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Thread Lifting
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Thread Lifting
Thread Lecture
Aesthetic Thread Lifting Definition – A Traditional Aesthetic Thread Lifting is an one of methods to facial lifting by various kinds of thread.
Modern Definition of Aesthetic Threading Lifting(Aesthetic Threading Procedure) is including not only Facial Lifting but also Whole Body Rejuvenation and Contour by Medical Thread Device(Implant).
HISTORY OF THREAD LIFTING

1996
Georgian plastic surgeon and scientist Marlen A Sulamanidze patented in Russia
2004
FDA approval for product named Aptos Feather Lift in USA.
2001
first Aptos threads manufactured in Italy (in common with Assut Europe company), in USA (in common with KMI Inc.),
in Russia (by Aptos Ltd.) and in Singapore (Aptos Singapore).
CLASSIFICATION
Classification of Aesthetic Threads -Materials

Classification of Aesthetic Threads –Thread Shape

Classification of Aesthetic Threads -Materials

EFFECTS
Aesthetic Thread Lifting Purpose
​Vector and Direct Lifting, Fibroblast Activation & Accumulation, Moisture, White, Soft, Bouncy. Realignment Tissue Volume, Muscle Relaxation, Angiogenesis, Increase Metabolism, Apoptosis and Lypolysis, Adhesion, Scaffold, Volume



Aesthetic Thread Lifting Purpose
• It shows the intended lifting effect due to the direct lifting effect of the visible thread and the effect of tissue contraction around the thread.
• The marked part on the left can be checked directly.
• It can be confirmed that the fine lines on the entire face have been remarkably improved.
• This client used a thorn thread (mint 43) and a screw mono thread.
• The treatment time is 2 hours, Maintenance period is 1 year and 6 months
• The pictures before and after reoperation after 2 years are shown below. The cost is 3.5 million won

Aesthetic Thread Lifting Purpose
• Fibroblast activity and clustering Fibroblasts (stem cells) gather around the inserted thread, the dermal tissue is regenerated, collagen is synthesized, and accumulates in the dermis, and wrinkles are stretched and tightened.
• The generation of new cells is promoted, and the old and colored epidermal cells are eliminated, reducing blemishes.
• EGF (epithelial stem cell growth factor) is increased by about 100 to generate healthy new epidermal cells, and the relative activity of melanocytes decreases, resulting in a whitening effect.

Moisture, White, Soft, Bouncy
• Increased metabolism and new blood vessels promote the moisturization of the epidermis.
• Since there is no EGF receptor in melanocytes, EGF, which is increased by about 100 times, promotes the differentiation of epidermal cells, accelerates the circulation of the stratum corneum, and the melanin pigment is discharged along with the keratin, reducing the concentration of melanin pigment, eliminating blemishes, and brightening the skin.
• Collagen is synthesized in the dermal and connective tissues, and the skin is elastic and soft.
• After about a month, if you touch your face when applying makeup, you can feel the moisture and elasticity.
• As a technique of procedure, the sagging area was moved to a nearby tissue, which improves the cheek area and spreads the area where it has been moved.

Angiogenesis
• As a result of measuring the EGF concentration in the tissue around the thread insertion 1 month after the procedure, it showed a 100-fold increase in total, but the increase in VEDF (Vascular Endotherial Growth Factor) reached 1000-fold. In fact, new blood vessels replace old blood vessels, showing early symptoms, reviving the complexion and appearing full of vitality.

Metabolites
• Due to the increased blood flow and increased stem cells, the metabolism of the body increases, leading to improvement of blemishes and chronic skin diseases.
• Less deterioration of skin condition even with minor wounds and poor atmospheric conditions
• Strong resistance against damage to external factors (bacteria, virus, chemicals, physical damage) of the skin.
• Increasing love is accompanied by the burning of shares.

Scaffold Effect
• The nose bridge and nose pillar can be erected by nose thread lifting.
Lipolytic Effect


• When the PDO thread is inserted into the fat layer, the secretion of catecholamines into the fat cells is increased by the triggering action by eosinophil proliferation, and the mechanism of burning fat is activated, and the fat is burned to become energy.
• As a result of ultrasound measurement, the fat layer decreases by an average of 25% per year.
• It is especially useful for cellulite in women’s abdomen and thighs.
• When the initial swelling of the thread lifting completely disappears, you can see the effect that your face looks smaller and smaller.
Adhesion Effect

​• After thread lifting, the thread is hydrolyzed in the human body and the collagen tissue is replaced, the surrounding tissues are adhered to, and the thread disappears completely, and the adhesion between the collagen and the surrounding tissues occurs.
ANATOMY. HISTOLOGY
• Face & Neck Anatomy – Nerve. Blood Vessel. Parotid Duct
• Face & Neck Anatomy- Aging


• Face & Neck Anatomy – Nerve. Blood Vessel. Parotid Duct
• Face & Neck Anatomy – Nerve. Blood Vessel. Parotid Duct


• Face & Neck Anatomy- Be Careful Nerve-Facial N. Temporal Br.
•Face & Neck Anatomy- Fat


• Superficial Fat Compartments
• Face & Neck Anatomy- SMAS


• Face & Neck Anatomy- Retaining Ligaments & Facial Nerve
• Face & Neck Anatomy- SMAS & Retaining Ligaments


ANATOMY. HISTOLOGY PROFESSIONAL GRADE
• Facial Layer
• Lifting Vectors


• Dual Layers Lifting

​• In the technology of inserting thread into the SubSMAS layer, the cannula penetrates the Retaining Lig. and enters the SubSMAS layer when the cheek is lightly raised with the palm of the hand.
• The effect is best if the two layers of the SMAS layer and the SubSMAS layer are raise.


​• In the technology of inserting thread into the SubSMAS layer, when the cheek is lightly raised with the palm of the hand, the cannula penetrates the Retaining Lig. and enters the SubSMAS layer.
• The effect is best if the two layers of the SMAS layer and the SubSMAS layer are raised.

• Zygomatic Arch Safety Zone for Thread Passway


If the deep fat in the cheek is too much, the Buccal Fat Pad may be removed from the mouth.Usually this is not considered.
• Malar Fat Pad
If there is a lot of fat in the cheekbones, inserting the lipolysis thread into the cheekbone fat layer will gradually reduce the cheekbones while maintaining elasticity over a year.
Other cosmetic procedures such as lipolysis injection or inhalation can also be performed.


• Nasolabial Fat Pad
When a lipolysis thread is inserted into the fat layer of the nasolabial fold, the height of the nasolabial fold gradually decreases over a year while maintaining the elasticity.
Other cosmetic procedures such as lipolysis injection or inhalation can also be performed.

• Jowl Fat Pad
The fat of the deep cheeks is a combined procedure with a thorn thread and a mono thread. Immediately after the procedure, while maintaining the elevating effect and long-term elasticity, the fat is decomposed over a year and the shape of the deep cheeks decreases, showing a younger appearance.
Other cosmetic procedures such as lipolysis injection or inhalation can also be performed.

The fat of the deep cheeks is a combined procedure with a thorn thread and a mono thread. Immediately after the procedure, while maintaining the elevating effect and long-term elasticity, the fat is decomposed over a year and the shape of the deep cheeks decreases, showing a younger appearance.
Other cosmetic procedures such as lipolysis injection or inhalation can also be performed.
The photos on this and the next page indicate where partial liposuction is possible.
VECTOR AND TECHNIQUE

Mono Filament Threading Layer-Dermis
• The thickness of the epidermal layer on the face is 30um~60um, and the target layer is mainly 50um.
• The thickness of the dermal layer on the face is 700um~1970um, and the target layer is 1200um

Cog Thread – Connective Tissue, SMAS
• The thickness of the epidermal layer on the face is 30um~60um, and the target layer is mainly 50um.
• The thickness of the dermal layer on the face is 700um~1970um, and the target layer is 1200um
• The connective tissue on the face varies in thickness depending on the amount of fat. 600um or more
• The SMAS layer is mainly located on the outer side of the fascia in the lower connective tissue.
Cog Thread Insertion Layer

​The thickness of the epidermal layer on the face is 30um~60um, and the target layer is mainly 50um.
Pinch and Compress, Pull and Push, Rotating Pull Out
Parallel or Cross, Curve, Mid Come Out and Come In
Lifting Vector – Monofilament


• Hand – PINCHING Maneuver
•Entry Point–Cog Thread

