The use of barbed polydioxanone (PDO) sutures for face recontouring is safe and effective, with results lasting at least 24 weeks. These are the findings of a study by Lukasz Preibisz, MD, Florence Boulmé, PhD, and Z. Paul Lorenc, MD, FACS, which was published in the Aesthetic Surgery Journal (October 9, 2021).
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The authors performed a retrospective chart review of patients routinely treated with barbed PDO sutures on the face. Aesthetic improvement was evaluated at six-, 12- and 24 weeks posttreatment by the treating physician, the patient and an independent photographic reviewer. The investigators used markerless tracking analysis to objectively measure procedure effect. Patient satisfaction with the treatment outcome was also evaluated.
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Sixty patients were treated with a total of 388 barbed sutures in various anatomical areas and followed-up for 24 weeks. At Week 24, the aesthetic improvement rate was 80% to 100% (depending on the evaluator), skin movements related to pre-treatment photographs showed significant changes across several different anatomical regions and 97% of patients were satisfied with the overall treatment outcome. Adverse events, which were transient, mild and short-lasting (mostly pain and hematoma), occurred in 15% of patients.
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The authors found that barbed PDO sutures are safe and highly effective for aesthetic corrections, with results lasting for at least 24 weeks.