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

• Main Authors: Chao-Huei Wang, MD, Heng-Jen Liu, MD, Yun-Ta Tsai, MD, Hsin-I Lin, MD, Po-Yi Wu, MD, Jheng-Wei Lin, MD
• Format: Article
• Language: English
• Published: Wolters Kluwer 2019-01-01
• Series: Plastic and Reconstructive Surgery, Global Open
• Online Access: http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002045

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.