Arora Gulhima, Arora Sandeep
Mehektagul Dermaclinic, New Delhi, India.
Department of Dermatology, Army College of Medical Sciences & Base Hospital, Delhi Cantonment, New Delhi, India.
J Cutan Aesthet Surg. 2022 Jan-Mar;15(1):48-57. doi: 10.4103/JCAS.JCAS_221_20.
The periorbital region, a major impressionable area holds a special place in aging of the face. It reflects chronological aging which are reflected not only as structural changes but also emotive expressions of sadness and tiredness. Dermal threads have been used in combination with other aesthetic procedures, however their use as monotherapy especially in periorbital region needs evaluation.
To evaluate the improvement in wrinkling and skin texture in the infero-lateral periorbital region with monofilament dermal threads.
A prospective observational study in a tertiary hospital was conducted between January 2019 and February 2020 after institutional ethical clearance and patient consent.
25 adults between 40 and 65 years of age reporting for infero-lateral periorbital rejuvenation and opting for dermal threads, with no history of aesthetic treatment in this region for the past three months were included after their informed consent. 10 monofilament dermal threads (5 each in lateral and infraorbital) in either periorbital region were inserted. Cases were assessed with Lemperle's wrinkle scale and visual analog scale (VAS) and photographic record maintained before procedure and after 16 weeks of procedure. Change in wrinkle grade was analysed using paired t-test and VAS was used to assess patient's perception of the result.
25 cases were included in the study, 21 completed the follow-up and 4 were lost to follow up. The mean preprocedure wrinkle score was 2.29 and postprocedure mean scores were 1. This finding was statistically significant. 16 cases were satisfied with their textural improvement (VAS >+2) while 4 reported mild improvement (VAS 2+) and 1 reported no improvement. Side effects observed were bruising in two cases and thread displacement in one case within 24 hours.
Polydioxanone monothreads offer an alternative aesthetic procedure for periorbital rejuvenation.
眶周区域是面部一个主要的易受影响部位，在面部衰老过程中占据特殊地位。它反映了自然衰老，不仅表现为结构变化，还包括悲伤和疲惫等情感表达。真皮线已与其他美容手术联合使用，但其作为单一疗法的应用，尤其是在眶周区域，需要进行评估。
评估单丝真皮线对眶周下外侧区域皱纹和皮肤质地的改善情况。
在获得机构伦理批准和患者同意后，于2019年1月至2020年2月在一家三级医院进行了一项前瞻性观察研究。
纳入25名年龄在40至65岁之间、因眶周下外侧区域年轻化前来就诊并选择真皮线治疗、且在过去三个月内该区域无美容治疗史的成年人，他们均签署了知情同意书。在每个眶周区域插入10根单丝真皮线（外侧和眶下各5根）。术前和术后16周使用Lemperle皱纹量表和视觉模拟量表（VAS）对病例进行评估，并保存照片记录。使用配对t检验分析皱纹等级的变化，VAS用于评估患者对结果的感知。
25例纳入研究，21例完成随访，4例失访。术前皱纹平均评分为2.29，术后平均评分为1。这一结果具有统计学意义。16例对质地改善满意（VAS>+2），4例报告有轻微改善（VAS 2+），1例报告无改善。观察到的副作用包括2例出现瘀斑，1例在24小时内出现线移位。
聚二氧六环单丝为眶周年轻化提供了一种替代性美容手术。
