Clinical efficiency of polydioxanone threads in the treatment of postpartum abdominal tissue flaccidity: case report
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Abstract
This study reports a case of abdominal flaccidity after three pregnancies in which smooth and spiculated polydioxanone threads were used, a technique not yet described in the literature to treat this complaint. The patient was followed up for 90 days. However, there was an improvement in the opening of the umbilical fold, skin tone, dermal density, and tissue flaccidity after 60 days. During this period, the patient declared that she was completely satisfied, and discharge from treatment was established. With this case report, we can conclude that the combined therapy of PDO thread screws and spiculated PDO threads (Sculpt®) resulted in very expressive outcomes regarding the quality of the skin, promoting a visible improvement in tissue flaccidity.
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References
Brightman L, Weiss E, Chapas AM, Karen J, Hale E, Bernstein L, Geronemus RG. Improvement in arm and post-partum abdominal and flank subcutaneous fat deposits and skin laxity using a bipolar radiofrequency, infrared, vacuum and mechanical massage device. Lasers Surg Med. 2009;41(10):791-8. https://doi.org/10.1002/lsm.20872 PMid:20014259 DOI: https://doi.org/10.1002/lsm.20872
Shi JW, Lai ZZ, Yang HL, Yang SL, Wang CJ, Ao D, et al. Collagen at the maternal-fetal interface in human pregnancy. Int J Biol Sci. 2020;16(12):2220-34. https://doi.org/10.7150/ijbs.45586 PMid:32549767 PMCid:PMC7294936 DOI: https://doi.org/10.7150/ijbs.45586
Hodgkinson DJ. Clinical applications of radiofrequency: nonsurgical skin tightening (thermage). Clin Plast Surg. 2009;36(2):261-8, viii. https://doi.org/10.1016/j.cps.2008.11.006 PMid:19309652 DOI: https://doi.org/10.1016/j.cps.2008.11.006
de Almeida AT, Figueredo V, da Cunha ALG, Casabona G, Costa de Faria JR, Alves EV, et al. Consensus Recommendations for the Use of Hyperdiluted Calcium Hydroxyapatite (Radiesse) as a Face and Body Biostimulatory Agent. Plast Reconstr Surg Glob Open. 2019;7(3):e2160. https://doi.org/10.1097/GOX.0000000000002160 PMid:31044123 PMCid:PMC6467620 DOI: https://doi.org/10.1097/GOX.0000000000002160
Shridharani SM, Tisch GM, Ebersole TG, Moak TN, Edwartz C. Clinical experience of poly-L-lactic acid injections for body contouring treatment. J Cosmet Dermatol. 2021;20(6):1655-62. https://doi.org/10.1111/jocd.14141 PMid:33830621 DOI: https://doi.org/10.1111/jocd.14141
Chwalek J, Goldberg DJ. Ablative skin resurfacing. Curr Probl Dermatol. 2011;42:40-7. https://doi.org/10.1159/000328243 PMid:21865797 DOI: https://doi.org/10.1159/000328243
Tavares JP, Oliveira CACP, Torres RP, Bahmad Jr F. Facial thread lifting with suture suspension. Braz J Othorinolaryngol, 2017,83(6):712- 9. https://doi.org/10.1016/j.bjorl.2017.03.015 PMid:28549872 PMCid:PMC9449186 DOI: https://doi.org/10.1016/j.bjorl.2017.03.015
Lorapandina I. Fios de PDO, nova abordagem ao rejuvenescimento da pele. Multieditora: Segunda edição, 2017.
Melo CRM, Borges ALV, Duarte LS, Nascimento NDC. Uso de métodos contraceptivos e intencionalidade de engravidar entre mulheres usuárias do Sistema Único de Saúde. Rev Latino-Am Enf, 2020:28e3328. http://doi.org/10.1590/1518-8345.3451.3328 DOI: https://doi.org/10.1590/1518-8345.3451.3328
Bolognia JL. Aging skin. Am J Med. 1995 ;98(1A):99S-103S. https://doi.org/10.1016/S0002-9343(99)80066-7 PMid:7825648 DOI: https://doi.org/10.1016/S0002-9343(99)80066-7
Veiga DF, Bussolaro RA, Kobayashi EY, Medeiros VP, Martins JR, Garcia EB, et al. Glycosaminoglycans of abdominal skin after massive weight loss in post-bariatric female patients. Obes Surg. 2011;21(6):774-82. https://doi.org/10.1007/s11695-011-0405-2 PMid:21479977 DOI: https://doi.org/10.1007/s11695-011-0405-2
Shin JJ, Park TJ, Kim BY, Kim CM, Suh DH, Lee SJ, et al. Comparative effects of various absorbable threads in a rat model. J Cosmet Laser Ther. 2019;21(3):158-62. https://doi.org/10.1080/14764172.2018.1493511 PMid:29979893 DOI: https://doi.org/10.1080/14764172.2018.1493511
Ali YH. Two years' outcome of thread lifting with absorbable barbed PDO threads: Innovative score for objective and subjective assessment. J Cosmet Laser Ther. 2018;20(1):41-49. https://doi.org/10.1080/14764172.2017.1368562 PMid:28863268 DOI: https://doi.org/10.1080/14764172.2017.1368562
Karimi K, Reivitis A. Lifting the Lower Face With an Absorbable Polydioxanone (PDO) Thread. J Drugs Dermatol. 2017;16(9):932-934.
Suh DH, Jang HW, Lee SJ, et al. Outcomes of polydioxanone knotless thread lifting for facial rejuvenation. Dermatol Surg. 2015;41:720-5. https://doi.org/10.1097/DSS.0000000000000368 PMid:25993611 DOI: https://doi.org/10.1097/DSS.0000000000000368
Ahn SK, Choi HJ. Complication After PDO Threads Lift. J Craniofac Surg. 2019;30(5):e467-9. https://doi.org/10.1097/SCS.0000000000005644 PMid:31299818 DOI: https://doi.org/10.1097/SCS.0000000000005644
Kaminer MS, Mandy S. ContourLiftTM: a new method of minimally invasive facial rejuvenation. Cosmet Dermatol 2007;20:29-35.