Improvement of aged lower eyelid by insertion of polydioxanone threads
황우경, Kwon Yong-Hyun, 조용진, 강경진,
소속 상세정보
황우경 ( Hwang Ue-Kyoung )
Yeline Esthetic Clinic
( Kwon Yong-Hyun )
Bloom Esthetic Clinic
조용진 ( Cho Yong-Jin )
Hannam University College of Fine Arts
강경진 ( Kang Kyoung-Jin )
Seoul Cosmetic Surgery Clinic
Abstract
Orbital fat protrusion, skin laxity with wrinkling, and tear trough deformity with hyperpigmentation of the lower eyelid make individuals appear fatigued and elderly. For cosmetic correction of the aged lower eyelid, either invasive blepharoplasties or less invasive procedures such as filler, high frequency device therapy or laser therapy are popularly performed. Currently in Korea, polydioxanone (PDO) thread is commonly utilized to tighten and lift the aged face. We present a case report demonstrating improvement of orbital fat protrusion, skin laxity with wrinkles, and tear trough deformity following insertion of PDO threads into the lower eyelid of an aging patient. Twenty PDO threads (6.0 USP, 30 mm in length, New Up PDO suture Kit? produced by Meditronic Dongjun) were inserted at 1-mm intervals into the submuscular layer and the protruded orbital fat pads of both lower eyelids of a 54-year-old patient. Two months following intervention, the patient presented with flattening of the protruded orbital fat, skin tightening and wrinkle improvement, volume restoration in tear trough deformity, and skin whitening; the patient was satisfied with the results of the therapy. Common complications such as persistent swelling, hematoma, skin irregularity, and infection were not observed during follow-up assessments. Our findings suggest that PDO thread insertion may be a useful, non-invasive procedure to rejuvenate the aged lower eyelid of patients with anxieties regarding potential complications due to invasive lower blepharoplasty.
키워드
polydioxanone; rejuvenation; aged lower eyelid; orbital fat protrusion’ tear trough deformity; lower skin laxity
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