Textbook of Absorbable THREAD LIFTING

Beginning with the Aptos lift in the late 1980s, thread lifting has seen continual advances and improvement during
the last 40 years. Nevertheless, for much of its long history, thread lifting was not a widely known procedure
among physicians or the general public. This changed 10 years ago with the development of absorbable thread lifting
techniques using polydioxanone (PDO), which precipitated the popularization of a new concept of lifting to achieve
not only elevation but also tissue stimulation and regeneration and began a new chapter in the history of thread
lifting.

We have accumulated much experience with both absorbable and nonabsorbable thread lift-ing and learned a lot about
their differences and respective strengths and weaknesses. However, there have still not been many studies or research
papers on the theoretical background and practical techniques for absorbable thread lifting. While foreign physicians
have shown great interest in absorbable thread lifting during overseas presentations and meetings in Korea, we have
also felt that these physicians often gain doubts about the nature of the procedure, since they have not seen related
textbooks.

We wrote this book to be a cornerstone of absorbable thread lifting, which has the poten\-tial to develop as an area
of academic interest both in Korea and worldwide. Although writing this book took more time and effort than expected,
in retrospect, there is still much room for improvement. We have also experienced a great amount of change and
improvement in these 2 years, but we consider this a beginning and plan to further supplement and enhance this content
in the future.

This book aims to describe a general, objective technique that can be used by anyone to produce similar results, rather
than the individual experiences and techniques of the authors. Depending on the surgeon’s skill, it is also possible to
use only monofilament thread, and in the future, as we gain more experience, we will include an explanation of a method
that also uses cog thread at a level that is suited to novices and experts alike. Above all, we aimed to discuss various
real clinical cases, in order to help readers familiarize the technique in practice.

We want to express our gratitude to Koonja Publishing Company’s CEO Ju-Yeon Jang, Sec\-tion Manager Ho-Hyun Lee,
and Assistant Manager Eun-Hee Jo who provided material and moral assistance for the publication of this book. We would
also like to thank all the esteemed teachers and colleagues who have helped us to work diligently at our respective
hospitals. We hope that this book will contribute in some way to the academic advancement of absorbable thread lifting.




CH.1 The History and Theoretical Background of Thread Lifting 1

　　SECTION 1 History and Theoretical Background 2


CH.2 Anatomical Background of Thread Lifting 7

　　SECTION 1 Layers of the Face 8
　　SECTION 2 Vasculature and Nerves 9


CH.3 Classification and Types of Thread 13

　　SECTION 1 Classification of Threads by Material 14
　　SECTION 2 Classification of Threads by Shape 15


CH.4 Preoperative Preparations 23

　　SECTION 1 Consultation 24
　　SECTION 2 Imaging 25
　　SECTION 3 Surgical Preparation 25
　　SECTION 4 Design 28
　　SECTION 5 Anesthesia 28


CH.5 Thread Lifting Techniques 31

　　SECTION 1 Non-barbed Thread Types and Techniques 32
　　SECTION 2 Barbed Thread Types and Techniques 49
　　SECTION 3 Anchoring Techniques 55
　　SECTION 4 Variant Techniques 66
　　SECTION 5 Floating Techniques 76
　　SECTION 6 Vertical Lifting Techniques 88


CH.6 Case Studies of Surgical Procedures 97

　　SECTION 1 Summary of Basic Terms 98
　　SECTION 2 Case Studies of Surgical Procedures 99


CH.7 Postoperative Management 139

　　SECTION 1 Immediately after Surgery 140
　　SECTION 2 Prescription Examples 141
　　SECTION 3 Home Care 142
　　SECTION 4 Cautions 142


CH.8 Adverse Effects, Prevention, and Treatment 145

　　SECTION 1 Facial Asymmetry 146
　　SECTION 2 Ecchymosis and Hematoma 146
　　SECTION 3 Pain 148
　　SECTION 4 Palpable Thread 149
　　SECTION 5 Skin Dimpling 150
　　SECTION 6 Worsening of Mid-cheek Furrows 151
　　SECTION 7 Thread Migration and Protrusion 152
　　SECTION 8 Infection 153
　　SECTION 9 Nerve Injury 154
　　SECTION 10 Scarring 154
　　SECTION 11 Parotid Gland Injury 155


CH.9 Index 157

　　Contents