Journal of Cosmetic Medicine : eISSN 2586-0585 / pISSN 2508-8831

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Fig. 1. This diagram shows the entry points and vector direction to which the threads are placed for different steps. Step 1 (zygomatic/cheek to jowl): The 90 mm threads are inserted into the skin, above the zygomatic arch, passing through the superficial fat pad system and ligament (zygomatic retaining ligament, false ligament and connective tissue bands [septa]). Step 2 (temporal): The 90 mm and 115 mm threads are inserted into the skin (entry point) in the temporal area, about 10 mm from top of helix, 2 cm above and parallel to the hairline. Threads inserted in a dual-plane manner, (superficial and deep to superficial musculoaponeurotic system [SMAS]), above the zygomatic arch, passing through ligaments (inferior temporal, zygomatic cutaneous and masseteric cutaneous ligament) and superficial fat in the cheek and jowl. Step 3 (high temporal, STL): The 90 mm threads are inserted into the skin along the superficial temporal line (entry point) into in a deep plane between the superficial temporoparietal fascia and the deep temporal fascia, which fuse and merge into the plane at the level between the superficial fat (subcutaneous) and the superficial muscular aponeurotic system. STL: superior temporal line.
J Cosmet Med 2020;4:96~100 https://doi.org/10.25056/JCM.2020.4.2.96
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