Bogdan Razvan George, Helgiu Alina, Bloanca Vlad Adam, Ichim Cristian, Todor Samuel Bogdan, Iliescu-Glaja Mihai, Domnariu Horatiu-Paul, Leonte Elisa, Crainiceanu Zorin Petrisor, Anderco Paula
Department of Plastic Surgery, "Victor Babes" University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania.
County Clinical Emergency Hospital Pius Branzeu Timisoara, 300723 Timisoara, Romania.
J Clin Med. 2025 May 30;14(11):3863. doi: 10.3390/jcm14113863.
Breast thread lifting is a minimally invasive technique for correcting mild to moderate ptosis, offering aesthetic enhancement with reduced morbidity compared to traditional mastopexy. This review examines the anatomical underpinnings, clinical indications, technical nuances and limitations of breast thread lifting. The breast's fascial architecture, particularly the role of Cooper's ligaments and the retromammary space, critically influences thread trajectory and vector planning. Classification systems assist in proper patient selection, highlighting the suitability of thread lifts for Grades I-II ptosis with minimal skin excess. Advances in ultrasonography have improved preoperative planning, thread placement accuracy and postoperative monitoring. Various thread types, including PDO, PLLA, PCL and Silhouette Soft, offer different lifting capacities and collagen-stimulatory properties, necessitating tailored material selection. Although thread lifts offer immediate improvements, their transient nature necessitates careful patient counseling to manage expectations regarding durability and potential maintenance sessions. Innovative techniques, including clavicular anchoring and multi-level subdermal scaffolding, have expanded the procedural repertoire. Despite certain limitations, breast thread lifting remains a valuable tool within the aesthetic surgeon's armamentarium, particularly for patients seeking minimally invasive options with shortened recovery periods and favorable psychosocial outcomes. Future developments are expected to further enhance safety, reproducibility and long-term results.
乳房线雕提升术是一种用于矫正轻至中度乳房下垂的微创技术，与传统乳房上提术相比，它能在降低发病率的同时实现美学改善。本文综述探讨了乳房线雕提升术的解剖学基础、临床适应证、技术细节及局限性。乳房的筋膜结构，尤其是库珀韧带和乳腺后间隙的作用，对缝线轨迹和矢量规划有至关重要的影响。分类系统有助于正确选择患者，突出了线雕提升术适用于皮肤多余量极少的Ⅰ-Ⅱ级乳房下垂。超声检查技术的进步改善了术前规划、缝线置入准确性及术后监测。包括聚对二氧环己酮（PDO）、聚左旋乳酸（PLLA）、聚己内酯（PCL）和轮廓线（Silhouette Soft）在内的各种缝线类型具有不同的提升能力和胶原刺激特性，因此需要进行个性化的材料选择。尽管线雕提升术能立即改善外观，但其效果具有短暂性，因此需要对患者进行仔细的咨询，以管理他们对持久性和可能的维持治疗的期望。创新技术，包括锁骨固定和多层皮下支架植入，扩大了手术方法。尽管存在某些局限性，但乳房线雕提升术仍是整形外科医生的重要工具，尤其适用于寻求微创选择、恢复期短且心理社会效果良好的患者。预计未来的发展将进一步提高安全性、可重复性和长期效果。
