Suspension Sutures in Facial Reconstruction

Abstract

The purpose of this study was to assess the medium-term results of using thread-lift sutures as a means to support soft tissues in facial reconstructive surgery. The rationale for the introduction of this method was to provide support for tissues used in the reconstruction in cases where this would otherwise have been difficult to achieve, or would have demanded major additional surgery in patients already undergoing major surgical procedures. The outcome of the procedure was assessed 12 and 24 months after surgery. Patients were satisfied with the results. Judging from the findings of this study, Silhouette sutures are a valuable asset in facial reconstruction surgery when associated with a scrupulous technique and used for the right indications.

Arcade Sutures to Minimize Ear Displacement in Rhytidectomy

“…Suspension sutures are routinely used to reposition and maintain the facial soft tissues while preventing migration or distortion that can occur secondary to wound healing and contraction. 28 Robinson et al looked at the use of suspension sutures in facial reconstruction and noted the ideal anchor points of these sutures to be at the point of natural muscle insertions, thereby highlighting facial contours and natural facial movements. 29 These tension bearing sutures allow redirection of tension to the underlying fascia and periosteum and away from free margins to prevent distortion and tenting across concavities, while preserving the natural contours of the face.…”