Why would a doctor chose to use stitches instead of Artiss for a facelift? P

Artiss is a tissue sealant and meant to be used to adhere 2 tissue surfaces together.  But it does not have strength to hold skin edges together when there is some tension put on them.  There is the small possibility that it could transmit disease.  A well closed suture line for a facelift is nearly invisble.  It would likely increase the cost as Artiss is more expensive than a single suture.

No surgical adhesive is currently available that will provide the tensile strength that are required during the early healing phase following facelift surgery.  Artiss is a fibrin glue product which have been around for 25 years. They work well in bonding large surface areas of tissue to seal off adjacent compartments and obliterate air cavities.  Sutures are required for the deep suspension in facelift and remain the best option to close the skin incisions. Mario J. Imola, MD, DDS, FRCSC, FACS.

Sutures are required to close wounds. Artiss can assist with holding tissues together but is not required nor does it ever replace sutures. It simply is not strong enough to counter the effects of muscle movement and gravity, and surgeons don't want patients walking around with big scars or open wounds!