Thread Lecture

Aesthetic Thread Lifting Definition – A Traditional Aesthetic Thread Lifting is an one of methods to facial lifting by various kinds of thread.

Modern Definition of Aesthetic Threading Lifting(Aesthetic Threading Procedure) is including not only Facial Lifting but also Whole Body Rejuvenation and Contour by Medical Thread Device(Implant).

HISTORY OF THREAD LIFTING

Aptos Suture

(Aptos thread in 1996, polypropylene (D:2mm Bidirectional Cog)

1996, Georgian plastic surgeon and scientist Marlen A Sulamanidze patented in Russia
2001, first Aptos threads manufactured in Italy (in common with Assut Europe company), in USA (in common with KMI Inc.),
in Russia (by Aptos Ltd.) and in Singapore (Aptos Singapore).
2004, FDA approval for product named Aptos Feather Lift in USA.

Aptos Suture

(Aptos thread in 1996, polypropylene (D:2mm Bidirectional Cog)

CLASSIFICATION

Classification of Aesthetic Threads -Materials

Classification of Aesthetic Threads -Materials

Classification of Aesthetic Threads -Materials

EFFECTS

Aesthetic Thread Lifting Purpose

Vector and Direct Lifting, Fibroblast Activation & Accumulation, Moisture, White, Soft, Bouncy. Realignment Tissue Volume, Muscle Relaxation, Angiogenesis, Increase Metabolism, Apoptosis and Lypolysis, Adhesion, Scaffold, Volume

• It shows the intended lifting effect due to the direct lifting effect of the visible thread and the effect of tissue contraction around the thread.

• The marked part on the left can be checked directly.

• It can be confirmed that the fine lines on the entire face have been remarkably improved.

• This client used a thorn thread (mint 43) and a screw mono thread.

• The treatment time is 2 hours, Maintenance period is 1 year and 6 months

• The pictures before and after reoperation after 2 years are shown below. The cost is 3.5 million won

Aesthetic Thread Lifting Purpose

• Fibroblast activity and clustering Fibroblasts (stem cells) gather around the inserted thread, the dermal tissue is regenerated, collagen is synthesized, and accumulates in the dermis, and wrinkles are stretched and tightened.

• The generation of new cells is promoted, and the old and colored epidermal cells are eliminated, reducing blemishes.

• EGF (epithelial stem cell growth factor) is increased by about 100 to generate healthy new epidermal cells, and the relative activity of melanocytes decreases, resulting in a whitening effect.

Aesthetic Thread Lifting Purpose

• The generation of new cells is promoted, and the old and colored epidermal cells are eliminated, reducing blemishes.

• EGF (epithelial stem cell growth factor) is increased by about 100 to generate healthy new epidermal cells, and the relative activity of melanocytes decreases, resulting in a whitening effect.

Moisture, White, Soft, Bouncy

• As a technique of procedure, the sagging area was moved to a nearby tissue, which improves the cheek area and spreads the area where it has been moved.

Muscle Relaxation

• After the procedure, increased blood flow to the muscles and increased metabolism reduce muscle agglomeration and balance relaxation, making the face look comfortable.

Angiogenesis

• As a result of measuring the EGF concentration in the tissue around the thread insertion 1 month after the procedure, it showed a 100-fold increase in total, but the increase in VEDF (Vascular Endotherial Growth Factor) reached 1000-fold. In fact, new blood vessels replace old blood vessels, showing early symptoms, reviving the complexion and appearing full of vitality.

Metabolites

• Due to the increased blood flow and increased stem cells, the metabolism of the body increases, leading to improvement of blemishes and chronic skin diseases.

• Less deterioration of skin condition even with minor wounds and poor atmospheric conditions

• Strong resistance against damage to external factors (bacteria, virus, chemicals, physical damage) of the skin.

• Increasing love is accompanied by the burning of shares.

Scaffold Effect

• The nose bridge and nose pillar can be erected by nose thread lifting.

Scaffold Effect

• The nose bridge and nose pillar can be erected by nose thread lifting.

Adhesion Effect

• After thread lifting, the thread is hydrolyzed in the human body and the collagen tissue is replaced, the surrounding tissues are adhered to, and the thread disappears completely, and the adhesion between the collagen and the surrounding tissues occurs.

ANATOMY. HISTOLOGY

Face & Neck Anatomy- Aging

Face & Neck Anatomy – Nerve. Blood Vessel. Parotid Duct

Face & Neck Anatomy- Layer on Chin

Face & Neck Anatomy- Be Careful Nerve-Facial N. Temporal Br.

Face & Neck Anatomy- Fat

Superficial Fat Compartments

Face & Neck Anatomy- SMAS

• Usually, the ligaments that are pierced during thread lifting are Parotid Cutaneous Lig, Masseteric Lig, and Mandibular Lig.
• Inform the customer in advance and if the pain is severe during thread insertion, local anesthesia is performed on this area.

Face & Neck Anatomy- Retaining Ligaments & Facial Nerve

Face & Neck Anatomy- SMAS & Retaining Ligaments

ANATOMY. HISTOLOGY PROFESSIONAL GRADE

Facial Layer

Lifting Vectors

Dual Layers Lifting

• In the technology of inserting thread into the SubSMAS layer, the cannula penetrates the Retaining Lig. and enters the SubSMAS layer when the cheek is lightly raised with the palm of the hand.
• The effect is best if the two layers of the SMAS layer and the SubSMAS layer are raise.

• In the technology of inserting thread into the SubSMAS layer, when the cheek is lightly raised with the palm of the hand, the cannula penetrates the Retaining Lig. and enters the SubSMAS layer.
• The effect is best if the two layers of the SMAS layer and the SubSMAS layer are raised.

Zygomatic Arch Safety Zone for Thread Passway

• If the deep fat in the cheek is too much, the Buccal Fat Pad may be removed from the mouth.
• Usually this is not considered.

Malar Fat Pad

• If there is a lot of fat in the cheekbones, inserting the lipolysis thread into the cheekbone fat layer will gradually reduce the cheekbones while maintaining elasticity over a year.

• Other cosmetic procedures such as lipolysis injection or inhalation can also be performed.

Nasolabial Fat Pad

Jowl Fat Pad

• The fat of the deep cheeks is a combined procedure with a thorn thread and a mono thread. Immediately after the procedure, while maintaining the elevating effect and long-term elasticity, the fat is decomposed over a year and the shape of the deep cheeks decreases, showing a younger appearance.
• Other cosmetic procedures such as lipolysis injection or inhalation can also be performed.
• The photos on this and the next page indicate where partial liposuction is possible.

Liposuction During Threading

Face & Neck Anatomy- Retaining Ligaments

• The ligaments pierced during the thread lifting procedure were Parotid Cutaneous Lig, Masseteric Lig, and Mandibular Lig. to be.
• Inform the customer in advance and if the pain is severe during thread insertion, local anesthesia is performed on this area.

VECTOR AND TECHNIQUE

Face & Neck Anatomy- Retaining Ligaments

Mono Filament Threading Layer-Connective Tissue

• The thickness of the epidermal layer on the face is 30um~60um, and the target layer is mainly 50um.
• The thickness of the dermal layer on the face is 700um~1970um, and the target layer is 1200um
• The connective tissue on the face varies in thickness depending on the amount of fat. 600um or more

Cog Thread – Connective Tissue, SMAS

Cog Thread Insertion Layer

• The thickness of the epidermal layer on the face is 30um~60um, and the target layer is mainly 50um.

Outside of SMAS, Fascia, Hypodermis

Bevel up Approach

Pinch and Compress
Pull and Push
Rotating Pull Out

Parallel or Cross
Curve
Mid Come Out and Come In

Lifting Vector – Monofilament

Lifting Vector – Monofilament

Lifting Vector – Bidirectional Cog Thread

Hand – PINCHING Maneuver

Entry Point–Cog Thread

Lifting Vector

For the design, the most efficient vector is selected in consideration of the customer’s face shape, the degree of sagging, and the customer’s request.