Plastic and Reconstructive Surgery, Global Open (Jan 2019)

An Innovative Thread-looping Method for Facial Rejuvenation: Minimal Access Multiple Plane Suspension

  • Chao-Huei Wang, MD,
  • Heng-Jen Liu, MD,
  • Yun-Ta Tsai, MD,
  • Hsin-I Lin, MD,
  • Po-Yi Wu, MD,
  • Jheng-Wei Lin, MD

DOI
https://doi.org/10.1097/GOX.0000000000002045
Journal volume & issue
Vol. 7, no. 1
p. e2045

Abstract

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Background:. Management of facial rejuvenation has evolved over past decades. Facelift with barbed suture is a minimally invasive surgical technique for facial rejuvenation. This study examined the efficacy and associated complications of a new thread-looping procedure called minimal access multiple plane suspension. Methods:. A total of 103 thread lifts were performed between 2014 and 2017. Patient satisfaction and adverse effects were evaluated. Results:. In the majority of patients (88/103, 85.4%), the results obtained were considered satisfactory 3 months after the procedure. The incidence of complications was low. Only 5.8% of the patients had slight postoperation asymmetry that was easily corrected. Minor complications experienced by patients included palpable suture knots (12.6%), persistent facial swelling (7.88%), and facial dimpling (2.9%). The causes of procedure-related complications were reviewed and discussed. Conclusion:. Reinforced by select anchoring points, "minimal access multiple plane suspension" suspends ptotic anatomic tissues, serving as an effective facial rejuvenation procedure with minimal downtime and satisfactory cosmetic results.