With an aim at reducing surgical complications, the authors describe an innovative technique - the hemostatic enclosure - performed with simple interrupted surgical stitches. The technique is indicated for lesions of any size, due to its simple implementation and because it results in the increased safety of surgical procedures.

Keywords: HEMOSTASIS; HEMOSTASIS, SURGICAL; AMBULATORY SURGICAL PROCEDURES; SUTURES.

INTRODUCTION: Injectable use of poly-L-lactic acid (PLLA), biocompatible absorbable polymer with a high capacity to stimulate collagen, is already well-established in Cosmetic Dermatology. PLLA lifting threads, studded with poly-L-lactic-co-glycolic (PLGA) cones, besides triggering neocollagenesis through subclinical inflammatory response, provide a lifting effect due to the traction caused by these cones. The interest in thread lifting is in evidence and needs detailed studies for the evaluation of treatment indications, complications, and efficacy.
OBJECTIVES: This study aimed at evaluating safety, efficacy and patient satisfaction in regards to rejuvenation after facial lifting using the absorbable suture.
METHODS: Twenty-one patients with laxity of the middle and lower third of the face were selected and submitted to the treatment with lifting threads. A satisfaction questionnaire was applied.
RESULTS: In this study, 71.4% of the patients reported great aesthetic result three months after the procedure. Side effects such as bruising, pain and uneven facial skin surface were described mainly on the first week after the procedure.
CONCLUSIONS: PLLA sutures with PLGA cones was effective for the treatment of mild to moderate facial laxity in well-indicated patients, and the side effects were minimal when compared to invasive techniques. These results should be confirmed by studies with a larger number of individuals.

Keywords: Ambulatory surgical procedures; Sutures; Rejuvenation

The first publications regarding aesthetic treatments with polydioxanone threads (PDO) date to 2015 and were preceded by the establishment of this polymer use for surgical sutures as a safe, less inflammatory option that brings superior final aesthetic-functional results. The present article describes a series of five patients that received PDO thread lifting for abdominal periumbilical laxity.

Keywords: Body contouring; Polydioxanone; Sutures; Esthetics; Cosmetic techniques; Dermatologic surgical procedures

Polydioxanone (PDO) threads have been used as a non-surgical alternative to treat skin laxity. This article describes the technique of applying mono, twin, and screw PDO threads around the umbilical scar forming a support mesh on the abdominal wall, to pull the skin in this region in the opposite direction to gravity. The authors present the results obtained with the technique one and four months after the procedure, showing the improvement of tissue connection with the repositioning of the abdominal scar and general aesthetic improvement.

Keywords: Scar; Esthetics; Cosmetic Techniques; Skin; Polydioxanone; Methods