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Beginning with the Aptos lift in the late 1980s, thread lifting has seen continual advances and improvement during the last 40 years. Nevertheless, for much of its long history, thread lifting was not a widely known procedure among physicians or the general public. This changed 10 years ago with the development of absorbable thread lifting techniques using polydioxanone (PDO), which precipitated the popularization of a new concept of lifting to achieve not only elevation but also tissue stimulation and regeneration and began a new chapter in the history of thread lifting.

We have accumulated much experience with both absorbable and nonabsorbable thread lift\-ing and learned a lot about their differences and respective strengths and weaknesses. However, there have still not been many studies or research papers on the theoretical background and practical techniques for absorbable thread lifting. While foreign physicians have shown great interest in absorbable thread lifting during overseas presentations and meetings in Korea, we have also felt that these physicians often gain doubts about the nature of the procedure, since they have not seen related textbooks.

We wrote this book to be a cornerstone of absorbable thread lifting, which has the poten\-tial to develop as an area of academic interest both in Korea and worldwide. Although writing this book took more time and effort than expected, in retrospect, there is still much room for improvement. We have also experienced a great amount of change and improvement in these 2 years, but we consider this a beginning and plan to further supplement and enhance this content in the future.

This book aims to describe a general, objective technique that can be used by anyone to produce similar results, rather than the individual experiences and techniques of the authors. Depending on the surgeon’s skill, it is also possible to use only monofilament thread, and in the future, as we gain more experience, we will include an explanation of a method that also uses cog thread at a level that is suited to novices and experts alike. Above all, we aimed to discuss various real clinical cases, in order to help readers familiarize the technique in practice.

We want to express our gratitude to Koonja Publishing Company’s CEO Ju-Yeon Jang, Sec\-tion Manager Ho-Hyun Lee, and Assistant Manager Eun-Hee Jo who provided material and moral assistance for the publication of this book. We would also like to thank all the esteemed teachers and colleagues who have helped us to work diligently at our respective hospitals. We hope that this book will contribute in some way to the academic advancement of absorbable thread lifting.

CH.1 The History and Theoretical Background of Thread Lifting 1
SECTION 1 History and Theoretical Background 2

CH.2 Anatomical Background of Thread Lifting 7
SECTION 1 Layers of the Face 8
SECTION 2 Vasculature and Nerves 9

CH.3 Classification and Types of Thread 13
SECTION 1 Classification of Threads by Material 14
SECTION 2 Classification of Threads by Shape 15

CH.4 Preoperative Preparations 23
SECTION 1 Consultation 24
SECTION 2 Imaging 25
SECTION 3 Surgical Preparation 25
SECTION 4 Design 28
SECTION 5 Anesthesia 28

CH.5 Thread Lifting Techniques 31
SECTION 1 Non-barbed Thread Types and Techniques 32
SECTION 2 Barbed Thread Types and Techniques 49
SECTION 3 Anchoring Techniques 55
SECTION 4 Variant Techniques 66
SECTION 5 Floating Techniques 76
SECTION 6 Vertical Lifting Techniques 88

CH.6 Case Studies of Surgical Procedures 97
SECTION 1 Summary of Basic Terms 98
SECTION 2 Case Studies of Surgical Procedures 99

CH.7 Postoperative Management 139
SECTION 1 Immediately after Surgery 140
SECTION 2 Prescription Examples 141
SECTION 3 Home Care 142
SECTION 4 Cautions 142

CH.8 Adverse Effects, Prevention, and Treatment 145
SECTION 1 Facial Asymmetry 146
SECTION 2 Ecchymosis and Hematoma 146
SECTION 3 Pain 148
SECTION 4 Palpable Thread 149
SECTION 5 Skin Dimpling 150
SECTION 6 Worsening of Mid-cheek Furrows 151
SECTION 7 Thread Migration and Protrusion 152
SECTION 8 Infection 153
SECTION 9 Nerve Injury 154
SECTION 10 Scarring 154
SECTION 11 Parotid Gland Injury 155
CH.9 Index 157
Contents