{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:58:36Z","timestamp":1791241116608,"version":"4.1.0"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Marionette lines and jowl ptosis present unique challenges in Asian populations due to distinct anatomical variations. The modiolus in Asians is positioned approximately 11\u2009mm lateral and 9\u2009mm inferior to the oral commissure, compared to at or above the commissure in Caucasian and African populations, predisposing to downturned oral commissures and age-related ptosis. This innovation describes a dual-technique approach combining multidirectional barbed threads for deep structural lifting with volumizing monofilament threads for superficial rhytide correction. Barbed threads are anchored at Lor\u00e9's fascia in the sub-superficial musculoaponeurotic system plane, engaging ptotic jowl tissues with vectors perpendicular to the marionette line. This combined strategy addresses both deep ptosis and superficial lines while preserving natural facial dynamics and avoiding critical perioral neurovascular structures. The technique offers a minimally invasive solution tailored to Asian facial anatomy.<\/jats:p>","DOI":"10.1055\/a-2923-5767","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T22:51:10Z","timestamp":1785279070000},"page":"390-394","source":"Crossref","is-referenced-by-count":0,"title":["Marionette Line Correction Using Threads"],"prefix":"10.1055","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2388-5000","authenticated-orcid":false,"given":"Gi-Woong","family":"Hong","sequence":"additional","affiliation":[{"name":"Samskin Plastic Surgery Clinic, Korea (the Republic of)","place":["Seoul"],"department":["Department of Plastic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2507-4524","authenticated-orcid":false,"given":"Jovian","family":"Wan","sequence":"additional","affiliation":[{"name":"Medical Research Inc, Korea (the Republic of)","place":["Wonju"],"department":["Department of Aesthetic"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4192-7002","authenticated-orcid":false,"given":"Song-Eun","family":"Yoon","sequence":"additional","affiliation":[{"name":"Brandnew Aesthetic Surgery Clinic, Korea (the Republic of)","place":["Seoul"],"department":["Division of Aesthetic"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5572-1364","authenticated-orcid":false,"given":"Kyu-Ho","family":"Yi","sequence":"additional","affiliation":[{"name":"Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, Korea (the Republic of)","place":["Seoul"],"department":["Department of Oral Biology, Division in Anatomy and Developmental Biology"]},{"name":"You and I Clinic, Republic of Korea","place":["Seoul"],"department":["Department of Aesthetic Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,10,5]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1007\/s00276-014-1330-6","article-title":"An anatomical study of the risorius in Asians and its insertion at the modiolus","volume":"37","author":"H S Kim","year":"2015","journal-title":"Surg Radiol Anat"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"1414","DOI":"10.1097\/SCS.0b013e318292c939","article-title":"Histomorphologic approach for the modiolus with reference to reconstructive and aesthetic surgery","volume":"24","author":"S K Yu","year":"2013","journal-title":"J Craniofac Surg"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1055\/s-0041-1725104","article-title":"Anatomy and aging of the perioral region","volume":"37","author":"E Morera Serna","year":"2021","journal-title":"Facial Plast Surg"},{"issue":"10","key":"ref4","doi-asserted-by":"crossref","first-page":"1292","DOI":"10.1016\/j.bjps.2012.04.047","article-title":"The subcutaneous fat compartments in relation to aesthetically important facial folds and rhytides","volume":"65","author":"M Gierloff","year":"2012","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1007\/s00266-007-9060-3","article-title":"Surgical anatomy of the lower face: the premasseter space, the jowl, and the labiomandibular fold","volume":"32","author":"B C Mendelson","year":"2008","journal-title":"Aesthetic Plast Surg"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"e13676","DOI":"10.1111\/srt.13676","article-title":"Why do marionette lines appear? Exploring the anatomical perspectives and role of thread-based interventions","volume":"30","author":"G W Hong","year":"2024","journal-title":"Skin Res Technol"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1097\/00006534-199802000-00037","article-title":"The anatomy of the labiomandibular fold","volume":"101","author":"J E Pessa","year":"1998","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"47","DOI":"10.4103\/JCAS.JCAS_41_20","article-title":"Thread lifting of the jawline: a pilot study for quantitative evaluation","volume":"14","author":"A Diaspro","year":"2021","journal-title":"J Cutan Aesthet Surg"},{"issue":"12","key":"ref9","doi-asserted-by":"crossref","first-page":"4153","DOI":"10.1111\/jocd.16520","article-title":"Reverse and antegrade vector thread lifting techniques: correcting nasolabial and marionette lines","volume":"23","author":"S Y Park","year":"2024","journal-title":"J Cosmet Dermatol"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"e13650","DOI":"10.1111\/srt.13650","article-title":"SMAS repositioning technique utilizing cog thread: anatomical perspectives","volume":"30","author":"G-W Hong","year":"2024","journal-title":"Skin Res Technol"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.2147\/CIA.S48102","article-title":"Perioral rejuvenation: restoration of attractiveness in aging females by minimally invasive procedures","volume":"8","author":"U Wollina","year":"2013","journal-title":"Clin Interv Aging"},{"issue":"01","key":"ref12","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1007\/s00266-022-02996-3","article-title":"The surgical anatomy of the jowl and the mandibular ligament reassessed","volume":"47","author":"L Minelli","year":"2023","journal-title":"Aesthetic Plast Surg"},{"issue":"08","key":"ref13","doi-asserted-by":"crossref","first-page":"e1004","DOI":"10.4317\/jced.61861","article-title":"Anatomical characteristics of mental foramen and canal: a cone-beam computed tomography analysis","volume":"16","author":"E Mallahi","year":"2024","journal-title":"J Clin Exp Dent"},{"issue":"04","key":"ref14","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/j.fsc.2007.07.001","article-title":"The use of botulinum toxin A in perioral rejuvenation","volume":"15","author":"S E Kaplan","year":"2007","journal-title":"Facial Plast Surg Clin North Am"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2923-5767.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:45:56Z","timestamp":1791240356000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2923-5767"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,28]]},"references-count":14,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2026,10,5]]},"published-print":{"date-parts":[[2026,9]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2923-5767","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,7,28]]},"published":{"date-parts":[[2026,7,28]]}}}