The Long-term Results of Purse-string Facelifts（3）
In the first 22 years of my career, I performed traditional superficial and deeper plane facelifts with results that I felt were good, but with complication and morbidity rates that were sometimes not acceptable.
In 1999, I heard Dr. Ziya Saylan present a lecture on the S-lift and started performing this technique on a select few patients with moderate, but encouraging results. I found that this technique worked well on patients in their forties, but for women who were post-menopausal (age 50 plus) the technique lacked the long-lasting improvement in the jowl and neck region that I and my patients sought. I felt that the 30 to 45 degree backward vector of the purse-string, insufficient undermining, and inferior platysmal tightening caused this result.
Developing The QuickLift
In 2003, I began changing the shape of the incision, increasing the degree of inferior-posterior suspension and the method of tightening (double concentric purse-strings) to create a more vertical 60 to75 degree advancement that I hoped would treat patients in their fifties, sixties and seventies more effectively.
In 2004, I published results from my first version of The QuickLift in the journal Cosmetic Dermatology. Since then I have modified the technique by increasing the length of the posterior incision and increasing the anterior undermining on certain patients who have heavier jowls, excessive submental redundancy and a sunken mid-face, which is often more present with older patients.
Fig. 3：QuickLift. This schematic demonstrates double concentric overlapping purse-strings, incision (in red) and vector of advancements.
These changes create a more effective lift of the lower and mid-face regions, giving the surgeon more variety to treat these select patients more completely. Additionally, in a certain percentage of patients, I have modified the procedure with a posterior cervicoplasty and/or more anterior-inferior undermining.
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