The TT thread lift .. Dona un vero ‘lift’, ed un effetto di lunga durata made in korea Le dinamiche del thread lift Lungo il filo ci sono degli ingranaggi, che afferrano e sollevano l’area del viso rillassata Che si apre come un ombrello per formare una struttura di supporto che solleva la pelle cascante Figure 1. Histological slide showing collagen deposit around the thread and its knots (Source-Product Presentation “Silhouette Lift Sutures Suspension System” by Roberto Pizzamiglio M. D., Marbella-Spain and Franco Perego, M. D., Monza-Italy™) La Scienza dietro Threads lift.. Gli effetti di ringiovamento cutaneo dei fili chirurgici sembra essere dovuto alla: - promozione della microcirculazione locale, - attivazione dei processi riparativi, - stimolazione della produzione del collagene. Thread-lift for Facial Rejuvenation Assessment of Long-term Results Rima F. Abraham, MD; Robert J. DeFatta, MD, PhD; Edwin F. Williams III, MD Published : Arch Facial Plast Surg. 2009;11(3):178-183. doi: 10.1001/archfacial.2009.10 Abstract Objective : To evaluate the long-term success of the thread-lift procedure for facial rejuvenation. Methods : A group - 33 patients underwent a thread-lift procedure alone or in combination with other facial rejuvenation procedures to the brow, midface, jowl, and neck. B group - 10 patients underwent thread-lifts only C group - 23 had thread-lifts with other procedures. Control - 10 additional patients having had non–thread-lift rejuvenation procedures The mean follow-up period was 21 months (range, 12-31 months). Photodocumentation was obtained at each visit. Long-term aesthetic results were evaluated by 4 independent, blinded, board-certified facial plastic surgeons. Each result was graded on a scale of 0 to 3. Results : aesthetic improvement was noted in all groups at 1 month, measurable results persisted to the end of the study for all but the group that underwent the thread-lift procedure only. Aesthetic improvement scores of the non–thread-lift control group were better than the group that underwent thread-lift only. Similarly, when the thread-lift was combined with other procedures, scores were better than when thread-lift was used alone. Statistical significance was demonstrated in both of these comparisons Figure 1. Thread-lift only after 22month(D) Figure 2. Thread-lift with additional procedures. after 12month(D) Figure 3. Control after 14month(D) Types of threads Bi- directional Barbs (Courtesy APTOS®) Pure gold thread With PGA( Polyglycolide) Uni-directional Cogs (Courtesy Silhouette®) PDO( Polyglycolide) - most safe Effects of Different Suture Materials on Cartilage Reshaping Can Alper Cagici, MD; Ozcan Cakmak, MD;Nebil Bal, MD;Haluk Yavuz, MD;Ilhan Tuncer, MD Published online : Arch Facial Plast Surg. 2008;10(2):124-129. doi: 10.1001/archfaci.10.2.124 Abstract Objective : To examine the effects of different suture materials and suturation techniques on cartilage reshaping in a rabbit model. Methods : 22 rabbits were used. Posterior skin flaps were elevated, and 4 cartilage struts were prepared on each auricula. Each strut was bent at its midpoint, and the skin under the bent area was elevated only in 1 side. The strut was sutured either with catgut, polyglactin 910, polydioxanone, or polypropylene sutures. Anteriorly, the suture was passed subcutaneously on 1 side, while transcutaneously on the other. Animals were killed at the first and fourth months. The shape of the struts was macroscopically evaluated. Inflammation and foreign body reaction around the suture were examined under light microscopy Results Maintenance of shape with all suture materials was significantly lower in the transcutaneously sutured group than in the subcutaneously sutured group. Because of high rates of suture loss in the transcutaneously sutured group, further evaluations on cartilage tissue were made only in subcutaneously sutured group. Success rate in maintenance of shape was similarly high in the polydioxanone, polyglactin 910, and polypropylene suture groups; however, it was significantly lower in the catgut suture group. Conclusion : Long-lasting absorbable suture materials are as effective as nonabsorbable ones, and the subcutaneous technique is more effective than the transcutaneous technique. Conclusioni: Le suture assorbibili di lunga durata, sono efficaci come quelle non assorbibili, e la tecnica per via sottocutanea è più efficace rispetto alla tecnica transcutanea. Cosa è differente ? Materiale – Polydioxanone(PDO) Size – 6.0, 20mm,30mm,40mm,50mm 90mm Tecnica – direzione dei vettori paralleli. Direzione dei Vettori con sottili threads A. 1cm 1.5cm B. 30mm 50mm C. D. Tecnica doppio strato Aree di Trattamento Viso - Fronte, Metà volto (guance), Linee mascella , Naso Collo – tightening, lifting Rughe specifiche – Glabella, Zampe di gallina, Nasolabiali, Indiani, rughe sottitli Seno – Rassodante , modellante. Alopecia Sollevamento Interno Cosce Obesità – Braccia , Addome,Fianchi ecc Dolore – Punti IMS Tipi di Thread Materiale – Polydioxanone (PDO) Misure disponibili Guace Lunghezza e applicazioni Prezzi 23 G 90mm Lifting corpo e viso 5,00 euro 26 G 90mm Lifting Viso 4,50 euro 26 G 60mm Viso e Corpo Seno 4,50 euro 29 G 50mm Solchi labiali, Seno linee della Fronte 4,50 euro 29 G 38mm Solchi labiali, c/occhi linee ciglia 4,50 euro 30 G 25mm C/occhi linee verticali labbra e Hair loss 4,50 euro (Fine Thread lifting) Before After (Fine Thread lifting) Before After 시술 2개월 후 (Fine Thread lifting) Before After (Fine Thread lifting) Before After (Fine Thread lifting) (Fine Thread lifting) Before After (Fine Thread lifting) Before After (Fine Thread lifting) Before After (Fine Thread lifting) Before After (Fine Thread lifting) Before After (Fine Thread lifting) Before After 시술 직후(당일) (Fine Thread lifting) Before After (Fine Thread lifting) Before After (Fine Thread lifting) Before After (Fine Thread lifting) Before After
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