Abstract
Non-surgical facelift 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.
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The American Society for Aesthetic Plastic Surgery (2008) Cosmetic surgery national databank statistics. ASAPS website www.surgery.org
Hodgkinson DJ (2009) Clinical applications of radiofrequency: nonsurgical skin tightening (Thermage). Clin Plast Surg 36(2):261–268
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):635–654
Paul MD (2008) Barbed sutures for aesthetic facial plastic surgery: indications and techniques. Clin Plast Surg 35(3):451–461
Hochman M (2007) Midface barbed suture lift. Facial Plast Surg Clin N Am 15(2):201–207
Villa MT, White LE, Alam M, Yoo S, Walton RL (2008) Barbed sutures: a review of the literature. Plast Reconstr Surg 121(3):102e–108e
Teitelbaum S (2006) Enthusiasm versus data: how does an aesthetic procedure become “hot”? Aesthetic Surg J 26(1):51–53
Shiffman MA (2008) Facial aging: a clinical classification. In: Shiffman MA, Mirrafati SJ, Lam SM (eds) Simplified facial rejuvenation. Springer, New York, pp 65–67
Vleggaar D, Fitzgerald R (2008) Dermatological implications of skeletal aging: a focus on supraperiosteal volumization for perioral rejuvenation. J Drugs Dermatol 7(3):209–220
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. Aesthetic Plast Surg 31(5):419–423
Kahn DM, Shaw RB (2008) Aging of the bony orbit: a three-dimensional computed tomographic study. Aesthetic Surg J 28(3):258–264
Master course in suture facelift techniques: European College of Aesthetic Medicine (ECAM). Website www.ecamedicine.com
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, New York, pp 247–256
Bisaccia E, Kadry R, Rogachefsky A, Saap L, Scarborough DA (2009) Midface lift using a minimally invasive technique and a novel absorbable suture. Dermatol Surg 35(7):1073–1078
Alcamo JH (1964) Surgical suture. US patent 3,123,077
Sulamanidze MA, Sulamanidze GM (1998) Flabby, ageing face. A new approach. In: II Congress on Aesthetic and Restorative Surgery, 1998, Moscow, p 15
Sulamanidze M, Sulamanidze G (2009) APTOS suture lifting methods: 10 years of experience. Clin Plast Surg 36(2):281–306
Sulamanidze M, Fournier PF, Paikidze TG, Sulamanidze G (2002) Removal of facial soft tissue ptosis with special threads. Dermatol Surg 28(5):367–371
Wu W (2004) Barbed sutures in facial rejuvenation. Aesthetic Surg J 24(6):582–587
Ruff G (2006) Techniques and uses for absorbable barbed sutures. Aesthetic Surg J 26(5):620–628
Garvey PB, Ricciardelli EJ, Gampper T (2009) Outcomes in threadlift for facial rejuvenation. Ann Plast Surg 62(5):482–485
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):1041–1047
DeLorenzi CL (2006) Barbed sutures: rationale and technique. Aesthetic Surg J 26(2):223–229
Lee S, Isse N (2005) Barbed polypropylene sutures for midface elevation: early results. Arch Facial Plast Surg 7(1):55–61
Bukkewitz H (1956) Die Nade Tecnik der subcutanen Gewebsrafung einer schnittlosen Korrekturmethode bei kosmetischen Brust und Gesichtoperationen. Zentralbl Chir 81(29):1185–1192
Fournier PF (2008) The curl lift: a rediscovered technique. In: Shiffman MA, Mirrafati SJ, Lam SM, Cueteaux CG (eds) Simplified facial rejuvenation. Springer, Berlin, pp 285–291
Erol ÖO, Sozer SO, Velidedeoglu HV (2002) Brow suspension, a minimally invasive technique in facial rejuvenation. Plast Reconstr Surg 109(7):2521–2532
Hernandez-Perez E, Khawaja HA (2003) A percutaneous approach to eyebrow lift: the Salvadorean option. Dermatol Surg 29(8):852–855
Keller GS, Namazie A, Blackwell K, Rawnsley J, Khan S (2002) Elevation of the malar fat pad with a percutaneous technique. Arch Facial Plast Surg 4(1):20–25
Yousif NJ, Matloub H, Summers AN (2002) The midface sling: a new technique to rejuvenate the midface. Plast Reconstr Surg 110(6):1541–1553
Giampapa VC, DiBernardo BE (1995) Neck recontouring with suture suspension and liposuction: an alternative for the early rhytidectomy candidate. Aesthetic Plast Surg 19(3):217–223
Serdev NP (2001) Ambulatory temporal SMAS lift by minimal hidden incisions. Int J Cosm Surg 1(2):20–27
Serdev NP (2001) Lower SMAS-platysma facelift using hidden retro-lobular approach. Int J Cosm Surg 1(3):13–19
Serdev NP (2002) Serdev suture method for ambulatory medial SMAS facelift. Int J Cosm Surg 2(4):1550–1562
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 Williams & Wilkins, Philadelphia, pp 19–41
Gamboa GM, Vasconez LO (2009) Suture suspension technique for midface and neck rejuvenation. Ann Plast Surg 62(5):478–481
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. Aesthetic Surg J 28(4):387–396
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):253–255
Silva-Siwady JG, Diaz-Garza C, Ocampo-Candiani J (2005) A case of Aptos thread migration and partial expulsion. Dermatol Surg 31(3):356–358
Helling ER, Okpaku A, Wang PTH, Levine RA (2007) Complications of facial suspension sutures. Aesthetic Surg J 27(2):155–161
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Prendergast, P.M. (2013). Suture Facelift Techniques. In: Shiffman, M., Di Giuseppe, A. (eds) Cosmetic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-21837-8_25
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DOI: https://doi.org/10.1007/978-3-642-21837-8_25
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