Zhukova Olga, Dydykin Sergey, Kubíková Eliska, Markova Natalia, Vasil'ev Yuriy, Kapitonova Marina
Department of Dermatology and STD, RUDN Peoples' Friendship University of Russia, Moscow, Russia.
Department of Topographical Anatomy and Operative Surgery, Sechenov University, Moscow, Russia.
Arch Plast Surg. 2022 May 27;49(3):296-303. doi: 10.1055/s-0042-1748641. eCollection 2022 May.
In recent years thread lift has become widespread; however, existing methods need to improve their long-term outcome, which requires considering topographic anatomy of face and neck, especially the ligamentous apparatus. This study aims to assess the effectiveness and safety of an innovative method of one-time three-step thread facelift, which provides an additional support to the ligamentous structures of the upper, middle, and lower thirds of the face and neck. The study included 357 patients aged 32 to 67 years with various morphotypes of aging. The original method of thread lift was applied, and its effectiveness was followed up for to 2 years. The Wrinkle Severity Rating Score (WSRS) and Global Aesthetic Improvement Scale (GAIS) scores were used for assessment by investigators, independent observers, and patients. Statistical significance was determined using paired -test and chi-square test. The mean WSRS score was 3.88 ± 0.88 before the thread lift, 1.93 ± 0.81 one month after the procedure, and 2.36 ± 0.85 after 2 years of follow-up. The mean GAIS was 4.80 ± 0.04 one month after thread lift, and 4.01 ± 0.04 after 2 years, while in the patients' assessment Global Satisfaction Scale was 4.86 ± 0.02 and 4.10 ± 0.02, respectively. There were no clinically significant complications throughout the observation period. The new method of one-time three-step thread fixation of the soft tissues of the face and neck demonstrated a high degree of satisfaction by both experts and patients after 2 years of follow-up. It showed high efficacy and safety, including in the group of patients with pronounced age-related changes of the skin of face and neck.
近年来，线雕已广泛应用；然而，现有方法需要改善其长期效果，这需要考虑面颈部的局部解剖结构，尤其是韧带装置。本研究旨在评估一种创新的一次性三步线雕方法的有效性和安全性，该方法可为面颈部上、中、下三分之一的韧带结构提供额外支撑。
该研究纳入了357例年龄在32至67岁之间、具有各种衰老形态类型的患者。采用了线雕的原始方法，并对其有效性进行了2年的随访。由研究者、独立观察者和患者使用皱纹严重程度评分（WSRS）和整体美学改善量表（GAIS）进行评估。使用配对t检验和卡方检验确定统计学意义。
线雕术前WSRS平均评分为3.88±0.88，术后1个月为1.93±0.81，随访2年后为2.36±0.85。线雕术后1个月GAIS平均评分为4.80±0.04，2年后为4.01±0.04，而在患者评估中，总体满意度量表评分分别为4.86±0.02和4.10±0.02。在整个观察期内未出现具有临床意义的并发症。
这种面颈部软组织一次性三步线固定的新方法在随访2年后，专家和患者均表现出高度满意度。它显示出高疗效和安全性，包括在面颈部皮肤有明显年龄相关变化的患者组中。
