Absorbable barbed threads (PDO, PLLA, and PCL) deliver vector-based suspension with collagen I/III biostimulation. Implantation occurs in the subdermal, supra-SMAS plane; bidirectional barbs lock tissue and stabilize repositioning. Configurations include cut/molded cogs, PLLA/PLGA cones, and P(LA/CL) copolymers with HA coating. Core techniques are midface elevation using two parallel vectors without volumization, dual ovoid pattern over the malar pad creating a “hammock effect,” jawline and mentum lifting from preauricular entry, and cross-vector submental passes to sharpen the cervicomental angle. Durability is as follows: PDO 6–8 months, PLLA 18–24 months, and PCL 12– 18 months. Material selection reflects skin thickness, tissue weight, and vector length; serious complications are uncommon.

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Minimally Invasive and Non-Surgical Techniques for Total Face Lifting

  • Ahmad Nazari,
  • George Sulamanidze,
  • Albina Kajaia,
  • Constantin Sulamanidze

摘要

Absorbable barbed threads (PDO, PLLA, and PCL) deliver vector-based suspension with collagen I/III biostimulation. Implantation occurs in the subdermal, supra-SMAS plane; bidirectional barbs lock tissue and stabilize repositioning. Configurations include cut/molded cogs, PLLA/PLGA cones, and P(LA/CL) copolymers with HA coating. Core techniques are midface elevation using two parallel vectors without volumization, dual ovoid pattern over the malar pad creating a “hammock effect,” jawline and mentum lifting from preauricular entry, and cross-vector submental passes to sharpen the cervicomental angle. Durability is as follows: PDO 6–8 months, PLLA 18–24 months, and PCL 12– 18 months. Material selection reflects skin thickness, tissue weight, and vector length; serious complications are uncommon.