Are Sasaki/Keller percutaneous cheek lifts long lasting?

Question

I've been reading some publications by Dr. Gordon Sasaki and Dr. Gregory S. Keller and others on percutaneous cheek lifts either through suture or endotine suspension. What are your thoughts on these procedures? How long do they last? What are alternatives? I've read on here that these may not be ideal.

Randal Haworth, MD, FACS · Answer

Percutaneous cheek lifts are minimally invasive procedures that can provide a subtle lift to the cheek area by using sutures or endotine suspension devices. While these procedures may be effective in some cases, they are not always the best option for everyone.

One potential issue with percutaneous cheek lifts is that they may not provide as significant or long-lasting of a lift as more invasive procedures such as a traditional facelift or midface lift. Additionally, these procedures are not as customizable as more extensive procedures and may not be able to address all of a patient's concerns.

It's important to consult with a qualified and experienced plastic surgeon to discuss your options and determine which procedure is best for you. In some cases, a combination of procedures may be recommended to achieve optimal results.

Alternatives to percutaneous cheek lifts may include injectable fillers such as hyaluronic acid or Sculptra, which can add volume to the cheek area and provide a subtle lift. In some cases, fat transfer may also be an option. It's important to note that these treatments may require maintenance and regular touch-ups to maintain their results.

I hope this helps,
best of luck !

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Gregory S. Keller, MD, FACS · Answer

I cannot resist answering this question.  The procedure is tricky to do, but with a surgeon who is experienced with the procedure and a patient who is a good candidate, will result in a restoration of the cheek position.  A good test to see if you are a candidate is to smile.  If this provides an elevation of the cheek, it is likely that you are a good candidate for the procedure (the procedure will usually reduce the depth of the nasolabial fold, not increase it, as the smiling does).  The procedure, as I perform it today, has increased the length of time that it lasts.  Originally, when performed in a subcutaneous plane, it lasted about 3-5 years with a small failure rate.  With a change back to a subperiosteal plane, and a change in the suture suspension materials, I and the other surgeons that I have taught, generally obtain the results, as noted above. When we do a deep plane facelift, we always add a mid-face lift for a longer term and more natural “structure lifting” result that cannot be obtained with a deep plane facelift alone.

Are Sasaki/Keller percutaneous cheek lifts long lasting?

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