Advanced Surgical Facial Rejuvenation

pp 279-313


Suture Facelift Techniques

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Nonsurgical procedures improve hyperdynamic and static wrinkles, volume loss, and skin surface imperfections but do not address ptosis of deeper tissues including the malar fat pad and the superficial musculoaponeurotic system (SMAS). Although an open facelift remains the gold standard for sagging skin, fat, and the SMAS in older patients, less invasive measures using various suture systems and designs provide a novel alternative for younger patients with early signs of aging. The concepts of suture facelift and patient selection are discussed as well techniques with a variety of sutures. Suture facelift techniques offer a quick, safe, and effective rejuvenation by elevating soft tissues and restoring the youthful contours of the face and neck.