Evidence map›Paper›PMID 40071656›Full record

ArticleJournal of cosmetic dermatology2025

Efficacy of Lifting Threads Composed of Poly(L-Lactide-Co-ε-Caprolactone) Copolymers Coated With Hyaluronic Acid: A Long-Term Study on Biorevitalizing Properties in Skin Remodeling.

Pavel Burko, George Sulamanidze, Dmitriy Nikishin

Abstract read
In one paragraph

Article in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Application of PLCL as a biodegradable polymer in biomedical engineering.Journal of materials science. Materials in medicine · 2026
    Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Pavel BurkoSection of Human Anatomy, Department of Biomedicine, Neurosciences and Advanced Diagnostics (BiND), University of Palermo, Palermo, Italy.ORCID https://orcid.org/0000-0002-1344-9654
George SulamanidzeHeadquarter of the APTOS LLC, Tbilisi, Georgia.ORCID https://orcid.org/0000-0003-2759-020X
Dmitriy NikishinRussian Office of the APTOS LLC, Moscow, Russia.ORCID https://orcid.org/0000-0002-0959-252X

Funding

APTOS LLC (Tbilisi, Georgia) No.21/08/2023-3Università degli Studi di Palermo PJ_DR_D24_INCR10_37_523976_BURKO
6 · The paper itself

Abstract

backgroundFacial thread lifting, which is popular in aesthetic medicine because of its minimal invasiveness, has led to advancements in the use of biodegradable polymers such as poly(L-lactide-co-ε-caprolactone) (P(LA/CL)) and its hyaluronic acid-coated variant (P(LA/CL)-HA). These developments enhance biocompatibility and efficacy, offering prolonged benefits through better biostimulation and tissue integration.

methodsA controlled experiment involving five 4-month-old female pigs compared the effectiveness of P(LA/CL) and P(LA/CL)-HA threads over six months. After being implanted into the subcutaneous layer parallel to the skin of each pig, the threads were evaluated through histological analysis at intervals (7, 21, 30, 90, and 180 days) to assess changes in dermal and hypodermal structures, collagen types, elastin levels, and tissue integration via stains such as hematoxylin and eosin (H&E), Weigert-Van Gieson, and Sirius Red.

resultsP(LA/CL) and P(LA/CL)-HA threads significantly led to dermal and hypodermal remodeling. By day 180, a comparative analysis via the Wilcoxon test revealed that P(LA/CL)-HA significantly outperformed P(LA/CL) in most histological indicators because of the biostimulatory effects of hyaluronic acid.

conclusionsOur study investigated the effects of two types of bioabsorbable threads, P(LA/CL) and P(LA/CL)-HA, on skin remodeling over 180 days in a porcine model. These results highlight the significant role of thread composition in tissue remodeling and suggest that incorporating HA could optimize therapeutic and aesthetic outcomes. Further clinical research is necessary to confirm these findings in human subjects.

Indexed as

Absorbable ImplantsCoated Materials, BiocompatibleCosmetic TechniquesDermal FillersHyaluronic AcidPolyestersSkin AgingAnimalsCollagenElastinFemaleSkinSwineCoated Materials, BiocompatibleCollagenDermal FillersElastinHyaluronic Acidlactide-caprolactone copolymerPolyestersbiorevitalizationhyaluronic acidlifting threadsnon‐surgical faceliftskin remodeling

Identifiers

PMID40071656
PMCPMC11898156

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.