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J Cosmet Med 2017; 1(1): 57-59

Published online June 30, 2017

https://doi.org/10.25056/JCM.2017.1.1.57

Improvement of aged lower eyelid by insertion of polydioxanone threads

Ue-Kyoung Hwang, MD, MPH1, Yong-Hyun Kwon, MD2, Yong-Jin Cho, PhD3, Kyoung-Jin Kang, MD, PhD4

1Yeline Esthetic Clinic, Bundang, Korea, 2Bloom Esthetic Clinic, Seoul, Korea, 3College of Fine Arts, Han-nam University, Daejeon, Korea, 4Seoul Cosmetic Surgery Clinic, Busan, Korea

Correspondence to :
Ue-Kyoung Hwang, Yeline Esthetic Clinic, 73 Dolma-ro, Bundang-gu, Seongnam 13618, Korea
Tel: 82-31-703-4400, Fax: 82-31-703-2938, E-mail: yjukhome@daum.net

Received: March 21, 2017; Revised: April 17, 2017; Accepted: April 18, 2017

© Korean Society of Korean Cosmetic Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Orbital fat protrusion, skin laxity with wrinkling, and tear trough deformity with hyperpigmentation of the lower eyelid make individuals appear fatigued and elderly. For cosmetic correction of the aged lower eyelid, either invasive blepharoplasties or less invasive procedures such as filler, high frequency device therapy or laser therapy are popularly performed. Currently in Korea, polydioxanone (PDO) thread is commonly utilized to tighten and lift the aged face. We present a case report demonstrating improvement of orbital fat protrusion, skin laxity with wrinkles, and tear trough deformity following insertion of PDO threads into the lower eyelid of an aging patient. Twenty PDO threads (6.0 USP, 30 mm in length, New Up PDO suture Kit? produced by Meditronic Dongjun) were inserted at 1-mm intervals into the submuscular layer and the protruded orbital fat pads of both lower eyelids of a 54-year-old patient. Two months following intervention, the patient presented with flattening of the protruded orbital fat, skin tightening and wrinkle improvement, volume restoration in tear trough deformity, and skin whitening; the patient was satisfied with the results of the therapy. Common complications such as persistent swelling, hematoma, skin irregularity, and infection were not observed during follow-up assessments. Our findings suggest that PDO thread insertion may be a useful, non-invasive procedure to rejuvenate the aged lower eyelid of patients with anxieties regarding potential complications due to invasive lower blepharoplasty.

Keywords: polydioxanone, rejuvenation, aged lower eyelid, orbital fat protrusion’ tear trough deformity, lower skin laxity

  1. Farkas JP, Pessa JE, Hubbard B, Rohrich RJ. The science and theory behind facial aging. Plast Reconstr Surg Glob Open 2013;1:e8-e15.
    Pubmed KoreaMed CrossRef
  2. Levesque AY, de la Torre JI. Midface anatomy, aging, and aesthetic analysis. Facial Plast Surg Clin North Am 2015;23:12936.
    Pubmed CrossRef
  3. Friedmann DP, Goldman MP. Dark circles: etiology and management options. Clin Plast Surg 2015;42:33-50.
    Pubmed CrossRef
  4. Suh DH, Jang HW, Lee SJ, Lee WS, Ryu HJ. Outcomes of polydioxanone knotless thread lifting for facial rejuvenation. Dermatol Surg 2015;41:720-5.
    Pubmed CrossRef
  5. Yoon JH, Kim SS, Kim DI. Skin rejuvenation to make use of absorbable PDO suture in regenerative medicine. Seoul: MD WORLD Medical Publishing Co.; 2012.
  6. Moshiri A, Oryan A, Meimandi-Parizi A. Synthesis, development, characterization and effectiveness of bovine pure platelet gel-collagen-polydioxanone bioactive graft on tendon healing. J Cell Mol Med 2015;19:1308-32.
    Pubmed KoreaMed CrossRef
  7. Langevin HM, Bouffard NA, Badger GJ, Churchill DL, Howe AK. Subcutaneous tissue fibroblast cytoskeletal remodeling induced by acupuncture: evidence for a mechanotrasductionbased mechanism. J Cell Physiol 2006;207:767-74.
    Pubmed CrossRef
  8. Gerarduzzi C, Di Battista JA. Myofibroblast repair mechanisms post-inflammatory response: a fibrotic perspective. Inflamm Res 2017;66:451-65.
    Pubmed CrossRef
  9. Kim J, Zheng Z, Kim H, Nam KA, Chung KY. Investigation on the cutaneous change induced by face-lifting monodirectional barbed polydioxanone thread. Dermatol Surg 2017;43:7480.
    Pubmed CrossRef
  10. Kim WS, Park SH, Ahn SJ, Kim HK, Park JS, Lee GY, et al. Whitening effect of adipose-derived stem cells: a critical role of TGF-beta 1. Biol Pharm Bull 2008;31:606-10.
    Pubmed CrossRef

Article

Case Report

J Cosmet Med 2017; 1(1): 57-59

Published online June 30, 2017 https://doi.org/10.25056/JCM.2017.1.1.57

Copyright © Korean Society of Korean Cosmetic Surgery.

Improvement of aged lower eyelid by insertion of polydioxanone threads

Ue-Kyoung Hwang, MD, MPH1, Yong-Hyun Kwon, MD2, Yong-Jin Cho, PhD3, Kyoung-Jin Kang, MD, PhD4

1Yeline Esthetic Clinic, Bundang, Korea, 2Bloom Esthetic Clinic, Seoul, Korea, 3College of Fine Arts, Han-nam University, Daejeon, Korea, 4Seoul Cosmetic Surgery Clinic, Busan, Korea

Correspondence to:Ue-Kyoung Hwang, Yeline Esthetic Clinic, 73 Dolma-ro, Bundang-gu, Seongnam 13618, Korea
Tel: 82-31-703-4400, Fax: 82-31-703-2938, E-mail: yjukhome@daum.net

Received: March 21, 2017; Revised: April 17, 2017; Accepted: April 18, 2017

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Orbital fat protrusion, skin laxity with wrinkling, and tear trough deformity with hyperpigmentation of the lower eyelid make individuals appear fatigued and elderly. For cosmetic correction of the aged lower eyelid, either invasive blepharoplasties or less invasive procedures such as filler, high frequency device therapy or laser therapy are popularly performed. Currently in Korea, polydioxanone (PDO) thread is commonly utilized to tighten and lift the aged face. We present a case report demonstrating improvement of orbital fat protrusion, skin laxity with wrinkles, and tear trough deformity following insertion of PDO threads into the lower eyelid of an aging patient. Twenty PDO threads (6.0 USP, 30 mm in length, New Up PDO suture Kit? produced by Meditronic Dongjun) were inserted at 1-mm intervals into the submuscular layer and the protruded orbital fat pads of both lower eyelids of a 54-year-old patient. Two months following intervention, the patient presented with flattening of the protruded orbital fat, skin tightening and wrinkle improvement, volume restoration in tear trough deformity, and skin whitening; the patient was satisfied with the results of the therapy. Common complications such as persistent swelling, hematoma, skin irregularity, and infection were not observed during follow-up assessments. Our findings suggest that PDO thread insertion may be a useful, non-invasive procedure to rejuvenate the aged lower eyelid of patients with anxieties regarding potential complications due to invasive lower blepharoplasty.

Keywords: polydioxanone, rejuvenation, aged lower eyelid, orbital fat protrusion’ tear trough deformity, lower skin laxity

References

  1. Farkas JP, Pessa JE, Hubbard B, Rohrich RJ. The science and theory behind facial aging. Plast Reconstr Surg Glob Open 2013;1:e8-e15.
    Pubmed KoreaMed CrossRef
  2. Levesque AY, de la Torre JI. Midface anatomy, aging, and aesthetic analysis. Facial Plast Surg Clin North Am 2015;23:12936.
    Pubmed CrossRef
  3. Friedmann DP, Goldman MP. Dark circles: etiology and management options. Clin Plast Surg 2015;42:33-50.
    Pubmed CrossRef
  4. Suh DH, Jang HW, Lee SJ, Lee WS, Ryu HJ. Outcomes of polydioxanone knotless thread lifting for facial rejuvenation. Dermatol Surg 2015;41:720-5.
    Pubmed CrossRef
  5. Yoon JH, Kim SS, Kim DI. Skin rejuvenation to make use of absorbable PDO suture in regenerative medicine. Seoul: MD WORLD Medical Publishing Co.; 2012.
  6. Moshiri A, Oryan A, Meimandi-Parizi A. Synthesis, development, characterization and effectiveness of bovine pure platelet gel-collagen-polydioxanone bioactive graft on tendon healing. J Cell Mol Med 2015;19:1308-32.
    Pubmed KoreaMed CrossRef
  7. Langevin HM, Bouffard NA, Badger GJ, Churchill DL, Howe AK. Subcutaneous tissue fibroblast cytoskeletal remodeling induced by acupuncture: evidence for a mechanotrasductionbased mechanism. J Cell Physiol 2006;207:767-74.
    Pubmed CrossRef
  8. Gerarduzzi C, Di Battista JA. Myofibroblast repair mechanisms post-inflammatory response: a fibrotic perspective. Inflamm Res 2017;66:451-65.
    Pubmed CrossRef
  9. Kim J, Zheng Z, Kim H, Nam KA, Chung KY. Investigation on the cutaneous change induced by face-lifting monodirectional barbed polydioxanone thread. Dermatol Surg 2017;43:7480.
    Pubmed CrossRef
  10. Kim WS, Park SH, Ahn SJ, Kim HK, Park JS, Lee GY, et al. Whitening effect of adipose-derived stem cells: a critical role of TGF-beta 1. Biol Pharm Bull 2008;31:606-10.
    Pubmed CrossRef

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