Abstract
Synthetic polymers have long been a cornerstone in the fields of tissue engineering, surgical interventions, and pharmacological applications, offering unparalleled versatility and innovation in medical treatments. Their appeal lies in the ability to customize mechanical properties and degradation rates, alongside the capacity to introduce functional groups tailored to specific medical needs. Moreover, their biodegradable and bioresorbable nature makes them particularly suited for integration and eventual absorption within biological systems. Among these polymers, poly(glycolic acid) (PGA), poly(lactic acid) (PLA), and poly(caprolactone) (PCL) are prominent for their widespread use as fundamental components in the manufacturing of sutures and suture anchors. These materials have revolutionized surgical practices, facilitating not only traditional surgical procedures but also pioneering minimally invasive techniques for aesthetic rejuvenation. This chapter discusses the diverse types and materials of threads utilized in lifting procedures, underscoring the technological advancements and material sciences that have propelled the use of polymer sutures to the forefront of surgical innovation.
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References
Martins JA, et al. Polydioxanone implants: a systematic review on safety and performance in patients. J Biomater Appl. 2020;34(7):902–16.
Kim SI, et al. Preparation of enhanced hydrophobic poly(l-lactide-co-ε-caprolactone) films surface and its blood compatibility. Appl Surf Sci. 2013;276:586–91.
Jeong SI, et al. In vivo biocompatibility and degradation behavior of elastic poly(l-lactide-co-ε-caprolactone) scaffolds. Biomaterials. 2004;25(28):5939–46.
Choi Y, et al. Biomechanical properties and biocompatibility of a non-absorbable elastic thread. J Funct Biomater. 2019;10(4):51.
Pihlajamaki H, et al. Absorbable pins of self-reinforced poly-l-lactic acid for fixation of fractures and osteotomies. J Bone Jt Surg Br. 1992;74(6):853–7.
Inui A, et al. Potency of double-layered poly-l-lactic acid scaffold in tissue engineering of tendon tissue. Int Orthop. 2010;34(8):1327–32.
Lee DW, et al. Comparison of poly-l-lactic acid and poly-l-lactic acid/hydroxyapatite bioabsorbable screws for tibial fixation in ACL reconstruction: clinical and magnetic resonance imaging results. Clin Orthop Surg. 2017;9(3):270–9.
Liu S, et al. Current applications of poly(lactic acid) composites in tissue engineering and drug delivery. Compos Part B Eng. 2020;199:108238.
Da Silva D, et al. Biocompatibility, biodegradation and excretion of polylactic acid (PLA) in medical implants and theranostic systems. Chem Eng J. 2018;340:9–14.
Shebi A, Lisa S. Pectin mediated synthesis of nano hydroxyapatite-decorated poly(lactic acid) honeycomb membranes for tissue engineering. Carbohydr Polym. 2018;201:39–47.
Al Tawil E, et al. Microarchitecture of poly(lactic acid) membranes with an interconnected network of macropores and micropores influences cell behavior. Eur Polym J. 2018;105:370–88.
Wan P, et al. Fabrication and evaluation of bioresorbable PLLA/magnesium and PLLA/magnesium fluoride hybrid composites for orthopedic implants. Compos Sci Technol. 2014;98:36–43.
Cui H. Aesthetic thread rejuvenation in Asians. In: Sulamanidze, editor. Several viewpoints on thread rejuvenation. Peking University Medical Press; 2019.
Chu CC. 10—Types and properties of surgical sutures. In: King MW, Gupta BS, Guidoin R, editors. Biotextiles as medical implants. Woodhead Publishing; 2013. p. 231–73.
Ruff G. Technique and uses for absorbable barbed sutures. Aesthet Surg J. 2006;26(5):620–8.
Paul MD. Barbed sutures for aesthetic facial plastic surgery: indications and techniques. Clin Plast Surg. 2008;35(3):451–61.
Lee CG, et al. Histological evaluation of bioresorbable threads in rats. Korean J Clin Lab Sci. 2018;50(3):217–24.
Suárez-Vega DV, et al. In vitro degradation of polydioxanone lifting threads in hyaluronic acid. J Cutan Aesthet Surg. 2019;12(2):145–8.
Damadzadeh B, et al. Effect of ceramic filler content on the mechanical and thermal behaviour of poly-l-lactic acid and poly-l-lactic-co-glycolic acid composites for medical applications. J Mater Sci Mater Med. 2010;21(9):2523–31.
Vasenius J, et al. Absorbable self-reinforced polyglycolide (SR-PGA) screws for the fixation of fractures and osteotomies: strength and strength retention in vitro and in vivo. Clin Mater. 1994;17(3):119–23.
Vert M, et al. Something new in the field of PLA/GA bioresorbable polymers? J Control Release. 1998;53(1–3):85–92.
Kulkarni R, et al. Polylactic acid for surgical implants. Washington, DC: Walter Reed Army Medical Center; 1966.
Hollinger JO. Preliminary report on the osteogenic potential of a biodegradable copolymer of polyactide (PLA) and polyglycolide (PGA). J Biomed Mater Res. 1983;17(1):71–82.
Mäkelä P, et al. Strength retention properties of self-reinforced poly-l-lactide (SR-PLLA) sutures compared with polyglyconate (MaxonR) and polydioxanone (PDS) sutures. An in vitro study. Biomaterials. 2002;23(12):2587–92.
Bohnert K, et al. Randomized, controlled, multicentered, double-blind investigation of injectable poly-l-lactic acid for improving skin quality. Dermatol Surg. 2019;45(5):718–24.
Makadia HK, Siegel SJ. Poly lactic-co-glycolic acid (PLGA) as biodegradable controlled drug delivery carrier. Polymers. 2011;3(3):1377–97.
Budak K, Sogut O, Aydemir Sezer U. A review on synthesis and biomedical applications of polyglycolic acid. J Polym Res. 2020;27(8):208.
Christen M-O, Vercesi F. Polycaprolactone: how a well-known and futuristic polymer has become an innovative collagen-stimulator in esthetics. Clin Cosmet Investig Dermatol. 2020;13:31–48.
Wong V. The science of absorbable poly(l-lactide-co-ε-caprolactone) threads for soft tissue repositioning of the face: an evidence-based evaluation of their physical properties and clinical application. Clin Cosmet Investig Dermatol. 2021;14:45–54.
Jelonek K, et al. Novel poly(l-lactide-co-ε-caprolactone) matrices obtained with the use of Zr[Acac]4 as nontoxic initiator for long-term release of immunosuppressive drugs. Biomed Res Int. 2013;2013:607351.
Ramot Y, et al. Long-term local and systemic safety of poly(l-lactide-co-ε-caprolactone) after subcutaneous and intra-articular implantation in rats. Toxicol Pathol. 2015;43(8):1127–40.
Fukaya M. Two mechanisms of rejuvenation using thread lifting. Plast Reconstr Surg Glob Open. 2018;6(12):e2068.
Della Torre F, Della Torre E, Di Berardino F. Side effects from polydioxanone. Eur Ann Allergy Clin Immunol. 2005;37(2):47–8.
Guardiani E, Davison SP. Angioedema after treatment with injectable poly-l-lactic acid (sculptra). Plast Reconstr Surg. 2012;129(1):187e–9e.
Gan Z, et al. Enzymatic degradation of poly(ε-caprolactone)/poly(dl-lactide) blends in phosphate buffer solution. Polymer. 1999;40(10):2859–62.
Nakayama A, et al. Hydrolytic degradation of poly(l-lactide-co-ε-caprolactone). In: Advanced biomaterials in biomedical engineering and drug delivery systems. Tokyo: Springer Japan; 1996.
Sabino MA, et al. Study of the hydrolytic degradation of polydioxanone PPDX. Polym Degrad Stab. 2000;69(2):209–16.
Loo JSC, Ooi CP, Boey FYC. Degradation of poly(lactide-co-glycolide) (PLGA) and poly(l-lactide) (PLLA) by electron beam radiation. Biomaterials. 2005;26(12):1359–67.
Azimi B, et al. Poly(lactide-co-glycolide) fiber: an overview. J Eng Fibers Fabrics. 2014;9(1):155892501400900107.
Al-Mubarak L, Al-Haddab M. Cutaneous wound closure materials: an overview and update. J Cutan Aesthet Surg. 2013;6(4):178–88.
Pillai CKS, Sharma CP. Absorbable polymeric surgical sutures: chemistry, production, properties, biodegradability, and performance. J Biomater Appl. 2010;25(4):291–366.
Luck RP, et al. Cosmetic outcomes of absorbable versus nonabsorbable sutures in pediatric facial lacerations. Pediatr Emerg Care. 2008;24(3):137–42.
Moon H-J, Chang D, Lee W. Short-term treatment outcomes of facial rejuvenation using the mint lift fine. Plast Reconstr Surg Glob Open. 2020;8(4):e2775.
Gavrila DE, et al. Advanced polypropylene and composites with polypropylene with applications in modern medicine. In: Composite materials. IntechOpen; 2020.
Orringer M, et al. Polypropylene suture in esophageal and gastrointestinal operations. Surg Gynecol Obstet. 1977;144(1):67–70.
Razumov M, et al. Polypropylene suture material with anti-inflammatory action. Iran Polym J. 2018;27(9):629–34.
Kim B, Oh S, Jung W. Type of absorbable thread products. In: The art and science of thread lifting. Springer; 2019. p. 73–7.
Wu WT. Barbed sutures in facial rejuvenation. Aesthet Surg J. 2004;24(6):582–7.
Kalra R. Use of barbed threads in facial rejuvenation. Indian J Plast Surg. 2008;41(Suppl):S93–S100.
Fundaro SP, et al. Expert consensus on soft-tissue repositioning using absorbable barbed suspension double-needle threads in Asian and Caucasian patients. J Cutan Aesthet Surg. 2021;14(1):1–13.
Cui H. Aesthethic thread rejuvenation in Asians. In: Ruff GL, editor. Several viewpoints on thread rejuvenation. Peking University Medical Press; 2019.
Cobo R. Use of polydioxanone threads as an alternative in nonsurgical procedures in facial rejuvenation. Facial Plast Surg. 2020;36(04):447–52.
Fukaya M. Long-term effect of the insoluble thread-lifting technique. Clin Cosmet Investig Dermatol. 2017;10:483–91.
Alcolea JM, Trelles M. Biostimulation threads: scientific evidence and systematic review of their efficacy and safety. Union of Aesthetic Medicine-UIME; 2016. p. 26.
Amuso D, et al. Histological evaluation of a biorevitalisation treatment with PDO wires. Union of Aesthetic Medicine-UIME; 2015. p. 111.
Villa MT, et al. Barbed sutures: a review of the literature. Plast Reconstr Surg. 2008;121(3):102e–8e.
Bisaccia E, et al. Midface lift using a minimally invasive technique and a novel absorbable suture. Dermatol Surg. 2009;35(7):1073–8.
Matarasso A, Rosen AD. New and emerging uses of barbed suture technology in plastic surgery. Aesthet Surg J. 2013;33(3_Supplement):90S–5S.
Beer K. Delayed complications from thread-lifting: report of a case, discussion of treatment options, and consideration of implications for future technology. Dermatol Surg. 2008;34(8):1120–3.
Kim J, et al. Investigation on the cutaneous change induced by face-lifting monodirectional barbed polydioxanone thread. Dermatol Surg. 2017;43(1):74–80.
DeLorenzi CL. Barbed sutures: rationale and technique. Aesthet Surg J. 2006;26(2):223–9.
Song JK, et al. Favorable crisscrossing pattern with polydioxanone: barbed thread lifting in constructing fibrous architecture. Aesthet Surg J. 2021;41(7):NP875–86.
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Samizadeh, S., Samizadeh, S. (2024). Thread Types and Materials. In: Samizadeh, S. (eds) Thread Lifting Techniques for Facial Rejuvenation and Recontouring. Springer, Cham. https://doi.org/10.1007/978-3-031-47954-0_8
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DOI: https://doi.org/10.1007/978-3-031-47954-0_8
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