Which approach has the best results ( better looking scars, faster healing, adds time to the surgery)?
Answer: Sutures Provide Optimal Control to Create Refined Results After having performed thousands of face and neck lifts comfortably under local anesthesia, I have found that, in my hands, an incision most consistently heals as a thin line with gentle handling of the skin edges, minimal tension on the incision line (not pulling the skin too tight), and the use of fine sutures. Although it is quicker to use staples, I personally prefer the control I have over each stitch placement to align the skin edges for the most pleasing result that I can achieve. Healing times are relatively similar for both.
Helpful
Answer: Sutures Provide Optimal Control to Create Refined Results After having performed thousands of face and neck lifts comfortably under local anesthesia, I have found that, in my hands, an incision most consistently heals as a thin line with gentle handling of the skin edges, minimal tension on the incision line (not pulling the skin too tight), and the use of fine sutures. Although it is quicker to use staples, I personally prefer the control I have over each stitch placement to align the skin edges for the most pleasing result that I can achieve. Healing times are relatively similar for both.
Helpful
October 28, 2015
Answer: Sutures, stitches and staples for lower Facelift? You are asking one of the Million Dollar Questions in Plastic Surgery.Personally, I use a combination of dissolvable sutures, permanent sutures (which need to be removed), and sometimes staples IF the scar is inside the hairline.The dissolvable sutures are used deep inside the cheek in order to hold the tissues where I want them to stay. They typically stay in place for about 3-4 months before being absorbed.I like to use permanent monofiliament sutures (like nylon or praline) in the skin to approximate the wound edges because your body is unlikely to react to them as long as they are removed by day 5 or so.Staples are occasionally useful within the hairline because they are a very fast way to close the scar that nobody is ever going to see anyway. Furthermore, I remove them at day 5 as well (when I take out the sutures) so there shouldn't be any visible "railroad track" marks from them. The reason time is important is that the Anesthesia is so expensive. If I can save the patient 20 minutes of OR time by using staples and nobody is going to know the difference two weeks later, then that equates to real dollars and cents.Okay, sorry for the long answer, but that's what I use and why I use them...Good Luck!
Helpful
October 28, 2015
Answer: Sutures, stitches and staples for lower Facelift? You are asking one of the Million Dollar Questions in Plastic Surgery.Personally, I use a combination of dissolvable sutures, permanent sutures (which need to be removed), and sometimes staples IF the scar is inside the hairline.The dissolvable sutures are used deep inside the cheek in order to hold the tissues where I want them to stay. They typically stay in place for about 3-4 months before being absorbed.I like to use permanent monofiliament sutures (like nylon or praline) in the skin to approximate the wound edges because your body is unlikely to react to them as long as they are removed by day 5 or so.Staples are occasionally useful within the hairline because they are a very fast way to close the scar that nobody is ever going to see anyway. Furthermore, I remove them at day 5 as well (when I take out the sutures) so there shouldn't be any visible "railroad track" marks from them. The reason time is important is that the Anesthesia is so expensive. If I can save the patient 20 minutes of OR time by using staples and nobody is going to know the difference two weeks later, then that equates to real dollars and cents.Okay, sorry for the long answer, but that's what I use and why I use them...Good Luck!
Helpful
October 20, 2015
Answer: Which approach is best for scars after a facelift ? This is really a question that depends on surgeon preference. You can read below, but every surgeon will have his/her own preference for closure of the surgery. It It really doesn't matter what the surgeon uses to close, look at the surgeons beofres and afters and have a frank discussion with them about what you can realistically expect for scars. The incisions are placed in natural lines of the ears so scarring should be imperceptible. I do my procedures without general anesthesia, I find it helps with a quicker recovery. I also remove all my sutures at 1 week and do not sure staples. Thats my preference. Good luck!
Helpful
October 20, 2015
Answer: Which approach is best for scars after a facelift ? This is really a question that depends on surgeon preference. You can read below, but every surgeon will have his/her own preference for closure of the surgery. It It really doesn't matter what the surgeon uses to close, look at the surgeons beofres and afters and have a frank discussion with them about what you can realistically expect for scars. The incisions are placed in natural lines of the ears so scarring should be imperceptible. I do my procedures without general anesthesia, I find it helps with a quicker recovery. I also remove all my sutures at 1 week and do not sure staples. Thats my preference. Good luck!
Helpful
October 20, 2015
Answer: Sutures and facelifts Thanks for sharing. For a lower facelift and necklift i use fine sutures to close the wound. Staples are usually used to close incisions in the scalp such as a browlift incision. I use some absorbing and some non absorbing sutures. I close the skin in two laser to decrease wound tension and get the best result. Many things come into play when achieving the best results. Experience matters so select a board certified facelift facial plastic surgeon who has performed many facelifts.
Helpful
October 20, 2015
Answer: Sutures and facelifts Thanks for sharing. For a lower facelift and necklift i use fine sutures to close the wound. Staples are usually used to close incisions in the scalp such as a browlift incision. I use some absorbing and some non absorbing sutures. I close the skin in two laser to decrease wound tension and get the best result. Many things come into play when achieving the best results. Experience matters so select a board certified facelift facial plastic surgeon who has performed many facelifts.
Helpful
October 20, 2015
Answer: Sutures Hi. It depends exactly where your scar is going to be placed. If the scar is completely within the hairline then there is an advantage to staples as they are not circumferential and therefore cause less trauma to the hair follicles. I make my incision just inside the temporal hairline and prefer to use sutures in this circumstances. it is important that there is minimal tension on the skin at the end and this is done by suspending the SMAS layer. Regards
Helpful
October 20, 2015
Answer: Sutures Hi. It depends exactly where your scar is going to be placed. If the scar is completely within the hairline then there is an advantage to staples as they are not circumferential and therefore cause less trauma to the hair follicles. I make my incision just inside the temporal hairline and prefer to use sutures in this circumstances. it is important that there is minimal tension on the skin at the end and this is done by suspending the SMAS layer. Regards
Helpful