Kaminer Michael S, Bogart Megan, Choi Christine, Wee Sue Ann
Department of Medicine, Division of Dermatology, Dartmouth Medical School, Hannover, New Hampshire, USA.
Dermatol Surg. 2008 Aug;34(8):1041-7. doi: 10.1111/j.1524-4725.2008.34203.x. Epub 2008 May 6.
The thread lift is a minimally invasive procedure that uses barbed sutures, inserted subcutaneously, to produce lifting of ptotic tissue of the face and neck. There are currently very limited data on longevity and patient satisfaction following barbed suture lifting procedures.
The purpose of this study was to assess long-term efficacy following the use of barbed sutures.
A satisfaction survey was mailed to 20 patients who were a minimum of 6 months (range, 6 to 16 months) postprocedure. Physician assessment of pre- and postprocedure photographs was also performed.
At an average of 11.5 months postprocedure, patients felt that the barbed suture lift met their expectations, rating their satisfaction a 6.9 on a scale of 1 to 10. Independent physicians rated the overall improvement an average of 4.6 of 10. Higher scores were noted in Zone 1 (tear trough/malar fat pad and nasolabial folds) compared to Zone 2 (marionette lines, jowls, and jawline definition) and Zone 3 (platysmal bands and neck contour).
The barbed suture lift procedure provides moderate long-term and sustained improvement for facial laxity, with most improvement seen in the tear trough/malar fat pads and nasolabial folds. In this study, clinical efficacy was seen up to 16 months postprocedure.
埋线提升是一种微创手术，通过皮下插入带倒刺缝线来提升面部和颈部下垂组织。目前，关于带倒刺缝线提升手术的持久性和患者满意度的数据非常有限。
本研究的目的是评估使用带倒刺缝线后的长期疗效。
向20例术后至少6个月（范围为6至16个月）的患者邮寄了满意度调查问卷。还对医生进行了术前和术后照片评估。
术后平均11.5个月时，患者认为埋线提升达到了他们的期望，在1至10分的评分中，满意度评分为6.9分。独立医生对整体改善情况的评分平均为4.6分（满分10分）。与2区（木偶纹、下颌赘肉和下颌轮廓）和3区（颈阔肌带和颈部轮廓）相比，1区（泪沟/颧脂肪垫和鼻唇沟）的评分更高。
埋线提升手术对面部松弛有中度的长期持续改善效果，在泪沟/颧脂肪垫和鼻唇沟处改善最为明显。在本研究中，术后16个月仍可见临床疗效。
