Effectiveness, Longevity, and Complications of Facelift by Barbed Suture Insertion

Aesthetic Surgery Journal
Dario BertossiBerend van der Lei

Abstract

Minimally invasive facelift techniques involving barbed suture insertion have become popular among patients who wish to correct facial tissue ptosis. The authors sought to determine the effectiveness, longevity, complications, and postoperative sequelae associated with facelift by means of barbed polydioxanone (PDO) threads. A total of 160 consecutive patients who underwent facelift with barbed threads were evaluated retrospectively. For malar augmentation and correction of nasolabial grooves, 2 or 3 PDO threads (23 gauge) were placed per side; for treatment of mandibular lines, 2 to 4 PDO threads (21 gauge) were inserted per side. Immediately after suture placement and for 1 month postoperatively, patients experienced improvement in facial tissue ptosis. This aesthetic result declined noticeably by 6 months and was absent by 1 year. The overall complication rate in the early postoperative period was 34% (55 of 160 patients). Eighteen patients (11.2%) had superficial displacement of the barbed sutures, 15 (9.4%) experienced transient erythema, 10 (6.2%) had infection, 10 (6.2%) experienced skin dimpling, and 2 (1.2%) had temporary facial stiffness. Placement of barbed threads yields instantaneous improvement in facial ptosis th...Continue Reading

References

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Citations

Apr 24, 2020·Dermatologic Therapy·Cheng-Kun Wang
May 23, 2020·Plastic and Reconstructive Surgery. Global Open·Hyoung-Jin MoonWon Lee
Aug 3, 2020·Plastic and Reconstructive Surgery·Haydar A GülbittiBerand van der Lei
Dec 1, 2020·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Steven LiewSebastian Cotofana
May 8, 2020·Plastic and Reconstructive Surgery·Haydar A GülbittiBerand van der Lei
May 8, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Lehao WuJiaqi Wang

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