Anatomic Considerations for Lateral and Buccal Cheek Thread Lifting

BACKGROUND: The lateral and buccal cheek regions present unique challenges in facial rejuvenation due to their dynamic nature and the significant distance between target tissues and potential anchor points. Understanding the relationship between tissue descent patterns and facial movement is crucial for achieving optimal outcomes. METHODS: This narrative review examines anatomic considerations and technical approaches using epiticon® (JETEMA Co., Ltd., Korea) for lateral and buccal cheek thread lifting. The analysis is based on previously published studies and anatomic descriptions focusing on facial layers, retaining ligaments, and neurovascular structures relevant to thread placement. RESULTS: The results demonstrate that successful outcomes depend on understanding tissue mobility patterns, proper thread selection, and precise vector planning. Careful consideration of facial dynamics and anatomic variations, such as the strength and location of retaining ligaments, is crucial for achieving natural-looking results. CONCLUSION: The integration of anatomic knowledge with technical expertise represents the cornerstone of successful lateral and buccal cheek thread lifting. Proper assessment of facial dynamics and individual anatomic variations remains crucial for achieving optimal and lasting results in these challenging facial regions.