Journal of Cutaneous and Aesthetic Surgery
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Year : 2021  |  Volume : 14  |  Issue : 1  |  Page : 1-13

Expert consensus on soft-tissue repositioning using absorbable barbed suspension double-needle threads in Asian and Caucasian patients

1 Aeshtetic Medicine Department, MultiMed Poliambulatorio e Day Surgery, Bologna, Italy
2 Department of Dermatology, National Skin Centre, Mandalay Rd, Singapore
3 Dermatology Department, Perfect Skin Surgery Centre, Central, Hong Kong
4 Aesthetic Surgery, Moons Aesthetic Surgery Clinic, Seoul, Korea
5 Department of Dermatology, Makati Medical Center, Makati City, Philippines
6 Department of Aesthetic Medicine and Aesthetic Plastic Surgery, Medlight Institute, Florence, Italy

Correspondence Address:
Salvatore P Fundaro
MultiMed Poliambulatorio e Day Surgery, Via Fornaciai 29/d Bologna.
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JCAS.JCAS_138_19

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Bioabsorbable barbed suspension double-needle threads have recently been thrust into the limelight as a minimally invasive alternative for skin repositioning. When compared to surgical face lifting, use of these threads requires reduced procedural and recovery time, no general anesthesia, confers immediate patient satisfaction, with no cutaneous incisions and no apparent scars, and is more tolerable. There is currently limited literature providing clinical guidance on the use of these suspension threads; hence, this consensus document was developed as the first publication to discuss the technical aspects of facial rejuvenation using the double-needle barbed bioabsorbable and hydrolyzable thread composed of copolymer poly (ε-caprolactone-co-L-lactic acid) or PCxLyA, that is, Definisse threads. The Board of Aesthetic Leaders and Investigators (BALI) is a panel of dermatologic surgery and plastic surgery experts who convened last July 2018 in Indonesia to discuss the aforementioned challenges. A thorough literature search was done where a review of specific technical recommendations based on prevailing practice and available guidelines pertaining to suspension threads were described and are summarized in this paper. A detailed list of pretreatment recommendations in the assessment of both Asian and Caucasian facial types, aging facial types, guidance on insertion techniques, and aftercare instructions for clinicians to review has been included here.

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