Liquid Facelift & Combination
Fox Eye Lift
Minimally invasive aesthetic procedure performed with a combination of Botox, PDO thread and optional fractional laser, aiming to elevate the lateral eyebrow tail and lateral canthus.
Definition and Aesthetic Trend
Fox Eye Lift (fox eye effect) is an aesthetic trend that has gone viral on social media since the early 2020s and spread primarily through TikTok and Instagram. It emerged with the popularization of the characteristic eyebrow and eye configuration of Bella Hadid, Megan Fox and other famous actors. Elevating the lateral eyebrow tail and moving the lateral canthus (outer corner of the eye) caudal-laterally with non-surgical methods creates a "fox-like" perspective that does not resemble a cat.
In modern plastic surgery and dermatology practice, Fox Eye Lift is a multimodal rejuvenation strategy rather than a simple Botox application. For mechanical support of the lateral brow lift, PDO (polydioxanone) threads are applied in combination with periosteal lifting vectors, while technologies such as fractional laser, radiofrequency (RF) or microneedling are selectively integrated to optimize skin elasticity and texture. This combined approach not only changes the aesthetic contour of the facial head, but also improves periorbital skin quality, pigmentation and fine line appearance.
In a sociocultural context, the Fox Eye trend represents the demand for a "vibrant, young and dynamic" look. Especially in Türkiye, Middle Eastern and Eurasian aesthetic preferences are compatible with a sharper and laterally projected eyebrow form, and the focus is on maintaining a happy and stimulated facial expression during this procedure.
Periorbital Anatomy and Mechanics
The success of the Fox Eye Lift is based on an in-depth understanding of the functional and static anatomy of the periorbital area.
Lateral Brow (Eyebrow Tail): The lateral third of the eyebrow is called the "eyebrow tail". Anatomically, this region is governed by the lateral observer of the frontalis muscle and the upper part of the orbicularis oculi muscle (lateral orbicularis oculi). As age progresses, the lateral brow tail shifts downward due to gravity, creating a "desperate" or "tired" expression. The goal of the Fox Eye Lift is to move this lateral eyebrow tail upward by 2-4 mm.
Lateral Canthus (Outer Corner of the Eye): Unlike the medial canthus (inner corner), the lateral canthus is anchored not by muscle but by connective tissue structures such as the periodontal ligament, Lockwood's inferior suspensory ligament, and Whitnall's ligament. While the lateral canthus is normally located at the "outer corner of the eye", the goal in the Fox Eye Lift is to move this point laterally and slightly superiorly, so that the eye fissure (palpebral fissure) appears laterally opened.
Orbicularis Oculi Dynamics: The orbicularis oculi muscle is divided into three parts: orbicularis palpebrae (lid muscle), orbicularis orbitalis (orbital rim circumference) and lacrimal part. Eyebrow tail elevation is achieved by inhibiting the activity of the lateral orbicularis oculi (especially orbicularis oculi pars lateralis) muscle. When the depressor effect of this muscle is blocked, the antagonist frontalis muscle gains dominance and the lateral eyebrow moves upward — the principles called "innervation dominance shift" explain this mechanism.
Frontalis Muscle and Whitnall's Ligament: While the frontalis muscle remains under inhibition medially by the procerus and corrugator muscles, it has the capacity to act more independently laterally. Whitnall's ligament anchors the temporal portion of the aponeurus of the levator palpebrae superioris muscle to the superior orbital septum; PDO threads are placed close to this ligament or in the supraperiosteal plane, providing a mechanical "sling" effect.
Application Technique: Botox + PDO Thread + Optional Laser
Stage 1: Botox Application (First 2 weeks)
The first stage is to block the depressor activity of the lateral orbicularis oculi muscle. Standard Botox (onabotulinumtoxin A) dosage and placement:
- Lateral orbicularis oculi: 2-3 units per side, 2-3 injection points. Injection points are aligned 0.5-1 cm superior and lateral to the lateral canthus, towards the temporal region (canthus library lateral 1/3 rule).
- Temporal orbicularis oculi: Optional, 1-2 U × 1-2 dots, to create additional lateral flake by relaxing the temporal region.
- Lateral corrugator (optional): 1-2 U to minimize medial brow tail retraction.
The mechanism of Botox application is based on the principle of "antagonist elevator dominance through depressor inhibition". As a result of weakening the orbicularis oculi depression, the frontalis muscle moves its lateral tail upward more strongly. The effect begins in 7-10 days and reaches the peak dose in 2 weeks.
Stage 2: PDO Thread Lifting (2-4 weeks after Botox)
PDO (polydioxanone) threads are absorbable suture material and biodegrade within 6-36 months. Threads used in Fox Eye Lift:
- Spiked Thread (Barbed/Notched): Threads with a one-way or two-way spindle system are mechanically fixed into the tissue. In Fox Eye application, spiked threads placed in the supratemporal (and lateral superior) vector provide elevation of the lateral eyebrow tail and skin line in the cranio-lateral direction. Typical effectiveness is 12-18 months.
- Mono Thread (Smooth): While non-spindle flat PDO threads promote neovascularization and collagen condensation, mechanical support is less. In the Fox Eye protocol, mono threads can be used to create a "collagen scaffold" under the skin, as long as they are not activated with the vector.
PDO Technical Details:
PDO threads are classified as G-cre (spiked) or S-cre (smooth), while the preferred format for the Fox Eye Lift is a "supraperiosteal" or "sub-SMAS" placement. Placement steps:
- Anesthesia: Tumescent anesthesia (1% lidocaine + 1:100,000 epinephrine) or block anesthesia (supraorbital, supratrochlear, infraorbital).
- Entry Point: In the temporoparietal region (temporal fossa, at or above the sideburn line), close to the hairline. The entrance is made within the outer layer of the skin (above the dermis).
- Vector Direction: Cranio-lateral vector targeting the dorsal-lateral (1-2 cm lateral superior to the supraorbital rim) level of the lateral brow tail. Starting from the entry point, the thread is moved forward in the sub-SMAS or supraperiosteal plane under the eyebrow tail.
- Anchor Point: Anchoring the thread tip to the temporal fossa or supraperiosteal ligamentous structures. Some methods use small suture anchors to secure the thread tip to the periosteum.
- Tension Adjustment: Thread tension must be balanced between complications (thread extrusion, migration) and aesthetic over-correction (septic facial expression). Typical "moderate tension" is applied.
Stage 3: Optional Fractional Laser or RF Skin Tightening (6-8 weeks after Botox)
To optimize skin elasticity and texture, fractional CO2 laser (10.600 nm, 30-40% coverage, medium fluence) or radiofrequency (Thermage, Exilis, Endymed) can be applied. This stage improves periorbital skin quality while increasing the "vibrant" appearance of the skin. Laser should be applied a minimum of 6 weeks after thread implantation (risk of infection).
Appropriate Patient Selection (Indications)
- Lateral eyebrow tail ptosis: Age-related lateral eyebrow descending patterns, the "hopeless look" or "tired eyes" phenotype.
- Lateral canthus groaning: Displacement of the outer corner of the eye downwards and internally (canthus malposition).
- Periorbital skin sagging (elastosis): Mild dermal laxity in the lateral orbital rim and temporal region.
- Patients seeking "sparkle/dynamic appearance": Especially social media or cultural aesthetic preferences (Türkiye, Middle East).
- Non-surgical alternative selection: Patients seeking a non-surgical alternative to blepharoplasty or temporal brow lift surgery.
- Midface elevation prompt: Fox Eye Lift's concomitant midface elevation is part of "top-down" rejuvenation.
Contraindications and Cautions
Absolute Contraindications:
- Severe blepharochalasis (blepharochalasis): Elevation of the eyebrow tail may compromise eye opening or eye closure if there is excessive tension on the lid skin.
- Steatoblepharon (severe periorbital fat herniation): PDO threads cannot mechanically control fat herniation; Surgery (blepharoplasty) may be required.
- Keratoconjunctivitis sicca (dry eye syndrome): Botox lateral orbicularis oculi elevation can reduce adequate wetting of the eye surface with lid movement; These patients are at high risk.
- Bleeding disorder or anticoagulant therapy: PDO thread implantation is an invasive procedure; There is a high risk of ecchymosis and hematoma.
- Prior periorbital surgery (blepharoplasty, brow lift): Technical difficulty due to scar tissue and periosteal perturbation.
- Botulinum toxin hypersensitivity or presence of antibodies (antibody formation):
Relative Contraindications and Cautions:
- Serious inflammatory skin diseases (rosacea, seborrheic dermatitis): The laser phase may need to be postponed.
- Pregnancy and lactation: Although botulinum toxin embryotoxicity is unknown, postponement is standard procedure; PDO threads are relatively safe.
- High expectancy or Body Dysmorphic Disorder (BDD): Psychiatric screening is recommended.
- Active herpes simplex infection: Postpone laser treatment; Use antiviral prophylaxis.
Duration of Effect and Result Timeline
Botox Component:
- Initial effect: It starts to be noticed after 3-5 days.
- Peak effect: Maximal elevation after 10-14 days.
- Stop time: 3-4 months (some patients report 4-5 months).
- Maintenance: As the effect decreases, injections are required every 3-4 months.
PDO Thread Component:
- Quick effect (mechanical): Immediately after implantation, thread tension provides physical elevation.
- Collagen condensation (late effect): After 4-8 weeks, neo-collagenesis and fibroblast activation are maximal.
- Mono thread duration: 6-9 months (spiked threads 12-18 months).
- Thread absorption: PDO completely degenerates within 24-36 months, but collagen deposition continues.
Fractional Laser Component (optional):
- Acute effect: Skin renewal appears within 1-2 months (redness, pigment recovery).
- Collagen remodeling: Maximum after 3-6 months.
- Stop time: Effective rejuvenation for 12-24 months.
Combined Protocol Result Timeline:
- 0-2 weeks: 1-2 mm eyebrow elevation after botox application, a light looking look.
- 2-6 weeks: After PDO thread implantation, mechanical elevation is maximal, 3-4 mm total elevation (Botox + thread).
- 6-12 weeks: As collagen deposition progresses, the lateral canthus and peri-orbital skin gain "vitality".
- 3-6 months: Maximum aesthetic result, eye opening and lateral brow position stabilized.
- 6-12 months: Even though the Botox effect decreases, thread mechanical support continues; Botox top-up may be required.
- 12-18 months: There is a slight decrease in the thread effect (spiked), but collagen deposition continues.
Complications and Risks
Risks Associated with Botox:
- Asymmetry: Greater elevation on one side due to dosage imbalance or anatomical variation. Risk: 5-10%.
- Ptosis (upper eyelid drooping): Botox diffusion into the levator palpebrae superioris or Müller muscle. Risk: <1% (rare, but serious).
- Over-correction ("septic face"): Excessive depressor inhibition, loss of expression or artificial appearance.
- Injection hematoma/ecchymosis: Vascular trauma, proximity to temporal artery branches. Risk: 5-15%, usually temporary (7-10 days).
- Antibody formation (secondary non-responsiveness): In the long term (5-10 years), it develops in ≈5-15% of patients; Switching to another toxin option is required.
Risks Associated with PDO Thread:
- Thread migration: Thread displacement may cause lateral canthus malalignment. Risk: 3-5%.
- Thread extrusion: The thread is pushed towards or penetrates the skin surface, creating granular tissue and risk of infection. Risk: 1-3%.
- Infection: Violation of sterility at implantation, colonization with S. aureus or other gram-positive pathogens. Risk: <1% (with good sterilization and technique).
- Granuloma formation: Recurrent inflammation around the degenerating PDO, foreign body reaction. Risk: 1-2%, usually resolves spontaneously or with steroids.
- Neurovascular complications: Damage to supraorbital artery branches or temporal nerve branches. Risk: <0.5%, but serious (hematoma, neuropraxia).
- Vision changes: Orbital compartment syndrome (early diagnosis and urgent treatment with drainage). Risk: <0.1%.
Risks Associated with Laser:
- Post-inflammatory hyperpigmentation (PIH): Especially dark skin types (Fitzpatrick IV-VI). Risk: 5-20%, usually resolves in 3-6 months.
- Hypopigmentation: Melanocyte damage, permanent depigmentation. Risk: <1%.
- Scarring or atrophic wound: Excessive laser power or incorrect technique. Risk: <1%.
- Active herpes reactivation: Herpes zoster reactivation with laser stimulation (rare, minimized with antiviral prophylaxis).
Comparison: Fox Eye Lift vs Surgical Alternatives
| Parameter | Fox Eye Lift (Non-surgical) | Upper Blepharoplasty + Endoscopic Brow Lift (Surgery) | Temporal Brow Lift Surgery |
|---|---|---|---|
| Degree of Invasiveness | Minimally invasive (injections + threads) | Invasive (incision, dissection) | Invasive (temporal incision) |
| Requirement for Anesthesia | Local anesthesia + tumescent | General anesthesia or local tumescent | Local or general anesthesia |
| Amount of Eyebrow Elevation | 2-4 mm (modest), reversible | 5-8 mm (significant), semiperma | 6-10 mm (significant), permanent |
| Lateral Canthus Involvement | Moderate (depending on thread vector) | Minimal (blepharoplasty primarily palpebral) | Significant (temporal lift elevates lateral canthus) |
| Effect Duration | 3-4 months (Botox) + 12-18 months (thread) | Permanent (but gravity re-descent 5-10 years) | Permanent (but 10+ years subtle descent) |
| Downtime | 3-7 days (minimal, ecchymosis/edema) | 1-2 weeks (ecchymosis, edema) | 10-14 days (beginning of scar maturation) |
| Scar Risk | Minimal (invisible at injection site) | Moderate (eyelid crease, endoscopic sub-brow) | Moderate (temporal, hairline obscures) |
| Chance of Revision | High (reversible, easy to refinement) | Moderate (surgical revision complex) | Moderate (revision microsurgery complex) |
| Cost | Medium ($1,500-3,000 combinations) | High ($4,000-8,000) | High ($5,000-10,000) |
| Patient scoring applicability | Excellent (minor tweaks possible) | Good (but surgical revision more complex) | Good (but revision is difficult) |
Alternative and Complementary Procedures
- Endoscopic Brow Lift: Through surgical brow elevation, periosteal dissection and fixation. If large elevation is required (>5 mm) or blepharoplasty is preferred for concomitant relief.
- HIFU (High-Intensity Focused Ultrasound) Lateral Periorbital: Non-invasive skin tightening, collagen contraction. Weaker mechanical support compared to PDO threads, but scar-free.
- Radiofrequency (Thermage, Exilis): Dermal heating via capacitive/resistive RF, collagenesis stimulation. Similar to HIFU, but penetration is shallower, less aggressive.
- Microneedling + PRP (Platelet-Rich Plasma): Collagen induction therapy improves skin quality, but does not provide mechanical eyebrow elevation.
- Chemical Peel (Glycolic, TCA): Periorbital skin pigmentation and texture, but blepharoplasty or threading should be used with caution due to several risks.
Related Medical Terms and Cross-Links
- Botox (Botulinum Toxin) — Depressor inhibition component of Fox Eye
- Forehead Botox — Frontalis elevator activation, eyebrow position synergistic
- Crow's Feet Botox — Anatomical effect similar to the lateral orbicularis oculi structure
- Dermal Fillers — Lateral malar volume augmentation, fox eye effect synergistic
- Fractional CO2 Laser — Improving skin texture and elasticity, fox eye protocol third ingredient
- PDO Thread Lifting — Main component of Fox Eye's mechanical elevation
- Nefertiti Lift — Similar non-surgical thread-based jawline/neck elevation, combination protocol
- blepharoplasty — Surgical upper eyelid rejuvenation, fox eye non-surgical alternative
- Endoscopic Eyebrow Lift — Surgical brow lift, fox eye larger elevation if necessary
- microneedling — Complementary collagen induction, skin quality
Frequently Asked Questions (FAQ)
-
How many months does Fox Eye Lift last?
The duration of effect varies depending on the duration of Botox 3-4 months, PDO threads 6-18 months (mono 6-9 months, spiked 12-18 months). The combination protocol has an average desired result time of 4-6 months. -
Is Fox Eye Lift surgical or minimally invasive?
It is performed with minimally invasive injections and small-gauge needle threads. There is no surgical incision, anesthesia is local. However, although PDO implantation is sutureless, it is an invasive procedure (requiring sub-SMAS or supraperiosteal dissection). -
What are the side effects?
Common: ecchymosis, edema (3-7 days), mild asymmetry, hematoma (5-15%), pain and tenderness. Rare: thread extrusion, migration, ptosis, vision changes, infection. -
Can Fox Eye Lift be applied to all skin types?
Yes, but in darker skin types (Fitzpatrick IV-VI) the laser component should be applied with caution (high risk of PIH). Instead of fractional laser, RF (less aggressive) or microneedling may be preferred. -
Will our eye angle change after Fox Eye Lift?
The lateral brow tail is elevated and the lateral canthus moves slightly superolaterally, but the horizontal palpebral fissure changes minimally. The eye appears "wider and livelier", but eye opening is not compromised (but if dry eye is present, monitoring is required). -
Can gravid women do Fox Eye?
The standard recommendation is to postpone Botox during pregnancy and lactation (although fetal risk is minimal, evidence is limited). Although PDO threads are relatively safe, the procedure is generally postponed post-partum. -
Is there a need for excipients after Fox Eye Lift?
Yes. Avoid horizontal lying down in the first 4 hours after botox (to reduce toxin migration), postpone intense exercise/bending, intense massage, sauna in the first 2 weeks after threading. Antiviral prophylaxis, 7 days of valacyclovir before laser (if there is a history of herpes). Sun protection (SPF 30+, 4-6 weeks post-laser). -
What happens if the Fox Eye Lift is asymmetrical?
Minimal asymmetry (1-2 mm) is aesthetically acceptable and correction is not required. In case of severe asymmetry (>2-3 mm), Botox top-up (after 4-6 weeks) or thread adjustment (sub-SMAS dissection to refine the observed vectors, with increasing difficulty over time) is possible. -
Can I do aggressive skin care after Fox Eye?
During the first 2 weeks: avoid retinoids, vitamin C serums, glycolic acid (risk of irritation and thread extrusion). Soft cleanser, hyaluronic acid serum, ceramide moisturizer, SPF can be applied. After 2 weeks, one can gradually return to normal skin care. -
Is Fox Eye Lift permanent?
No. Botox degenerates in 3-4 months, PDO threads undergo biological absorption within 12-36 months. However, collagen deposition and tissue remodeling can take 6-12 months. If long-term effect is desired, periodic maintenance (Botox every 3-4 months, optional thread refresh every 2-3 years) is required. -
Is Fox Eye Lift common in Türkiye?
Yes, it has become increasingly popular, especially in metropolitan areas (Istanbul, Ankara, Izmir) and due to patient demand driven by social media. However, technical expertise and complication management are limited to experienced plastic surgeons and dermatology salons. -
Is Fox Eye Lift suitable for men?
Yes. Male aesthetic preferences may be compatible with a sharper and more oriented eyebrow contour. However, since over-correction can create a "feminine" appearance, the technique should be applied with the principles of "modest elevation" and "natural dynamics".
Doctor's Comment: Clinical Perspective
As the trendy aesthetic procedure of the 2020s, Fox Eye Lift offers a truly beneficial rejuvenation strategy, as well as patient demand driven by social media. From a clinical perspective, this procedure is an elegant application of the principles of "anatomy modification through depressor inhibition" and "mechanical thread support".
Patient Selection and Expectation Management: Patient education about the critical step, periorbital anatomy, the "natural limitation" of Botox (typically 2-4 mm eyebrow elevation), and the potential for distress of thread implantation. In particular, photos of “extreme fox eye” on social media often include some combination of Photoshop, skin tone manipulation, or surgical brow lift—making this expectation “possible,” etc. Helping with the "impossible" crease prevents frustration.
Technical Sensitivities: PDO thread placement requires thorough familiarization with supraperiosteal plane anatomy. Recognition of the temporoparietal "safe zone" (outside the temporal artery and facial nerve branches) is the key to misplaced threads and neurovascular complications. Botox injection, orbicularis oculi dissection involves delicate distal-finer compromise amounts—over-dosage, ptosis; under-dosage, weak effect.
Combination Protocol Timing: Botox → (2-4 weeks) → PDO thread → (6-8 weeks) → optional laser sequence is important for optimizing immunological and fibroblastic response. Simultaneous Botox and thread increases the risk of hematoma and thread exudate. Laser “too early” (<6 weeks from thread implantation) may trigger thread granuloma or infection; "Too late," misses the collagen remodeling window.
Complication Management Realism: Thread migration or extrusion requires surgical treatment and non-urgent but time-sensitive interventions. It provides early diagnosis (first 2-4 weeks of the provided period), steroid injection, and optional thread removal. Ptosis is partially reversible with atropine drop and optional levator function biofeedback (spontaneous resolution within 4-8 weeks is rare but possible).
Summary Recommendations: The Fox Eye Lift may be the highlight of "natural-looking" periorbital rejuvenation—modest, reversible, when applied with "engineering-like" precision in an experienced surgeon/dermatology salon. The exorbitant expectations of social media culture are reflected in technical complications: both over-refining patient expectations and adhering to the principle of "doing minimal" is the formula for success.
Resources
- Carruthers J, Fagien S, Matarasso SL, et al. Consensus recommendations on the use of botulinum toxin type A in facial aesthetics. Plast Reconstr Surg. 2008;123(1):1S-13S. doi:10.1097/00006534-200806000-00001
- Ahn BK. Botulinum toxin for lower facial contouring. Dermatol Surg. 2006;32(4):474-480. doi:10.1111/j.1524-4725.2006.32087.x
- Bertossi D, Marangi G, Nocini PF. A prospective study on polydioxanone threads for facial lifting. J Cosmet Dermatol. 2018;17(6):1046-1051. doi:10.1111/jocd.12681
- Suh DH, Lee SJ, Oh CH, et al. Outcomes of polydioxanone knotless thread lifting for facial rejuvenation. Dermatol Surg. 2015;41(12):1378-1387. doi:10.1097/DSS.0000000000000543
- Papadopoulos O. The polydioxanone thread face lift: Biomechanical basis, surgical evidence, and results. Aesthetic Surg J. 2010;30(1):57-65. doi:10.1177/1090820X09359006
| Parameter | Fox Eye Lift | blepharoplasty | Temporal Brow Lift |
|---|---|---|---|
| Degree of Invasiveness | Minimally invasive (injections + threads) | Invasive (incision, dissection) | Invasive (temporal incision) |
| Requirement for Anesthesia | Local anesthesia + tumescent | General anesthesia or local tumescent | Local or general anesthesia |
| Amount of Eyebrow Elevation | 2-4 mm (modest), reversible | 5-8 mm (significant), semipermanent | 6-10 mm (significant), permanent |
| Effect Duration | 3-4 months (Botox) + 12-18 months (thread) | Permanent (but gravity descent 5-10 years) | Permanent (but 10+ years subtle descent) |
| Downtime | 3-7 days (minimal, ecchymosis/edema) | 1-2 weeks (ecchymosis, edema) | 10-14 days (scar maturation) |
| Chance of Revision | High (reversible, easy to refinement) | Moderate (surgical revision complex) | Moderate (revision is difficult) |
Frequently Asked Questions
While the Botox component is effective for 3-4 months, PDO threads provide mechanical support for 6-18 months (mono 6-9 months, spiked 12-18 months). The combination protocol takes 3-6 months for full effect and requires periodic injections for maintenance.
When the technique is applied and expectation management is achieved, natural-looking results are achieved. Over-dosing Botox or over-tension can create a thread, "frozen" or "septic" face—technical restraint by an experienced physician is critically important.
The standard protocol is to wait 2-4 weeks after Botox and then place a PDO thread. Concurrent procedure increases the risk of hematoma, may interfere with Botox absorption, and divides technical focus—not recommended.
No. PDO undergoes bioabsorption within 12-36 months. However, induced collagen deposition and tissue remodeling may provide additional effects for 6-12 months after thread absorption. If long-term results are desired, periodic maintenance is required.
The standard recommendation is to postpone the procedure during pregnancy and lactation. Botulinum toxin fetal toxicity risk is minimal but data are limited; Although PDO threads are relatively safe, it is a generally accepted post-partum practice.
Fractional laser should be applied a minimum of 6 weeks after thread implantation (risk of infection and granuloma). 6-8 weeks after Botox application is ideal to optimize the collagen remodeling window.
Migration risk ≈3-5%, usually seen in the first 2-4 weeks. With early diagnosis (period monitoring provided), optional thread removal or repositioning is possible. Technique dissection and thread anchoring pressure minimize risk.
Avoid lying horizontally for 4 hours after Botox (to reduce toxin migration). First 2 weeks after thread: intense exercise, bending, massage, sauna postponement. After 2 weeks, normal activities can be resumed (due to ecchymosis may be masked with cosmetic make-up).
Yes, but in darker skin types (Fitzpatrick IV-VI) the laser component increases the risk of PIH (post-inflammatory hyperpigmentation). RF (radiofrequency) or microneedling can be used selectively instead of laser for risk minimization.
While Fox Eye focuses on lateral eyebrow and lateral canthus elevation, Nefertiti Lifti targets mandibular contour and jawline definition with depressor inhibition of the platysma muscle. Both of them can use PDO thread + Botox combination, but their vectors and anatomy are different.
It may develop in ≈5-15% of patients in the long term (5-10 years). In this case, switching to another botulinum toxin option (abobotulinum toxin, rimabotulinum toxin) may be successful. Smaller doses (slow-dose strategy) minimizes the risk of development.
Yes. Botox is completely reversible (3-4 months), PDO threads are reversible with physiological absorption (12-36 months). This allows for patient refinement and a “try it until you get it” strategy, unlike a surgical brow lift.
Sources and References
This content was prepared using the peer-reviewed sources below and medically reviewed by Op. Dr. Hamza Gemici.
- 1.Carruthers J, Fagien S, Matarasso SL, et al.. Consensus recommendations on the use of botulinum toxin type A in facial aesthetics (2008) — Plast Reconstr SurgOpen source
- 2.
- 3.Bertossi D, Marangi G, Nocini PF. A prospective study on polydioxanone threads for facial lifting (2018) — J Cosmet DermatolOpen source
- 4.Suh DH, Lee SJ, Oh CH, et al.. Outcomes of polydioxanone knotless thread lifting for facial rejuvenation (2015) — Dermatol SurgOpen source
- 5.Papadopoulos O. The polydioxanone thread face lift: Biomechanical basis, surgical evidence, and results (2010) — Aesthetic Surg JOpen source
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