In a SMAS facelift, what's the difference between plication, imbrication and suspension?

August 12, 2018
Asked By:heartsease in UK

Which is the best technique for longevity and effectiveness in lifting jowls? From what I've read, suspension is used in MACS-type lifts and involves a loop-like suture, plication involves folding the SMAS in on itself (and can lead to bumpiness?) and imbrication seem a bit more technical and involved. Are there any other techniques besides these? What is the gold standard?

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