Face lifting with suspensory restoration of the fibromuscular tissues of the face and neck

Abstract

A series of before and after slides are shown of patients who have had the author's “wall type restoration of the fibro-fatty musculo-fascial restoration of the face and neck” in conjunction with face lifting. Several sutures (2–0 white Dacron usually 8 to 10 in all) are placed together so as to tighten the fibro-fatty musclo-fascial layer of the neck and face to as nearly as possible that which it had in youth. These are not the typical plication sutures but are sturdy suture material and are tied tightly. Furthermore, the tension on the tissues is distributed evenly by a whole series of sutures which additionally gives a smoother wall type reconstruction.

The technique decreases the dead space in the cervico-facial dissection by at least 50 per cent and avoids suture ridging. Since using this technique and subsequent to the submission of this paper, there have been no hematomata in over 150 consecutive face lifts.