Novel Face-Lift Suspension Suture and Inserting Instrument: Use of Large Anchors Knotted into a Suture with Attached Needle and Inserting Device Allowing for Single Entry Point Placement of Suspension Suture. Preliminary Report of 20 Cases with 6- to 12-M

Abstract

Large multianchor, absorbable monofilament sutures can safely and effectively enhance results of conservative lifts, with remarkable elevation of the mid-face not achievable with simple SMAS flaps. These suspension sutures can easily and safely achieve impressive, though relatively short-term results, with a minimal incision, "no-skin-excision" technique.

Barbed sutures “lunch time” lifting: evidence‐based efficacy

“…A different approach is also used distributing the upward tension over an arch, pulling the whole midface and upper neck 31 . Multiple looping sutures placed at various points in the face have been recently described but all lacked evidence of follow‐up beyond the immediate or very short‐term postoperative period 32 . In general the results of such procedures are mostly unpredictable.…”

“…The latest generation of barbed sutures designed for soft tissue approximation is available in both absorbable and nonabsorbable materials with various suture lengths and needles attached 2 . The current variations include self‐retaining bidirectional barbed sutures available as short Aptos threads for Aptos lift or Feather lift (TOTAL charm, Moscow, Russia) (Kolster Methods, Inc., Anaheim, CA, USA), designed to be used in freely mobile tissues 5,32,40 . They are available also as long Woffles threads (Kolster Methods Inc., Corona, CA, USA) 5,32 that can be introduced into the sagging tissues of the face then doubled to form a sling suspending the sagging tissues of the face to the stable temporal scalp through which the suture ends emerge 5,32 .…”

Is there an ideal facelift procedure?

“…They theoretically distribute the tension by adhering to the underlying tissue over a much greater area [29 ].…”

“…With a mean follow-up of 9 months, both the physician and the patient were satisfied in all cases. There was one patient (2.9%) with submalar dimpling at 3 months, one case of transient ecchymosis, one spontaneously resolving hematoma and two cases (5.9%) of tenderness at the zygomatic arch that resolved by 6 weeks.Eremia and Willoughby[29 ] report their results using a knotted multianchored absorbable (PDS or Maxon) suspension suture on 20 patients (95% female), 14 of whom underwent closed procedures. Patients were able to return to work at 1 week.…”

Minimally Invasive Aesthetic Procedures

“…Suture suspension techniques of different varieties are in use or in development and are constantly undergoing improvement. [8][9][10][11][12] Furthermore, equipment companies recognize that the high cost, space requirements, and difficulty of use of the older equipment has driven physicians away from the minimally and noninvasive field. As a result, the new generation of equipment is modular, less expensive, and ergonomically designed to fit in the relatively small space of a physician's examination room.…”