Does Combine Thread Lifting with Liposuction Achieve Superior Outcomes Over Liposuction Alone for Neck Lipodystrophy? | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Article 4, Volume 45, Issue 2, April 2021, Page 71-79 PDF (13.26 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2021.173839 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohamed Hassan   1; Wael Naeem Thabet Ghebery2
| ||||
| 1The Department of Plastic Surgery, Faculty of Medicine, Fayoum University, Egypt | ||||
| 2The Department of Plastic Surgery, Faculty of Medicine, Cairo University, Egypt | ||||
| Abstract | ||||
| Background: Aging of the neck is multifactorial with various skin changes. For an aesthetically pleasing neck appearance, it is critical restoring a cervicomental angle of 105 to 120 degrees, and a distinct mandibular border. A multimodality approach is required to rejuvenate the neck and address these multiple facets of aging. Many treatment options can be combined to address the aging changes of the neck. Submental fat can be addressed by traditional or assisted liposuction. However, some patients with poor skin tone may not achieve optimal outcomes. Thread lifting is a minimally invasive, office-based procedure with fewer perioperative complications and gaining popularity as a substitute for surgical lifting. Methods: This study aimed to answer whether combining thread-lift with traditional liposuction for rejuvenation of submental lipodystrophy will achieve a superior outcome in terms of patients' satisfaction and aesthetic results or no? To answer this question, the authors conducted a retrospective comparative study on all cases with submental lipodystrophy (known as 'double chin') who underwent neck rejuvenation by either liposuction alone as group A, or liposuction combined with thread lifting as group B, to compare the results of both groups, and the subgroups based on the degree of neck lipodystrophy, in terms of patients' satisfaction and aesthetic results. Results: The overall complication rate was 20% for group < br />A and 25% for group B. However, there were no major complications in both groups. While superior aesthetic results and patient satisfaction were obtained by combining liposuction and threading of cases with severe neck lipodystrophy, in cases of mild and moderate lipodystrophy no statistically significant difference was observed between both groups. Conclusion: Combined liposuction and thread lifting is effective and gives superior aesthetic results and patient satisfaction more than liposuction alone in cases with severe lipodystrophy, especially for the cervicomental angle improvement. However, in mild and moderate cases of lipodystrophy, the additional thread-related complications, extra duration, and cost of thread lifting outweigh its benefits. | ||||
| Keywords | ||||
| Rejuvenation; Liposuction; Threading; Lift | ||||
| References | ||||
|
Vanaman M., Fabi S. and Cox S.: Neck Rejuvenation Using a Combination Approach: Our Experience and a Review of the Literature. Dermatol Surg [Internet]. May [cited 2019 Dec. 10]; 42. Available from: insights. ovid.com, 2016. 2- Ellenbogen R. and Karlin J.V.: Visual criteria for success in restoring the youthful neck. Plast. Reconstr. Surg., Dec. 66 (6): 826-37, 1980. 3- Abraham R.F., DeFatta R.J. and Williams E.F.: Threadlift for Facial Rejuvenation: Assessment of Long-term Results. Arch. Facial Plast. Surg., May 1; 11 (3): 178-83, 2009. 4- Isse N.G., Fodor P.B.: Elevating the midface with barbed polypropylene sutures. Aesthet. Surg. J., Jun. 25 (3): 301- 3, 2005. 5- Sulamanidze M.A., Paikidze T.G., Sulamanidze G.M., Neigel JM. Facial lifting with “APTOS” threads: Featherlift. Otolaryngol. Clin. North Am., Oct. 38 (5): 1109- 17, 2005. 6- Horne D.F. and Kaminer M.S.: Reduction of face and neck laxity with anchored, barbed polypropylene sutures (Contour Threads). Skin Ther. Lett., Feb. 11 (1): 5-7, 2006. 7- Ruff G.: Technique and uses for absorbable barbed sutures. Aesthet. Surg. J., Oct. 26 (5): 620-8, 2006. 8- Khiabanloo S.R., Jebreili R., Aalipour E., Saljoughi N. and Shahidi A.: Outcomes in thread lift for face and neck: A study performed with Silhouette Soft and Promo Happy Lift double needle, innovative and classic techniques. J. Cosmet Dermatol., 18 (1): 84-93, 2019. 9- Alexiades-Armenakas M., Rosenberg D., Renton B., Dover J. and Arndt K.: Blinded, randomized, quantitative grading comparison of minimally invasive, fractional radiofrequency and surgical face-lift to treat skin laxity. Arch. Dermatol., Apr. 146 (4): 396-405, 2010. 10- McDiarmid J., Ruiz J.B., Lee D., Lippert S., Hartisch C. and Havlickova B.: Results from a Pooled Analysis of Two European, Randomized, Placebo-Controlled, Phase 3 Studies of ATX-101 for the Pharmacologic Reduction of Excess Submental Fat. Aesthetic Plast. Surg., Oct. 38 (5): 849-60, 2014. 11- Delorenzi C., Weinberg M., Solish N. and Swift A.: A Multicenter Study of the Efficacy and Safety of Subcutaneous Nonanimal Stabilized Hyaluronie Acid in Aesthetic Facial Contouring: Interim Report: SUBCUTANEOUS RESTYLANE. Dermatol. Surg. Mar. 15; 32 (2): 205-11, 2006. 12- Goldman A.: Submental Nd:Yag laser-assisted liposuction. Lasers Surg. Med., Mar. 38 (3): 181-4, 2006. Egypt, J. Plast. Reconstr. Surg., April 2021 79 13- Woodhall K.E., Saluja R., Khoury J. and Goldman M.P.: A comparison of three separate clinical studies evaluating the safety and efficacy of laser-assisted lipolysis using 1,064, 1,320 nm, and a combined 1,064/1,320 nm multiplex device. Lasers Surg. Med., Dec. 41 (10): 774-8, 2009. 14- Kalra R.: Use of barbed threads in facial rejuvenation. Indian J. Plast. Surg. Off Publ Assoc. Plast. Surg. India., Oct. 41 (Suppl): S93-100, 2008. 15- Kapiciog˘lu Y, Gül M, Saraç G, Yig˘itcan B. and Gözükara H.: Comparison of Antiaging Effects on Rat Skin of Cog Thread and Poly-l-Lactic Acid Thread. Dermatol. Surg., Mar. 45 (3): 438-45, 2019 | ||||
|
Statistics Article View: 224 PDF Download: 710 |
||||
