Follow Up Question - Fine wrinkles in face; are there special PDO threads?

Previously I asked a question about fine wrinkles in face across crow's feet lines lateral to eye and is there any effective topical agents ?!! Thanks for answeres. Now I like to know are special PDO threads ( 25 mm , 30 G ) useful for that condition and thank you.

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Doctor Answers 3

Fine wrinkles and threads

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Yes, PDO can help but I think the best thread lifts are made from Poly L Lactic acid or the the Silhouette Soft. This is good for medium to heavier wrinkle. Around the crow's feet I prefer fillers as this area is vvv fine. Threads my give an improvement but for crows, either Botox or Filler is much more predictable in the delivery. Dr Davin S. Lim. Brisbane. Australia. 

Fine wrinkles in face; are there special PDO threads?

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Thank you for your question.

The original 'threadlifts' are no longer available but have been superceded by the Silhouette Lift, which again originally came in permanent buried suture form with cones that catch the skin from underneath and that promote collagen regeneration. 

The permanent suture version is still available but a number of patients are uncomfortable with placement of a permanent suture under the skin and are now actually opting for the absorbable suture version; this does also have the secondary effect of collagen regeneration but the buried suture slowly absorbs away so that no foreign material is eventually left; the effect can last up to 18 months. To lift the weight of the facial tissues such as the jowls, the nasolabial folds and the brow require a substantial size of suture and occasionally, particularly in thin skinned individuals, the suture could become palpable; hence the production of the absorbable suture version of the lift. This also means that there are not really any sutures that would address fine wrinkles in the face as the technique is geared towards lifting with an effect on localised skin improvement secondarily rather than directed to effacement of fine facial wrinkles.

I hope that is helpful and best wishes in your pursuit of facial rejuvenation.

Tariq Ahmad, MBBChir, FRCS(Plast)
Cambridge Plastic Surgeon

Follow Up Question - Fine wrinkles in face; are there special PDO threads?

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Thanks for your question and the concept of threads or sutures is something that is gaining traction in today’s aesthetic world.  We always recommend that you have a consultation with a board certified dermatologist or plastic surgeon to learn the latest and most innovative techniques for this.  We are currently performing the Silhouette procedure and depending where you are, these are either made of poly-lactic acid or poly-glycolic-poly-lactic sutures.  The advantage to these sutures are they are absorbable and are associated with absorbable cones which embed into the deeper structures in two directions to give the proper anchor and then the proper lift.  The results to date have been spectacular in most instances.  There is a skill to learn how to do them but once the provider learns the proper techniques, this becomes one of the best procedures out there.  It is known as Silhouette InstaLift in the US and Silhouette Soft outside the US.  Check it out – you will certainly be excited to learn more about it.

Michael Gold, MD
Nashville Dermatologic Surgeon
3.9 out of 5 stars 17 reviews

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