{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:49:28Z","timestamp":1781484568268,"version":"3.54.1"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T00:00:00Z","timestamp":1689724800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Facial thread lifting is a highly demanded procedure in esthetic clinics worldwide. The aim of this retrospective study is to evaluate the clinical effectiveness and overall patients\u2019 satisfaction of a new generation of barbed threads, in which a hyaluronic acid (HA) coat was added to the PLLA\/PCL threads and compare the results with PLLA\/PCL threads without HA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Twenty patients treated with the PLLA\/PCL threads with or without hyaluronic acid (HA) were compared for FaceQ scales: Age appraisal, psychological function, skin satisfaction, satisfaction with facial appearance, appraisal lines of nasolabial folds, satisfaction of lower face, and jaw were compared at baseline, 4 and 12\u2009months post\u2010treatment. Early impact on life and the skin adverse effects were assessed 1\u2009week post\u2010treatment. Finally, patients and two physicians provided the GAIS score at 4 and 12\u2009months and a comparison was made between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a statistically significant improvement in all scales of FaceQ for all included patients at baseline and at 4 and 12\u2009months post\u2010treatment. Importantly, there were less skin\u2010related adverse effects such as skin redness, uneven tone, irregular surface, burning, and itching sensation at a recovery period (1\u2009week post\u2010treatment) in the group receiving HA\u2010containing threads.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A notably higher long\u2010term improvement in aging appearance, satisfaction with face appearance, lower jaw and face as well as GAIS was seen in the group treated with HA\u2010containing threads compared to the other treatment arm.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.15885","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T11:12:31Z","timestamp":1689765151000},"page":"186-192","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The third generation barbed lifting threads: Added value of hyaluronic acid"],"prefix":"10.1111","volume":"23","author":[{"given":"Georges","family":"Ziade","sequence":"first","affiliation":[{"name":"Faculty of Medicine Lebanese University  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dayane","family":"Daou","sequence":"additional","affiliation":[{"name":"Department of Anesthesia American University of Beirut Medical Center\u2013Beirut\u2010Lebanon  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Desiree","family":"Karam","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Holy Spirit University of Kaslik  Jounieh Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Tsintsadze","sequence":"additional","affiliation":[{"name":"Clinic of Plastic and Aesthetic Surgery and Cosmetology Total Charm  Tbilisi 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