Ali Sahan

Background: Eyebrow region is a dynamic region, and it has a thinner skin prone to wrinkles and sagging. Descended brows could be repositioned immediately with fewer complications by the use of the threads. Despite all its advantages, the main drawback of absorbable thread lift is its short duration of lifting effect.Aims: This report aims to describe our thread lift technique we have implemented to counteract the descent of the brows and evaluate our results in 50 patients.Patients/Methods: A retrospective chart review was carried out over a period of 1 year from September 2019 to 2020 for the patients who underwent thread lifting for eyebrows in a private clinic in Ankara. Complications after the procedure, durability of the results, global esthetic improvement scale (GAIS) score, and patient satisfaction survey scores were recorded.Results: The study group was composed of 50 female patients with a median age of 34 years. The median duration of the procedure is 15 months. Nine (18%) patients experienced complications related to the procedure including ecchymosis, edema, erythema, skin dimpling, and pain. Three weeks after the procedure, the position of the eyebrows of eight (16%) patients were improved, 18 (36%) patients were much improved, and 24 (48%) patients were very much improved according to GAIS.Conclusions: So far, the most disappointing feature of the threads was the poor long‐term sustainability of the outcomes. Our thread lift technique for brows offers a significant improvement in the position of the eyebrows in a short time with decreased downtime. More importantly, it can be possible to improve the longevity of the results with this approach.

Background: The eyes are one of the most prominent features of the face. To date, a vast majority of procedures have been described for periorbital rejuvenation. Among them, non‐surgical threading is an alternative and minimally invasive technique. Objective: We developed a new non‐surgical threading technique to achieve long‐lasting almond‐shaped upturned eyes with brow lifting that we call “brow gliding”. We developed a new non‐surgical threading technique to achieve long‐lasting almond‐shaped upturned eyes with brow lifting that we call “brow gliding”. Here, we present details of our procedure and the clinical experience of our patients who have at least a 6‐month follow‐up period. Methods and Materials: We used polydioxanone cog threads in combination with knots to lift the lateral sides of the brows and eyes. By burying these knots in the subcutaneous tissue and extending the threads to the scalp fascia, we were able to spread the load of the threads over multiple stable structures in order to achieve an effective lifting impact. Results: According to the subjective assessment scale, all patients described the improvements as very good or beyond expectations after the procedure. During the follow‐up period, 4 of 34 (11.8%) patients stated it was very good and 19 of 34 (55.9%) patients stated that it was still beyond expectations. Conclusion: The Brow Gliding technique is a promising office‐based cosmetic procedure for periorbital aesthetics with a prominent outcome and minimally invasive fashion.

Background: A chin that is of right size, shape, and contour plays a crucial role in overall facial balance and esthetically harmonious appearance. Dermal fillers have been widely used for correcting mild to moderate chin retrusion and resorption.Aims: The aim of this study was to share our preferential technique for chin augmentation and to evaluate our results in 50 patients.Methods: A total of 50 patients consisting of females who received hyaluronic acid injection for chin augmentation and rejuvenation were enrolled in the study. We have described chin augmentation technique with the use of cannula from a single, midline entry point.Results: The study included 50 female patients, and the mean age was 37.56 ± 8.84 years. The median injected filler volume for augmentation of the mental area was 2.25 mL (minimum = 1, maximum = 4 mL). Four (8%) patients had ecchymosis related to the procedure.Conclusion: Chin has a profound effect on the perception of attractiveness and is an area of concern for rejuvenation of the lower third of the face. Our preferential technique allows the practitioners to increase the likelihood of a satisfactory esthetic outcomes and minimize the risks of the procedure.

Background: Hyaluronic acid (HA) fillers have been widely used for reversing the signs of the aging face. Injectable fillers are particularly effective in treating vertical glabellar wrinkles.Aims: The aim of this study was to share our own safe glabella filling technique and to evaluate our results in 50 patients with facial rejuvenation.Methods: A total of 50 patients consisting of women and men with moderate to severe glabellar rhytids were enrolled in the study. Patients were evaluated before the injection procedure and 2 weeks after the procedure by using the Rao‐Goldman scale. We have described a new three‐point filler technique.Results: Of 50 patients, 39 were females and 11 males, and the mean age was 39.82 ± 6.44 years. The mean volume of HA that was injected into the glabellar wrinkles was 0.61 ± 0.12 mL. Eight patients had experienced mild complications related to the procedure. None of the patients had experienced skin necrosis and visual impairment.Conclusion: Our technique is a simple and safe procedure to correct glabellar rhytids. Practitioners should be aware of the safe injection techniques, potential complications, and management of these complications for a good clinical practice.