Barbed Polypropylene Sutures for Midface Elevation

Long-Term Efficacy of Anchored Barbed Sutures in the Face and Neck

“…In one series, 20% of cases required revision 1–3 . In contrast to APTOS threads, and similar to the Isse Endo Progressive Face Lift Suture, 4 the recently US Food and Drug Administration (FDA)‐approved Contour Threads (Surgical Specialties Corp., Reading, PA) have unidirectional barbs and are anchored to fascia with the theoretical advantage of decreased risk of migration and increased longevity. Early experience with Contour Threads was promising with a series of 25 patients having excellent results at 3‐month follow‐up 5 .…”

Rejuvenation of the Midface

“…The implant is placed on the patient and the outline marked (►Fig. 14). A 2-cm incision is made inside the mouth through the mucosa only (►Fig.…”

“…Much has been written over the past several years on the advantages of using barbed sutures (and other such devices) in an attempt to rejuvenate the midface without heavy anesthesia, other than local, and with minimal incisions. 13,14 The advantages of such an approach are obvious in that the physician can offer improvement of the midface without the disadvantages of a prolonged healing time or the minor risks of deeper anesthesia. In brief, the technique for the midface starts with inserting two trocars in the hair-bearing part of the temporal area and advancing them in a serpentine fashion toward the lower part of the cheek mound in the direction of the modiolus labii (►Fig.…”

A Case of Infiltrative Basal Cell Carcinoma Sustaining the Necessity of the Thorough Clinicopathological Correlation

“…The traditional facelift employed to correct facial ageing has thus far been an intricate and complex procedure associated with a lengthy recovery period [4]. The recent emergence of absorbable barbed sutures has paved the way for a non-invasive alternative technique that results in a lifting action countering the signs of facial ageing [5][6][7][8][9][10][11][12][13]. The barbs present on the surface of the threads permit their use in combination with additional non-surgical rejuvenation procedures such as botulinum toxin (which produces a six-month temporary effect), and substances possessing transient and volumizing filler properties.…”