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Barbed Sutures for Aesthetic Facial Plastic SurgeryIndications and Techniques1

Clinics in Plastic Surgery

Volume 35, Issue 3, July 2008, Pages 451–461

Facelifts, Part I

Malcolm D. Paul, MD, FACS

Aesthetic and Plastic Surgery Institute, University of California, Irvine, Suite 810, 1401 Avocado, Newport Beach, CA 92660, USA

 

This article describes the indications and techniques related to the use of barbed sutures in facial aesthetic plastic surgery. The principle applications for barbed sutures in facial aesthetic plastic surgery are those involving lifts of the brow, midface, and the lower face and neck. Usually all three areas require surgical maneuvers to create a harmonious rejuvenation. Regardless of where in the face bidirectional barbed sutures are planned, five essential steps are needed: (1) making the incision or incisions, (2) dissecting soft tissue, (3) proximal anchoring, (4) deploying threads, and (5) molding soft tissue.

 

Keywords

Barbed sutures; Brow-lifting; Midface-lifting; Lower face-lifting; Neck-lifting

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