barbed polypropylene sutures (Contour Threads). Skin Therapy Lett. 2006;11(1):5-7.
Rachel JD, Lack EB, Larson B. Incidence of complications and early recurrence in 29 patients after facial rejuvenation with barbed suture lifting. Dermatol Surg. 2010;36(3):348-54.
Wang CK. Complications of thread lift about skin dimpling and thread extrusion. Dermatol Ther. 2020;33(4):e13446.
Isse NG, Fodor PB. Elevating the Midface with Barbed Polypropylene Sutures. Aesthetic Surgery Journal. 2005;25(3):301-3.
Choi E, Cheong EC, Leow YH. Extrusion of suture and granuloma formation from a neck thread lift. Dermatol Online J. 2021;27(9).
Costan VV, Popescu E, Sulea D, Stratulat IS. A New Indication for Barbed Threads: Static Reanimation of the Paralyzed Face. J Oral Maxillofac Surg. 2018;76(3):639-45.
Unal M, İslamoğlu GK, Ürün Unal G, Köylü N. Experiences of barbed polydioxanone (PDO) cog thread for facial rejuvenation and our technique to prevent thread migration. J Dermatolog Treat. 2021;32(2):227-30.
Rezaee Khiabanloo S, Jebreili R, Aalipour E, Saljoughi N, Shahidi A. Outcomes in thread lift for face and neck: A study performed with Silhouette Soft and Promo Happy Lift double needle, innovative and classic techniques. J Cosmet Dermatol. 2019;18(1):84-93.
Sardesai MG, Zakhary K, Ellis DA. Thread-lifts: the good, the bad, and the ugly. Arch Facial Plast Surg. 2008;10(4):284-5.
Sarigul Guduk S, Karaca N. Safety and complications of absorbable threads made of poly-L-lactic acid and poly lactide/glycolide: Experience with 148 consecutive patients. J Cosmet Dermatol. 2018;17(6):1189-93.
Lee H, Yoon K, Lee M. Outcome of facial rejuvenation with polydioxanone thread for Asians. J Cosmet Laser Ther. 2018;20(3):189-92.
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Copyright (c) 2024 Karina Lewandowska, Izabela Staniszewska, Milena Baran, Magda Turczynowicz, Patrycja Retman
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