Suture Lifting Techniques

Chapter

Abstract

Suture facelift techniques currently provide a “better alternative” to nonsurgical tissue-tightening devices and injectable procedures for patients who would benefit from lifting of mild to moderate ptosis, but they do not replace open facelift procedures for those with more severe ptosis or excessive skin laxity. The rationale for treatment using suture lifts is to reverse the early signs of aging by lifting and suspending tissues that have begun to drop. Suture types and techniques including barbed sutures, nonbarbed sutures, and cone sutures are described.

References

  1. 1.
    The American Society for Aesthetic Plastic Surgery: Cosmetic surgery national databank statistics 2009, ASAPS website, www.surgery.org.
  2. 2.
    Hodgkinson DJ (2009) Clinical applications of radiofrequency: nonsurgical skin tightening (thermage). Clin Plast Surg 36(2):261–268PubMedCrossRefGoogle Scholar
  3. 3.
    Villa MT, White LE, Alam M, Yoo S, Walton RL (2008) Barbed sutures: a review of the literature. Plast Reconstr Surg 121(3):102e–108ePubMedCrossRefGoogle Scholar
  4. 4.
    Sasaki G, Cohen AT (2002) Meloplication of the malar fat pads by percutaneous cable-suture technique for midface rejuvenation: outcome study (392 cases, 6 years’ experience). Plast Reconstr Surg 110(2):635–654PubMedCrossRefGoogle Scholar
  5. 5.
    Paul MD (2008) Barbed sutures for aesthetic facial plastic surgery: indications and techniques. Clin Plast Surg 35(3):451–461PubMedCrossRefGoogle Scholar
  6. 6.
    Hochman M (2007) Midface barbed suture lift. Facial Plast Surg Clin N Am 15(2):201–207CrossRefGoogle Scholar
  7. 7.
    Shiffman MA (2008) Facial aging: a clinical classification. In: Shiffman MA, Mirrafati SJ, Lam SM (eds) Simplified facial rejuvenation. Springer, Berlin, pp 65–67CrossRefGoogle Scholar
  8. 8.
    Mendelson BC, Hartley W, Scott M, McNab A, Granzow JW (2007) Age-related changes of the orbit and midcheek and the implications for facial rejuvenation. Aesthet Plast Surg 31(5):419–423CrossRefGoogle Scholar
  9. 9.
    Kahn DM, Shaw RB (2008) Aging of the bony orbit: a three-dimensional computed tomographic study. Aesthet Surg J 28(3):258–264PubMedCrossRefGoogle Scholar
  10. 10.
    Vleggaar D, Fitzgerald R (2008) Dermatological implications of skeletal aging: a focus on supraperiosteal volumization for perioral rejuvenation. J Drugs Dermatol 7(3):209–220PubMedGoogle Scholar
  11. 11.
    Kress DW (2008) The history of barbed suture suspension: applications, and visions for the future. In: Shiffman MA, Mirrafati SJ, Lam SM (eds) Simplified facial rejuvenation. Springer, Berlin, pp 247–256CrossRefGoogle Scholar
  12. 12.
    Bukkewitz H (1956) Die Nade Tecnik der subcutanen Gewebsrafung einer schnittlosen korrekturmethode bei kosmetischen brust und gesichtoperationen. Zentralbl Chir 81(29):1185–1192Google Scholar
  13. 13.
    Guillemain R (1970) Le “Curl lift”, la profession médicale. Chir Plast Esthét.:3Google Scholar
  14. 14.
    Sulamanidze M, Fournier PF, Paikidze TG, Sulamanidze G (2002) Removal of facial soft tissue ptosis with special threads. Dermatol Surg 28(5):367–371PubMedCrossRefGoogle Scholar
  15. 15.
    Sasaki GH, Komorowska-Timek ED, Bennett DC, Gabriel A (2008) An objective comparison of holding, slippage, and pull-out tensions for eight suspension sutures in the malar fat pads of fresh-frozen human cadavers. Aesthet Surg J 28(4):387–396PubMedCrossRefGoogle Scholar
  16. 16.
    Master course in suture facelift techniques. European College of Aesthetic Medicine (ECAM), website, www.ecamedicine.com.
  17. 17.
    Wu W (2004) Barbed sutures in facial rejuvenation. Aesthet Surg J 24(6):582–587PubMedCrossRefGoogle Scholar
  18. 18.
    Lee S, Isse N (2005) Barbed polypropylene sutures for midface elevation: early results. Arch Facial Plast Surg 7(1):55–61PubMedCrossRefGoogle Scholar
  19. 19.
    Ruff G (2006) Techniques and uses for absorbable barbed sutures. Aesthet Surg J 26(5):620–628PubMedCrossRefGoogle Scholar
  20. 20.
    Garvey PB, Ricciardelli EJ, Gampper T (2009) Outcomes in threadlift for facial rejuvenation. Ann Plast Surg 62(5):482–485PubMedCrossRefGoogle Scholar
  21. 21.
    Kaminer MS, Bogart M, Choi C, Wee S (2008) Long-term efficacy of anchored barbed sutures in the face and neck. Dermatol Surg 34(8):1041–1047PubMedCrossRefGoogle Scholar
  22. 22.
    De Lorenzi C (2006) Barbed sutures: rationale and technique. Aesthet Surg J 26(2):223–229CrossRefGoogle Scholar
  23. 23.
    Erol ÖO, Sozer SO, Velidedeoglu HV (2002) Brow suspension, a minimally invasive technique in facial rejuvenation. Plast Reconstr Surg 109(7):2521–2532PubMedCrossRefGoogle Scholar
  24. 24.
    Hernandez-Perez E, Khawaja HA (2003) A percutaneous approach to eyebrow lift: the Salvadorean option. Dermatol Surg 29(8):852–855PubMedCrossRefGoogle Scholar
  25. 25.
    Serdev NP (2001) Ambulatory temporal SMAS lift by minimal hidden incisions. Int J Cosmet Surg 1(2):20–27Google Scholar
  26. 26.
    Serdev NP (2001) Lower SMAS-platysma facelift using hidden retro-lobular approach. Int J Cosmet Surg 1(3):13–19Google Scholar
  27. 27.
    Serdev NP (2002) Serdev suture method for ambulatory medial SMAS facelift. Int J Cosmet Surg 2(4):1550–1562Google Scholar
  28. 28.
    Pitanguy I, Ramos AS (1966) The frontal branch of the facial nerve: the importance of its variation in face lifting. Plast Reconstr Surg 38(4):352–356PubMedCrossRefGoogle Scholar
  29. 29.
    Zide BM (2006) The facial nerve – cranial nerve VII. In: Zide BM, Jelks GW (eds) Surgical anatomy around the orbit. The system of zones. Lippincott Wilkins & Williams, Philadelphia, pp 19–41Google Scholar
  30. 30.
    Ghassemi A, Prescher A, Riediger D, Axer H (2003) Anatomy of the SMAS revisited. Aesthet Plast Surg 27(4):258–264CrossRefGoogle Scholar
  31. 31.
    McKinney P, Katrana DJ (1980) Prevention of injury to the great auricular nerve during rhytidectomy. Plast Reconstr Surg 66(5):675–679PubMedCrossRefGoogle Scholar
  32. 32.
    Lee CJ, Park JH, You SH, Hwang JH, Choi SH, Kim CH (2007) Dysesthesia and fasciculation: unusual complications following facelift with cog threads. Dermatol Surg 33(2):253–255PubMedCrossRefGoogle Scholar
  33. 33.
    Silva-Siwady JG, Diaz-Garza C, Ocampo-Candiani J (2005) A case of Aptos thread migration and partial expulsion. Dermatol Surg 31(3):356–358PubMedCrossRefGoogle Scholar
  34. 34.
    Helling ER, Okpaku A, Wang PTH, Levine RA (2007) Complications of facial suspension sutures. Aesthet Surg J 27(2):155–161PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Venus Medical, Heritage HouseDublin 14Ireland

Personalised recommendations