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Editor's Correspondence
Jul/Aug 2008

Thread-lifts: The Good, the Bad, and the Ugly

Arch Facial Plast Surg. 2008;10(4):284-285. doi:10.1001/archfaci.10.4.284

In recent years, parallel with the rise in interest in antiaging therapy, there has been an increasing demand from patients for facial plastic surgeons to explore and develop less invasive alternatives to cosmetic surgical procedures, particularly minimally invasive methods of facial rejuvenation. In this context, the barbed suture was introduced and popularized in the late 1990s.1 These so-called thread-lifts were met with initial enthusiasm and demonstrated application in treatment of the nasolabial fold, melomental fold, lateral brow, and platysma banding. They were soon popularized, and series of up to 350 patients with good results were soon presented.2 We similarly began incorporating threads into the senior author's (D.A.F.E.) practice and offered them to patients with modest expectations who were reluctant to undergo more invasive surgical intervention.

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