Author(s): Samira Yarak, Juliano Augusto Ribeiro de Carvalho
Introduction: The use of bidirectional barbed threads is a minimally invasive technique for facial rejuvenation, capable of making the middle and lower thirds of the face skin firmer. This study aims to report a series of cases using polydioxanone absorbable monofilament synthetic threads called Mint Lift™ (HansBiomed Corp. and HansBiomed Daeduk institute, Seoul, South Korea) in facial rejuvenation and remodeling.
Method: We report 6 cases with mild to moderate sagging skin in the middle and lower third of the face treated with Mint Lift™. Four patients were female and two were males, an average age of 42.5 years.
We perform the preoperative marking to indicate the two exit points of each hemiface, where the thread passes through the skin, according to the design desired for the patient. The threads were introduced into the upper portion of the auricular helix insertion (temporal region) anchored between the superficial and deep temporal fascia layers. After this, a cannula was inserted into the subcutaneous tissue for the passage and exit of the thread lines. The treatment did not interfere with patients' routine, was comfortable for most of them, and its application was safe. There was evident clinical improvement in the photographic records, mainly perceived in the patients.
Conclusion: The procedure has proven to be safe, and an important improvement was evident in the immediate postoperative period. It is a relatively fast, well tolerated procedure that can be associated with other procedures and as an alternative to conventional plastic surgery. Serious complications were not observed after the application, and the effect was shown to be long-lasting during follow-up.