Facial rejuvenation with Facial Wires

On the face, the first signs of aging begin on the eyelids and "a posteriori" in the middle third of the face and in the lower third. In other words, aging is the soft structures fall projection both down and internally.

We spent an oval shape of the younger face, a squarer face more aged face. If we compare our face to a triangle, we have, in the young their base in the upper region and its apex in the region of its lower region., And aged face the triangle is inverted, leaving its base below.

 In the process of facial aging is the loss of collagen and sagging of the face supporting tissues, with consequent loss of face litter, training Chinese mustache, fat scroll down giving aspect buldog and loss of jaw outline.

The first yarns have been developed from Prolene R, nonabsorbable material thicker with claws, but the result would last a few months and the complication rate was not uncommon. The Russian threads, created in 2002, had double claws also nonabsorbable, biocompatible, not very resistant biodegradable. For years had an application, but the index results below expectations, and complications also had a high frequency, especially in thin-skinned people, extrusions, marks the path among others were the problems, and the withdrawal of difficulty. Then in 2006 in Brazil, launched the polypropylene yarn with double claws, chemical and biological characteristics similar to Russian. At the same time the Russian wire, was released the Bulgarian wire or elastic, made of polycaproamide, synthetic, hypoallergenic, co elastic, flexible and resistant, with good tolerance by the body and resorption after an average of three years. It has different thicknesses. Need anchor in periosteum. And in 2005, the French wire, polypropylene, with claws like French hands, and similar characteristics citadas.Tem great pulling power as double claws, and suspends more tissue. These procedures are performed under local anesthesia and microcanulas for the passage of the wire. The problem was, indications trying to replace the surgical facelift, which did not result in conduct often the expectations of the patient, the complications and complications that were not infrequent, even with the years, and the removal of difficulty was when necessary.

In 2011 began arriving in Brazil, the absorbable sutures bringing a new panorama, the possibility of outcome and treatment, keeping the procedure with local anesthesia, and every year more single yarn, fewer complications, but do not forget the indications and limitations of the procedure as well as the real possibility of a result to be avaliada.A durability is about 18 months on average, the procedure can be repeated then.

Products on the market of substances that have emerged with the promise to slow the aging of skin, soften wrinkles, creating a more youthful and rested appearance does not stop growing. One of the products available is polylactic acid, and is high in momento.Usado for the treatment of facial lipodystrophy, a problem that affects patients in anti-HIV treatment, causing a gaunt look on his face, for great weight loss and the natural aging has been done in injectable form with sucesso.A difference of polylactic acid to other forms of padding is not in camouflage, but, in the induction of collagen formation, that is, treatment to combat sagging, facial remodeling and consequent individual variable rejuvenescion. Of course,  the individual, it depends on the product interaction with the body of the patient. Generally the product is indicated for patients with no less than 40 years, after careful clinical assessment, that it clear.In this case  polylactic acid should be applied in several different parts of the face, network format, while other substances are applied directly on rugas.A thereafter began the studies of face yarn the basis of this substance, and derivatives, with the initial security purposes injectable. It'smade by introducing of polylactic acid, a biocompatible polymer also used in wrinkle filling. This acid has an edge over other subcutaneous wires, as the Russian wire. Shaped tensioning wires, wire polylactic acid has double efficacy. In addition to providing a variable facial lifting effect on a case, it acts also stimulating collagen production by local inflammatory reaction, a progressive effect, which has peak, according to neocolagenogênese around the 21st day, varying case case being progressive and may extend up to 6 months in many patients.

The technique of polydioxanone yarn, more recent, was discovered in Korea, said V- lift in the middle of the year 2006 by renowned Dr.Kwon Han, Korean cosmetic surgeon ,. It was noticed that the scar was less evident with the use of polydioxanone yarn and also the skin around was with a younger appearance. The work was to develop a technique to put the wire under the skin of a less traumatic as possible. Such wire is theoretically 100% biodegradable, or resorbable, so overcoming the major complications of non-absorbable sutures, combined introduction through agulhas.A thin Polydioxanone is a synthetic absorbable monofilament prepared from polyester, poly (p-dioxanone )

Indications of a the general form of yarn introduction are:

Ptosis (drooping) of the skin of the midface
Ptosis mandibular line
Ptosis of the eyebrow
sagging facial or other smaller pieces
Loss of the malar volume

The method of wiring application may be indicated in several flights from face and neck, allowing for improvement in some cases a better facial contour, suspend structures, alleviate wrinkles and folds, increasing volume and assist in the recovery of the "firmness" .

On average 4 to 8 are placed face yarn depending on the clinical study of the face. As the wires are delicate, with fine scales for traction and fixation, there is a time for stabilizing the same, post-procedure care, and wait for the reabsorption of hematoma and local edema, and early inflammation and collagen formation. A caution is not immediate massage, as indicated in the fillers as it may cause displacement of the wires and break the delicate fastenings by the claws.
 An important caution is excess facial fat and sagging, that is, would hardly indicated the procedure, not producing a good result and generating a frustration in the patient, bringing a wrong concept to the method; which should not occur, or the indication of a facial surgical facelift should not be replaced by wire or fillers, with the high risk of an unsatisfactory result, invalidating the method, not because it is not good, but because it was hardly mentioned.

So this procedure lie with common sense in the statement, can have great help in rejuvenating, but it is not a substitute of surgical facelift already indicated, may even further in some situations. Knowing the local lock techniques and local anesthetics, application indication areas and their vectors are key. So we will have a method available to patients to aid in cosmetic and plastic surgery, with due indication, application and careful clarification of the patient about the benefits of effective results possible, and complications.

"Illustrations are the publication in Portuguese, thanks.

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