Hairline Polycaprolactone Injections for Facial Lifting: An Anatomical-Based Approach

J Craniofac Surg. 2025 Nov-Dec;36(8):2872-2875. doi: 10.1097/SCS.0000000000011365. Epub 2025 Apr 25.

Abstract

Polycaprolactone (PCL) is a bioresorbable, biostimulatory polymer offering unique advantages in non-surgical facial rejuvenation, including immediate tissue support and long-term collagen stimulation. This manuscript introduces a novel zone-based framework to guide the use of PCL in achieving facial lifting and contouring. The approach segments the face into 3 zones: zone 1 (red) for lateral lifting, zone 2 (blue) for volumization, and zone 3 (green) for 3-dimensional enhancement, tailored to Asian facial anatomy. By targeting zone 1, the lateral hairline, PCL injections can create a lifting effect by strengthening ligamentous structures and redistributing facial tension. Two split-face case studies demonstrate the efficacy and safety of this approach in addressing midface sagging, nasolabial folds, and jowling, avoiding the facial overfilled syndrome. This innovative technique offers a safe, effective, and anatomically informed method for facial rejuvenation.

Keywords: Anatomic considerations; facial lifting; injection techniques; non-surgical rejuvenation; polycaprolactone (PCL).

Publication types

  • Case Reports

MeSH terms

  • Dermal Fillers* / administration & dosage
  • Face* / anatomy & histology
  • Humans
  • Injections
  • Polyesters* / administration & dosage
  • Rejuvenation
  • Rhytidoplasty* / methods
  • Skin Aging

Substances

  • Dermal Fillers
  • polycaprolactone
  • Polyesters