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Combining Liposuction and Thread-Lifting for Middle-Lower Facial Rejuvenation

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  • Facial Surgery
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Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

Thread-lifting (TL) is a minimally-invasive technique for facial rejuvenation, whereas liposuction is commonly used for facial contouring. This retrospective cohort study aims to introduce and evaluate a novel technique that combines liposuction and thread-lifting for mid-lower facial rejuvenation.

Methods

Consecutive patients who underwent TL for mid-lower facial rejuvenation from May 2016 to May 2021 were divided into thread-lifting group (TL group) or thread-lifting plus liposuction group (TLL group) according to whether liposuction was performed adjunctively. The co-primary outcomes were the changes between the preoperative and 6-month postoperative Wrinkle Severity Rating Scale (WSRS) and Facial Aging Evaluation Scale (FAES).

Results

A total of 185 patients (184 females) with an average age of 34.5±5.5 years were included. There were no significant differences in patients’ age, number of threads, and preoperative WSRS and FAES between the two groups. The TLL group (n = 128) had significantly lower postoperative WSRS (1.5±0.6 vs. 1.8±0.8, p<0.001) and FAES (2.5±1.4 vs. 3.8±2.1, p<0.001) than the TL group (n = 57). The decrease in WSRS (0.8±0.6 vs. 0.2±0.7, p<0.001) and FAES (2.7±1.3 vs. 1.6±1.6, p<0.001) were greater in the TLL group. Only 3.8% patients experienced slight side effects and totally recovered.

Conclusions

The combination of TL and liposuction is an effective and safe technique for simultaneous contour improvement and facial rejuvenation in middle-aged East Asian females.

Level of Evidence II

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors https://www.springer.com/00266.

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Funding

This work was supported by the Key projects of medical school development of Shi**gshan District.

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Authors and Affiliations

  1. Cicatrix Minimally Invasive Treatment Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Bei**g, 100144, People’s Republic of China

    Zehui Li, Huanhuan Wu & Xueshang Su

  2. Department of Plastic and Reconstructive Surgery, Chinese PLA General Hospital, 28 Fuxing Road, Haidian District, Bei**g, People’s Republic of China

    Zheng Yang, Yujian Xu, Jiahua **ng & Youbai Chen

  3. Department of Cosmetic Injection Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Thirty-three Badachu Road, Shi**gshan District, Bei**g, 100144, People’s Republic of China

    **tian Hu

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  1. Zehui Li
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  2. Huanhuan Wu
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  3. Zheng Yang
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  4. Yujian Xu
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Correspondence to Youbai Chen or **tian Hu.

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The authors declare that they have no conflict of interest.

Ethical Approval

This study was approved by the Ethics Committee of Plastic Surgery Hospital of Chinese Academy of Medical Sciences, and all patients signed informed consent forms.

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All participants provided written informed consent.

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Li, Z., Wu, H., Yang, Z. et al. Combining Liposuction and Thread-Lifting for Middle-Lower Facial Rejuvenation. Aesth Plast Surg 48, 1672–1678 (2024). https://doi.org/10.1007/s00266-024-03872-y

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  • DOI: https://doi.org/10.1007/s00266-024-03872-y

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