Abstract

Polydioxanone (PDO) threads have been used to improve face sag and laxity; however, they are seldom used for body laxity. Similarly, onabotulinum toxin type A has rarely been reported for intradermal use in skin tightening. We discuss use of PDO threads in combination with intradermal onabotulinum type A for the treatment of bilateral arm laxity after significant weight loss. Bilateral skin laxity of arm was substantially corrected with two sessions of combination treatment with PDO threads and onabotulinum type A. A somewhat easy, significant, and effective technique leading to modest correction of arm laxity in this patient with PDO threads and onabotulinum toxin type A may suggest this method as an option for patients seeking non-surgical options with minimal downtime.

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