Suture Facelift Techniques

Chapter

Abstract

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.

References

  1.  1.
    The American Society for Aesthetic Plastic Surgery. Cosmetic surgery national databank statistics 2008; ASAPS website, www.surgery.org
  2.  2.
    Hodgkinson DJ. Clinical applications of radiofrequency: nonsurgical skin tightening (Thermage). Clin Plast Surg. 2009;36(2):261–8.PubMedCrossRefGoogle Scholar
  3.  3.
    Sasaki G, Cohen AT. Meloplication of the malar fat pads by percutaneous cable-suture technique for midface rejuvenation: outcome study (392 cases, 6 years’ experience). Plast Reconstr Surg. 2002;110(2):635–54.PubMedCrossRefGoogle Scholar
  4.  4.
    Paul MD. Barbed sutures for aesthetic facial plastic surgery: indications and techniques. Clin Plast Surg. 2008;35(3): 451–61.PubMedCrossRefGoogle Scholar
  5.  5.
    Hochman M. Midface barbed suture lift. Facial Plast Surg Clin North Am. 2007;15(2):201–7.PubMedCrossRefGoogle Scholar
  6.  6.
    Villa MT, White LE, Alam M, Yoo S, Walton RL. Barbed sutures: a review of the literature. Plast Reconstr Surg. 2008;121(3):102e–8e.PubMedCrossRefGoogle Scholar
  7.  7.
    Teitelbaum S. Enthusiasm versus data: how does an aesthetic procedure become “hot”? Aesthetic Surg J. 2006;26(1): 51–3.CrossRefGoogle Scholar
  8.  8.
    Shiffman MA. Facial aging: a clinical classification. In: Shiffman MA, Mirrafati SJ, Lam SM, editors. Simplified facial rejuvenation. New York: Springer; 2008. p. 65–7.CrossRefGoogle Scholar
  9.  9.
    Vleggaar D, Fitzgerald R. Dermatological implications of skeletal aging: a focus on supraperiosteal volumization for perioral rejuvenation. J Drugs Dermatol. 2008;7(3):209–20.PubMedGoogle Scholar
  10. 10.
    Mendelson BC, Hartley W, Scott M, McNab A, Granzow JW. Age-related changes of the orbit and midcheek and the implications for facial rejuvenation. Aesthetic Plast Surg. 2007;31(5):419–23.PubMedCrossRefGoogle Scholar
  11. 11.
    Kahn DM, Shaw RB. Aging of the bony orbit: a three-dimensional computed tomographic study. Aesthetic Surg J. 2008;28(3):258–64.CrossRefGoogle Scholar
  12. 12.
    Master course in suture facelift techniques: European College of Aesthetic Medicine (ECAM). www.ecamedicine.com
  13. 13.
    Kress DW. The history of barbed suture suspension: applications, and visions for the future. In: Shiffman MA, Mirrafati SJ, Lam SM, editors. Simplified facial rejuvenation. New York: Springer; 2008. p. 247–56.CrossRefGoogle Scholar
  14. 14.
    Bisaccia E, Kadry R, Rogachefsky A, Saap L, Scarborough DA. Midface lift using a minimally invasive technique and a novel absorbable suture. Dermatol Surg. 2009;35(7): 1073–8.PubMedCrossRefGoogle Scholar
  15. 15.
    Alcamo JH. Surgical suture. US patent 3,123,077; 1964.Google Scholar
  16. 16.
    Sulamanidze MA, Sulamanidze GM. Flabby, ageing face. A new approach. II Congress on aesthetic and restorative surgery, Moscow, 1998:15.Google Scholar
  17. 17.
    Sulamanidze M, Sulamanidze G. APTOS suture lifting methods: 10 years of experience. Clin Plast Surg. 2009; 36(2):281–306.PubMedCrossRefGoogle Scholar
  18. 18.
    Sulamanidze M, Fournier PF, Paikidze TG, Sulamanidze G. Removal of facial soft tissue ptosis with special threads. Dermatol Surg. 2002;28(5):367–71.PubMedCrossRefGoogle Scholar
  19. 19.
    Wu W. Barbed sutures in facial rejuvenation. Aesthetic Surg J. 2004;24(6):582–7.CrossRefGoogle Scholar
  20. 20.
    Ruff G. Techniques and uses for absorbable barbed sutures. Aesthetic Surg J. 2006;26(5):620–8.CrossRefGoogle Scholar
  21. 21.
    Garvey PB, Ricciardelli EJ, Gampper T. Outcomes in threadlift for facial rejuvenation. Ann Plast Surg. 2009;62(5): 482–5.PubMedCrossRefGoogle Scholar
  22. 22.
    Kaminer MS, Bogart M, Choi C, Wee S. Long-term efficacy of anchored barbed sutures in the face and neck. Dermatol Surg. 2008;34(8):1041–7.PubMedCrossRefGoogle Scholar
  23. 23.
    DeLorenzi CL. Barbed sutures: rationale and technique. Aesthetic Surg J. 2006;26(2):223–9.CrossRefGoogle Scholar
  24. 24.
    Lee S, Isse N. Barbed polypropylene sutures for midface elevation: early results. Arch Facial Plast Surg. 2005;7(1): 55–61.PubMedCrossRefGoogle Scholar
  25. 25.
    Bukkewitz H. Die Nade Tecnik der subcutanen Gewebsrafung einer schnittlosen Korrekturmethode bei kosmetischen Brust und Gesichtoperationen. Zentralbl Chir. 1956;81(29): 1185–92.Google Scholar
  26. 26.
    Fournier PF. The curl lift: a rediscovered technique. In: Shiffman MA, Mirrafati SJ, Lam SM, Cueteaux CG, editors. Simplified facial rejuvenation. Berlin: Springer; 2008. p. 285–91.CrossRefGoogle Scholar
  27. 27.
    Erol ÖO, Sozer SO, Velidedeoglu HV. Brow suspension, a minimally invasive technique in facial rejuvenation. Plast Reconstr Surg. 2002;109(7):2521–32.PubMedCrossRefGoogle Scholar
  28. 28.
    Hernandez-Perez E, Khawaja HA. A percutaneous approach to eyebrow lift: the Salvadorean option. Dermatol Surg. 2003;29(8):852–5.PubMedCrossRefGoogle Scholar
  29. 29.
    Keller GS, Namazie A, Blackwell K, Rawnsley J, Khan S. Elevation of the malar fat pad with a percutaneous technique. Arch Facial Plast Surg. 2002;4(1):20–5.PubMedCrossRefGoogle Scholar
  30. 30.
    Yousif NJ, Matloub H, Summers AN. The midface sling: a new technique to rejuvenate the midface. Plast Reconstr Surg. 2002;110(6):1541–53.PubMedCrossRefGoogle Scholar
  31. 31.
    Giampapa VC, DiBernardo BE. Neck recontouring with suture suspension and liposuction: an alternative for the early rhytidectomy candidate. Aesthetic Plast Surg. 1995;19(3):217–23.PubMedCrossRefGoogle Scholar
  32. 32.
    Serdev NP. Ambulatory temporal SMAS lift by minimal hidden incisions. Int J Cosmet Surg. 2001;1(2):20–7.Google Scholar
  33. 33.
    Serdev NP. Lower SMAS-platysma facelift using hidden retro-lobular approach. Int J Cosmet Surg. 2001;1(3):13–9.Google Scholar
  34. 34.
    Serdev NP. Serdev suture method for ambulatory medial SMAS facelift. Int J Cosmet Surg. 2002;2(4):1550–62.Google Scholar
  35. 35.
    Zide BM. The facial nerve: cranial nerve VII. In: Zide BM, Jelks GW, editors. Surgical anatomy around the orbit. The system of zones. Philadelphia: Lippincott Williams & Wilkins; 2006. p. 19–41.Google Scholar
  36. 36.
    Gamboa GM, Vasconez LO. Suture suspension technique for midface and neck rejuvenation. Ann Plast Surg. 2009; 62(5):478–81.PubMedCrossRefGoogle Scholar
  37. 37.
    Sasaki GH, Komorowska-Timek ED, Bennett DC, Gabriel A. An objective comparison of holding, slippage, and pull-out tensions for eight suspension sutures in the malar fat pads of fresh-frozen human cadavers. Aesthetic Surg J. 2008;28(4):387–96.CrossRefGoogle Scholar
  38. 38.
    Lee CJ, Park JH, You SH, Hwang JH, Choi SH, Kim CH. Dysesthesia and fasciculation: unusual complications following facelift with cog threads. Dermatol Surg. 2007;33(2): 253–5.PubMedCrossRefGoogle Scholar
  39. 39.
    Silva-Siwady JG, Diaz-Garza C, Ocampo-Candiani J. A case of Aptos thread migration and partial expulsion. Dermatol Surg. 2005;31(3):356–8.PubMedCrossRefGoogle Scholar
  40. 40.
    Helling ER, Okpaku A, Wang PTH, Levine RA. Complications of facial suspension sutures. Aesthetic Surg J. 2007; 27(2): 155–61.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Venus MedicalDublin 14Ireland

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