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
Answer: Find the right surgeon If you feel that your face does not reflect how young you feel on the inside, a facelift may be the solution to help you look and feel younger. During your consultation, your doctor will evaluate your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure. Based on this evaluation, he/she will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. Your doctor should make sure you have a full understanding of what results to expect.Always insist on a board certified surgeon!
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Answer: Find the right surgeon If you feel that your face does not reflect how young you feel on the inside, a facelift may be the solution to help you look and feel younger. During your consultation, your doctor will evaluate your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure. Based on this evaluation, he/she will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. Your doctor should make sure you have a full understanding of what results to expect.Always insist on a board certified surgeon!
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July 23, 2017
Answer: Autoimmune disease and Facelifting Good question. I understand the concern over your auto immune disease and surgery but a suture whether it is non absorbable of absorbable will likely not likely aggravate your disease or cause an issue with your result. I would more likely focus on the doctor's experience and overall results and how you two connect over sutures. If you really do not want permanent sutures in the muscle layer I am sure he could modify the technique but again it probably will not matter. At times permanent sutures do cause a reaction called a suture granuloma. I think this is about 1 in 300 and can happen regardless of auto immune disease or not. When this happens the suture is easily removed without much consequence.
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July 23, 2017
Answer: Autoimmune disease and Facelifting Good question. I understand the concern over your auto immune disease and surgery but a suture whether it is non absorbable of absorbable will likely not likely aggravate your disease or cause an issue with your result. I would more likely focus on the doctor's experience and overall results and how you two connect over sutures. If you really do not want permanent sutures in the muscle layer I am sure he could modify the technique but again it probably will not matter. At times permanent sutures do cause a reaction called a suture granuloma. I think this is about 1 in 300 and can happen regardless of auto immune disease or not. When this happens the suture is easily removed without much consequence.
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July 19, 2017
Answer: Sutures Both permanent and dissolvable sutures are used depending on each surgeon's preferences. These sutures should not cause a reaction because of your autoimmune condition. Most importantly is that you are not taking steroids or other medications that would impair your normal wound healing.
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July 19, 2017
Answer: Sutures Both permanent and dissolvable sutures are used depending on each surgeon's preferences. These sutures should not cause a reaction because of your autoimmune condition. Most importantly is that you are not taking steroids or other medications that would impair your normal wound healing.
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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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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.
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