Efficiency of barbed polydioxanone threads for neck lifting using the tight neck fontana protocol: Series of cases

The aim of these clinical cases descriptions was to describe the clinical results of barbed polydioxanone (PDO) threads in neck lifting using the Tight Neck Fontana Protocol (TNFP). Three-barbed PDO threads (19G or 18G and 150 mm in length) were implanted bilaterally in six female adult patients with an indication for neck lifting. Two threads were inserted in the sub-dermis of the neck through the diagonal vectors from the angle of the mandible toward the midline and fixed with a knot. The third thread was implanted in parallel and just below the first vector. The post-operative results were evaluated by the occurrence of adverse events, scores attributed on a Visual Numerical Scale, questionnaire inquiring the satisfaction patient about the treatment (QSP), and evaluation of photographic records. The results were quite satisfactory on the procedures performed, suggesting the indication of the TNFP using barbed PDO threads for the neck lifting.