Facial Rejuvenation and Patients Satisfaction with the Fourth Generation of Aptos P(LA/CL)–Hyaluronic Acid Threads: A 12-Month Study

ObjectiveNew generation of biodegradable thread: polycaprolactone (P(LA/CL) copolymer monofilament thread coated by the shell composed of nano- and microparticles of hyaluronic acid (HA) encapsulated into polycaprolactone (P(LA/CL) copolymer shell has been lately introduced by Aptos company as the NAnoMIcroCApsules (NAMICA) technology. NAMICA, which utilizes particles consisting of unstabilized (non-cross-linked) HA surrounded by P(LA/CL) nanofibers, securely fixed to lifting threads, is thought to provide long-lasting biostimulating and rejuvenation effects. This study evaluates the 12 month-long skin quality improvement, and lifting effects of the P(LA/CL)-HA threads produced with NAMICA technology on the middle and lower third of the face. Research Design and MethodsTwenty-six (26) patients, women and men aged 30 to 65-years underwent a mid and lower face lifting using the 4th generation of Aptos P(LA/CL)-HA threads created with NAMICA technology. The threads were applied on the right and left sides symmetrically per 5 threads on each side of the face. Patients’ satisfaction and facelift were assessed at study follow-ups.Main Outcome MeasuresSkin quality improvement, midface lift, and patients’ satisfaction with the procedure outcome overall, and specifically, satisfaction with facial appearance, skin, cheekbones and cheeks, lower face, and jawline were explored at 4, 9 and 12 months after the procedure and compared with the scores given at the enrolment.ResultsOur results demonstrate that the NAMICA technology provides a significant skin quality improvement, and facial lift which is preserved for 12 months from treatment. The skin quality parameters as wrinkles, evenness and redness improvement were observed during 12 months after new generation threads implantation. The procedure is well-tolerated in all studied subjects with no adverse effects or undesirable symptoms at later follow-ups. Patients’ satisfaction scores are kept significantly high for all measured parameters.ConclusionThis study supports the use of 4th generation of P(LA/CL)-HA threads with NAMICA technology to achieve and preserve an improvement in skin quality, meaningful facial lift, and patients’ satisfaction for at least 12©months post-treatment.