Using barbed sutures in open/subperiosteal midface lifting（1）
Aesthetic Surgery Journal
Operative Strategies
Volume 26, Issue 6, November–December 2006, Pages 725–732
Malcolm D. Paul, MD,
Newport Beach, CA
（http://dx.doi.org/10.1016/j.asj.2006.10.011）
Malcolm D. Paul, MD, Newport Beach, CA, is a board-certified plastic surgeon and an ASAPS member.
The author is a consultant for Surgical Specialties Corporation and receives a consulting fee, as well as a fee for teaching course presentations.
Copyright © 2006 American Society for Aesthetic Plastic Surgery, Inc. Published by Mosby, Inc.
All rights reserved.
The author has found that the use of Barbed sutures simplifies Midface suspension not only by stacking elevated soft tissue, but also by providing the ability to adjust sutures postoperatively. Complications, such as breaking of sutures, malposition, and failure to maintain support have been rare in his practice.
Figure 1.
A, C, E, Preoperative view of a 39-year-old woman.
B, D, F, Postoperative views 6 months following closed barbed suture midface suspension.
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