J Cosmet Med 2017; 1(1): 57-59
Published online June 30, 2017
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
© Korean Society of Korean Cosmetic Surgery & Medicine
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
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 & Medicine.
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
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
Hosun Chang, MD, MS, Kyoungjin Kang, MD, PhD
J Cosmet Med 2022; 6(1): 13-19 https://doi.org/10.25056/JCM.2022.6.1.13Uekyoung Hwang, MD, MPH, Juyoung Lee, MD, Kyoungjin Kang, MD, PhD
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