The Efficacy of Polycaprolactone Threads in Zygomatic and Mandibular Lifting: Consecutive Study from a Single Practitioner’s Experience.

The ageing process brings with it characteristic changes to the dermal facial skin scaffolding, and it’s fat component. Connective tissue of the skin begins to wear thin, and elastic fibers undergo a collapse, causing noticeable weakening in prominent facial regions such as the cheeks, eyebrows, mandibular area and neck [1]. It is the dermatocalasis of facial and neck soft tissues, including the Superficial Muscular Aponeurotic System (SMAS), and the muscular tissue, that is culpable for the distinctive signs of ageing of the face [2]. Of all the facial ageing signs, emphasis can be placed on; The profile of the mandibular margin (which lacks previous clarity) resulting in the down-ageing of the jaw line, The presence of horizontal wrinkles on the forehead at which vertical ones add on to at the glabellar area, A downward sliding of the zygomatic malar region (middle face) being observed, The appearance of the lachrymal furrow and deepening of the naso-buccal and mandibularbucco areas, The production of adipose bubbles resulting in the eyelid skin becoming saggy and protruding in correlation to the lower eyelid and Plasmatic parcel and cutaneous flabbiness disappearing from around the neck region [3].