New Combinations of Threads with Surgical Methods for Facial Rejuvenation

Background: Surgical rejuvenation of the face is popular in esthetic surgery. Thread-lift techniques became more popularized in recent years. On the other hand, most of the plastic surgeons still prefer classical surgical face-lift methods because of the superiority of the results. Materials and Methods: Between March 2018 and June 2019, 14 patients were operated with a combination of threads and other surgical methods including fat injection, blepharoplasty, subcutaneous radiofrequency with Cool Atmospheric Plasma J-plasma, and gliding temporal lift with surgical net for facial rejuvenation. For thread lifting, a relatively new type of nonabsorbable suture that is made of polyester and silicone is used in this study. Results: All patients healed uneventfully. One patient had a temporary weakness of buccal branch of the facial nerve. Discussion: It is obvious that the esthetical results of classical face-lift methods are far more superior than those of thread-lift methods. On the other hand, the complications of threads are less likely and easily manageable. Besides, more and more patients request doctors to do thread lifts. Conclusion: The author thinks that more plastic surgeons should contemplate to introduce the threads into their practice since many other nonplastic surgeons offer thread lift as a substitute for face-lift. This is a myth. However, we cannot deny the growing number of patients who are looking for an easier and scar-free way of face-lift with a less downtime. These types of combinations, revealed in this study, allow plastic surgeons to achieve better results compared with the thread lifts alone while reducing the complications and offering a faster healing period than the classical face-lift methods.