Permanent non dissolving sutures used for platysmaplasty? (Photo)

There are several types of sutures which can work well plicating the right and left anterior platysmal bands. I think the most important criteria is that the plication sutures are small diameter (such as 5-0) and of soft material. It is also important to not overly thin out the submental skin flap with excessive liposuction.

Although sutures are generally divided into dissolvable vs non dissolvable, this is not as definitive as it seems. Some sutures said to be permanent actually dissolve over several years. The dissolvable ones can disintegrate and lose strength from a few days to many months. The specifics of each suture dictate when it is most useful. You need something that lasts at least 4-6 months or longer when you are holding structures that will pull apart without the suture. This is so when you are putting the platysma muscle together. You need either a "dissolvable" suture that will stay strong at least 6 months or a "permanent" suture to reduce the incidence of recurrence. This is also true of putting the skin together where failure to do so with a buried more "permanent" suture frequently results in a wide scar. There are very little risks of using these sutures and significant benefits.