Oral Region Myomodulation and Skin Rejuvenation With Polydioxanone Threads and Hyaluronic Acid Filler: Cross-Filler Technique

Abstract

The facial aging process is progressive, and rejuvenation of the oral region is challenging, as the skin alterations also reflect the changes in the fat, muscles, ligaments, and bone. Therefore, the procedures for improving this region must be combined to optimize the result. The use of polydioxanone (PDO) threads has been increasing in cosmetic dermatology in the last few years. Different types of threads, barbed, molded, non-barbed, straight, screwed, filler, etc., are available in the market bringing new options for treatment. Here, we want to present a new technique using a particular type of PDO thread, called solid filler thread, which was developed to fill folds in the face, replacing hyaluronic acid (HA) gel in some cases. Based on its purpose, it could also act as HA filler for myomodulation with the advantage of not promoting volume next to modiolus. In our technique, we associated HA filler gel in the areas where volume was desired, such as lips and mental area. We will report some cases to illustrate our technique and show the improvement in static and dynamic wrinkles, restructuring the oral region.