The laxity of the connective tissue is no longer a limit to suspension threads

This is a post from Doctor Foumenteze’s blog

For several years, I had observed cases of threadlift failures. These cases, although rare, were of concern to me. They always responded to the same scenario: an immediate and very convincing result that enthused the patient and then vanished in 3 to 4 weeks, bringing frustration, disappointment and incomprehension to both the patient and myself.

It took me several years to understand the reason for this and to identify the culprit: it is called connective tissue.

Connective tissue can be compared to a three-dimensional spider’s web made up of two well-known proteins: collagen and elastin. This connective tissue is our real building block, extending from the surface of our bones through the subcutaneous tissue to our skin. Usually quite firm and toned, it is sometimes much more lax, allowing the skin to glide freely over this subcutaneous tissue, much like the skin of dogs or cats.

The suspension threads are normally placed in this subcutaneous tissue which is a superficial fatty layer also called hypodermis. Their purpose is to reposition this fat as well as the skin. However, if the connective tissue that connects the fat to the skin is very lax, the repositioning of the connective tissue will have almost no effect on the skin. We have now reached the cause of the failure mentioned above! Once the post-operative oedema has been resolved, the skin poorly maintained by a very lax connective tissue will return to its initial position, and the lifting effect will be lost.

But then, is there a solution?

Yes, it is necessary for the threads to hold the skin more firmly in place. The threads will therefore have to be implanted more superficially, much closer to the skin.

The difficulty lies in implanting them close enough to the skin to be effective, but not so close that the stitches do not become visible under the skin. Experience has shown that this can be achieved thanks to a specific know-how and that patients with this anatomical feature can be offered the same quality of results.