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.

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!

Closing the facelift incisions is one of the most important parts of the procedure. It must be done with great care and precision in order to get the best result. Once healed, the face lift incisions should virtually be undetectable. Fine suturing is preferred over tissue glues because the sutures provide more long term predictable support for healing soft tissues.

Good question.   Artiss is a "fibrin sealant".  A fibrin sealant is used by some surgeons during various surgeries (like facelifts) to spray over the raw surfaces under the skin to stop oozing/swelling and helps the skin adhere to the underlying raw surface. Using a fibrin sealant usually means you do not need drains (nobody likes) and your swelling can be less.  Sutures are used to pull and hold the tissues.  Sutures are used to precisely close the skin incisions. Artiss does one thing and sutures do another. 

Thank you for your question.  Stitches are required in order to maintain the tissues elevated during a facelift in place until healing by the body takes over.  Artist is used as a glue to help prevent formation of fluid collections and to stop bleeding but will not support your tissues enough to heal appropriately.  Hope that this helps.