Department of Plastic and Reconstructive Surgery, Central Hospital No165, Third Administration of the Russian Federation Health Ministry, Moscow, Russia.
Aesthet Surg J. 2011 Nov;31(8):863-73. doi: 10.1177/1090820X11422700.
Over the past decade, several methods of minimally-invasive thread-mediated lifting have been widely adopted in aesthetic surgery. Early use of these methods met with great enthusiasm, and threadlifting was often performed without sufficient regard for proper indications, controls, or outcomes. Soon after, reports of early-relapse ptosis, complications, and other undesirable side effects began to appear in the literature.
The authors describe the current best practices associated with threadlifting to ensure proper use and improved results.
The authors retrospectively reviewed their collective case data, analyzing the results of 12,788 face and neck threadlift procedures in 6098 patients over 12.5 years.
The data showed inconsistent results and early relapse of deformity with the Aptos Thread and Aptos Thread 2G methods. Complications included thread visibility, migration, and exposure; linear bleeding along the needle course; skin dimpling; hypocorrection and hypercorrection; transient paresthesias; and a small number of cases of injury to major vessels, nerve branches, and parotid capsule/duct. As new devices were developed and the indications for each technique refined, soft tissue suspension became more effective and durable, and the incidence of complications correspondingly decreased in the latter part of the series.
Threadlifting is a relatively modern trend in aesthetic surgery that demands a similarly novel approach from surgeons. When performed properly, threadlifting is associated with minor and infrequent complications and is a helpful clinical alternative to traditional facial rejuvenation techniques.
在过去的十年中，几种微创线介导提升方法已在美容外科中广泛应用。早期这些方法的应用得到了极大的关注，而线提升术常常在没有充分考虑适当的适应证、控制和结果的情况下进行。不久之后，文献中开始出现早期复发性下垂、并发症和其他不良副作用的报道。
作者描述了与线提升相关的当前最佳实践，以确保正确使用和改善效果。
作者回顾性地回顾了他们的集体病例数据，分析了 12.5 年来 6098 名患者的 12788 例面部和颈部线提升手术的结果。
数据显示 Aptos 线和 Aptos 线 2G 方法的结果不一致，且畸形早期复发。并发症包括线可见、迁移和暴露、沿针道线性出血、皮肤凹陷、矫枉过正和矫枉过正、短暂感觉异常以及少数大血管、神经分支和腮腺囊/管损伤的病例。随着新设备的开发和每种技术适应证的细化，软组织悬吊变得更加有效和持久，因此在系列的后半部分并发症的发生率相应降低。
线提升是美容外科中相对较新的趋势，要求外科医生采用类似的新方法。如果正确实施，线提升术与轻微和罕见的并发症相关，是传统面部年轻化技术的有益临床替代方法。
