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Can Monocryl 3-0 Suture Be Used for Lifting the SMAS Layer?

asked 9 months ago by anon2418 in scotland
Latest answer by Scott Trimas, MD
Question viewed 288 times
Tags: female, 1 year post-op, revision, sutures

i got a smas facelift done a year and 8mths ago .There was no difference at all so the plastic surgeon done correction work after 1 year he made incisions only half way up around both ears back and front he then put a thread which was a monocryl 3-0 suture into the smas layer to lift it .needless to say this also failed i only had mild to moderate jowls to begin .ive still got them i was told his facelift would last 7 years

7 answers to Can Monocryl 3-0 Suture Be Used for Lifting the SMAS Layer?

+2

Minimally invasive threadlifting

Unfortunately, limited procedures to improve jowls and other areas of the lower face have limited results. It sounds as if you might need a more substantial lifting procedure. Incidentally, the type of sutures used seldom has a significant effect. The procedure is more technique driven and many different sutures can achieve similar results. Good luck.
Scott Trimas, MD

Jacksonville Facial Plastic Surgeon
+2

Monocryl for lifting the SMAS

Monocryl can be used to lift the SMAS but the key to long term success is releasing the SMAS so that when it is tightened, it will not pull apart and fall back down. What was done the second go round was a glorified thread lift and was likely not going to help. Short of a redo facelift, I am not sure what else I could suggest.
Julio Garcia, MD

Las Vegas Plastic Surgeon
+2

Failed Revision Facelift

A SMAS lift typically entails dissection and elevation of the SMAS layer (SMAS imbrication). You look young and most likely you had a mini-lift, Swift Lift, Thread Lift or some other minimally invasive procedure that "plicates" the SMAS. These approaches are often not aggressive enough to adequately correct the problem. These terms and the techniques described are very confusing to well trained facial plastic surgeons, let alone a patient without medical training.... more
John Bitner, MD

Salt Lake City Facial Plastic Surgeon
+2

Thread Facelift

I've seen patients who have had thread facelifts done and been disappointed with the shortlived results. To achieve the best results, the facelift needs to be properly performed by addressing the SMAS layer by trimming, lifting, and suturing it to a desired position that will lift your face and give you natural appearing results. Only by doing this will you get a result that will last.
Kimberly Lee, MD

Beverly Hills Facial Plastic Surgeon
+2

Face Lift

An actual SMAS facelift requires the proper technique, which as stated before involves undermining, trimming and then lifting and suturing to the desired position. The skin is then smoothed down over the lifted area and the excess skin is removed to give you a natural youthful appearance without a pulled look where just skin is removed. I prefer to do some SMAS work in almost every lift I do. It makes the lift more effective and allows you to treat the mid face as well as the neck giving a... more
Michael Elam, MD

Orange County Facial Plastic Surgeon
+2

Can 3-0 monocryl suture be usde to lift the SMAS during a Face Lift?

The SMAS should be undermined, trimmed, lifted and sutured back together, IMHO, in any type of Face Lift for it to be effective. If, on the other hand, a suture (regardless of type), thread or some other fixation method is used to lift and/or fold the SMAS on itself... this is likely to fail, allowing the SMAS to return to the sagged position.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+2

Face lift

Moncryl sutures are very good sutures for any surgery. the results of a face lift is not determined by the suture material. success of a face lift is understanding your expectations an execution of the surgery, sutures have minimal effect. Get your preoperative pictures and post operative pictures, the post revision pictures and the operative notes. Cosult a BOARD CERTIFIED PLASTIC SURGEON (AMERICAN BOARD OF PLASTIC SURGERY) Write your questions, your expectations of the final result... more
Samir Shureih, MD

Baltimore Plastic Surgeon

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