I got a consult with a plastic surgeon regarding face lift. He told me that, for a best and guaranteed result over time, he places permanent and non absorbable polyester suture named Ti-cron. I suffer from an autoimmune disease and possibly I don't want to insert foreign material in my body. As from your experience, do you place always these permanent suture performing a face lift? And, if you don't place them, will the result last shortly or disappear in a few months? Thank you
December 27, 2018
Answer: Sutures for facelift I have performed well over 3,000 facelifts. Initially for the first 500 of my facelifts, I used non-absorbable sutures using my Double C plication technique. About 4% of my patients had sutures reaction and extrusions. After that I changed my sutures to Vicryl, which absorbs in 6 months. I have noticed no difference in the long-term outcomes. Once the SMAS that is tightened with Vicryl is healed, in a few months, the facelift results will not be affected. I have published my Double C plication technique that describes the rotational angles and amount of tension that must be applied during SMAS plication to avoid over or under tightening. Using my technique, I apply gradual tension on my SMAS as follow: starting at temple area there is only 20-30% tension on muscle plication, once at the jawlines the muscle is tightened 100%. This prevent pulled looked at the corner of mouth. In neck area the muscle must be tighten with greater tension than 100%, depending on the neck laxity. The absorbable sutures are not contraindication to autoimmune diseases.
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December 27, 2018
Answer: Sutures for facelift I have performed well over 3,000 facelifts. Initially for the first 500 of my facelifts, I used non-absorbable sutures using my Double C plication technique. About 4% of my patients had sutures reaction and extrusions. After that I changed my sutures to Vicryl, which absorbs in 6 months. I have noticed no difference in the long-term outcomes. Once the SMAS that is tightened with Vicryl is healed, in a few months, the facelift results will not be affected. I have published my Double C plication technique that describes the rotational angles and amount of tension that must be applied during SMAS plication to avoid over or under tightening. Using my technique, I apply gradual tension on my SMAS as follow: starting at temple area there is only 20-30% tension on muscle plication, once at the jawlines the muscle is tightened 100%. This prevent pulled looked at the corner of mouth. In neck area the muscle must be tighten with greater tension than 100%, depending on the neck laxity. The absorbable sutures are not contraindication to autoimmune diseases.
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July 15, 2017
Answer: Sutures in facelift The surgical procedure can be performed with long acting temporary sutures or permanent sutures. Ultimately the outcome of the surgery relies on the surgical technique and the repositioning of deeper layers of the face and skin than the type of sutures used.
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July 15, 2017
Answer: Sutures in facelift The surgical procedure can be performed with long acting temporary sutures or permanent sutures. Ultimately the outcome of the surgery relies on the surgical technique and the repositioning of deeper layers of the face and skin than the type of sutures used.
Helpful
