Fast facts

Facelift
Plastic Surgery


What it is: a plastic surgery procedure to address loose facial skin, deep lines, jowls and wrinkles.

What it addresses:

- Facial sagging in midface
- Deep creases below eyes
- Facial creases between nose & mouth
- Fallen or displaced fat
- Loss of muscle tone in lower face (jowls)
- Loose skin under chin and jaw


MORE INFORMATION
Question

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?


Asked by: martyo
Yakima, Wa

Answers (5)

Sort by: Most recent | Most helpful
1
November 11, 2008

One stitch, no results

Brent Moelleken, MD
Brent Moelleken, MD
Board Certified
Plastic Surgeon

The conclusion most patients reach at one year after having one stitch lifts or threadlifts is that the results are disappointing. They did not receive a facelift result with a single stitch as they had hoped.

When tissues are pulled with a hook with no undermining, the usual threadlift or one stitch technique, they cut through the tissue like butter. Fortunately, the marionette appearance from the subcutaneous tissues being pulled in a few specific areas softens as the sutures cut through and relax.

When tissues are undermined, and sutures are placed, this allows the tissues to "stick" in their new uplifted position; the sutures then become redundant (and self-dissolve) once complete healing occurs. This type of lift gives more permanent results. It is not the pull that gives the permanent result; it is the healing of the tissues in the uplifted position that does.

Of the many many revisions of previous threadlifts we have performed, we have universally noted that the threads were loose and did not hold tension on anything.

The good news is that aside from a few sutures popping through the skin, or palpable knots below the surface that required removal, most of these lifts don't seem to have done much harm. We simply perform our revision work and remove the sutures. Patients are usually amused to see how their threadlifts unwound.

While most of my patients are well off enough to write off their "investment" in a threadlift to experience and have a good laugh over it, I feel bad for the patients to whom the fee for the threadlift represents a significant investment.

While most patients now are quite familiar with the above information, as echoed by the other experts, there is a whole new batch of one-hour rejuvenation wonders that are claiming the funds of the trusting and uninformed.

2
October 8, 2008

If it sounds too good to be true...

Richard P. Rand, MD
Richard P. Rand, MD
Board Certified
Plastic Surgeon

There are some procedures like the Threadlift that propose to lift the face without surgery. These were very popular 3 or 4 years ago and many people had them performed. Simply stated, they didn't work and the companies that promoted them have either dissolved or turned their attention elsewhere.

Any procedure that is going to produce a real result must undermine the skin and elevate and tighten the deeper tissues of the face. There are many ways to do this but please realize that most "mini" procedures produce only a "mini result" for a "mini length of time."

3
September 25, 2008

Best to Avoid this Procedure

Kamran Jafri, MD
Kamran Jafri, MD
Board Certified
Facial Plastic Surgeon

Hello,

I agree with the advice given here.

A "One Stitch Lift" is a procedure that uses a barbed suture that stays in place or a ribbon with little hooks on it that absorbs over time.  The goal being to "hook" and elevate the sagging tissues through a small incision.  Sounds good but...

These types of procedures have fallen out of favor and would only be recommended in very, very subtle or unique circumstances.  Some Surgeons do feel they can be beneficially used for minimal brow lifts but as far as jowls or jawlines not much long term success has been noted.

I have revised many "one stitch" lifts that have been referred to me over the years.

4
July 29, 2008

One-stitch lift = threadlift

Payman Simoni
Payman Simoni
Board Certified
Facial Plastic Surgeon
Answer by Payman Simoni

"One stitch lift" is a marketing name for a thread lift procedure for the midface area. Since threadlift has recently received a lot of negative publicity, some surgeons use other marketing names to attract patients.

Threadlift procedure has not been able to gather full support of the plastic surgery society for its shortcomings. You may look at RealSelf reviews to see what other patients think of threadlift.

I personally neither perform nor believe in threadlift procedures.

5
July 29, 2008

"One-stitch lift" sounds like a marketing tool

Steven Wallach, MD
Steven Wallach, MD
Board Certified
Plastic Surgeon

Never heard of this, but it is most likely a marketing tool by some company that wants to promote "facelifting procedure." One stitch probably will last one minute!

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