4 SEASONS Dermatology Clinic, Seoul, Korea.
Department of Dermatology, College of Medicine, Incheon St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
J Cosmet Dermatol. 2019 Feb;18(1):65-70. doi: 10.1111/jocd.12557. Epub 2018 Apr 19.
Facial wrinkles are key signs of aging which affect one's quality of life and psychological well-being. Absorbable wedge-shaped polydioxanone (PDO) sutures are popular in the esthetic clinics of Korea and may be a treatment option for static wrinkles on the upper face.
To describe a novel technique applicable to deep static wrinkles on the upper face and to assess its safety and efficacy.
A retrospective chart review was performed on the static wrinkle cases which were treated with folded, wedge-shaped PDO threads. A total of 33 Korean patients with glabellar and forehead wrinkles were included. All participants underwent a single treatment session. The results were assessed objectively using serial photography and subjectively based on the patients' satisfaction scores. Complications were also recorded.
Our patients displayed moderate (15.2%), severe (39.4%), and very severe (45.4%) static wrinkles at baseline. The majority of patients (81.8%) considered the results satisfactory. Consensus ratings by two independent dermatologists showed that the objective outcomes at 2-month follow-up were very much improved (30.3%), much improved (30.3%), and improved (24.2%). The incidence of complications was low, and the complications were minor.
Wedge-shaped PDO sutures in a folded configuration ("solid fillers") are a promising treatment option for deep static wrinkles on the upper face. They may be applied as an adjunct, or as an alternative to conventional therapies such as botulinum toxin and soft tissue filler injection.
面部皱纹是衰老的关键标志，会影响一个人的生活质量和心理健康。可吸收楔形聚对二氧环己酮（PDO）缝线在韩国的美容诊所中很受欢迎，可能是治疗上面部静态皱纹的一种选择。
描述一种适用于上面部深静态皱纹的新型技术，并评估其安全性和有效性。
对接受折叠楔形 PDO 线治疗的静态皱纹病例进行了回顾性图表审查。共纳入 33 例有眉间和额部皱纹的韩国患者。所有参与者均接受单次治疗。使用连续摄影进行客观评估，并根据患者满意度评分进行主观评估。还记录了并发症。
我们的患者在基线时有中度（15.2%）、重度（39.4%）和极重度（45.4%）的静态皱纹。大多数患者（81.8%）认为结果令人满意。两名独立皮肤科医生的共识评分显示，2 个月随访时的客观结果为明显改善（30.3%）、大有改善（30.3%）和改善（24.2%）。并发症发生率低，且并发症轻微。
折叠式楔形 PDO 缝线（“固体填充物”）是治疗上面部深静态皱纹的一种有前途的选择。它们可作为肉毒毒素和软组织填充剂注射等传统疗法的辅助手段，或替代手段。
