"One-stitch" face lift

Otto Joseph Placik, MD answers: What is a "one-stitch lift"?

I have heard of a "one-stitch" lift.  Is there really such a thing? Apparently a doctor does a stitch, that lifts the skin a bit, up along the hairline. Is this a good procedure?


Otto Joseph Placik, MD
9 months ago

If I were to ask you to take one finger and push up on your face to make yourself look younger, do you think you could do it?

As you can see from the other surgeon's comments, we generally achieve our best results by performing a layered approach and addressing the multiple layers of the face that are effected by aging.

I like to give analogies to explain what may be obvious to us as surgeons but not to a non-surgeon.

Consider the a messy appearing or unkempt bed. Is the appearance due to a lumpy mattress, a poorly placed bottom sheet, top sheet, or wrinkled comforter? Well the same goes for the face. Doing a simple "one-stitch" repair is not unlike just pulling the bottom sheet or patting out the wrinkles. It may provide a temporary subtle improvement but not a long term solution. You must "delaminate" or separated the layers to get the best result. Remove all the sheets, rarrange the mattress, replace the fitted sheet, tightly apply a top sheet and apply the comforter over the entire structure to create a nice cosmetic appearance. Does the comforter need to be pressed or ironed or replaced? To some degree, the same goes with the face: address the bony skeleton, the fatty deposits, the muscle, and lastly the skin (remove excess and perform resurfacing as needed).

I know this is an over-simplified explanation, but it gives a general concept. If you are looking for a short term simple fix, the one stitch may be an option for you but it generally does little to achieve a meaningful and substantial outcome. Be aware of photos using lighting, makeup or positioning to create an exaggerated or overly positive outcome

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