Barbed polypropylene sutures for midface elevation: early results

Area of Science:

• Plastic Surgery
• Facial Rejuvenation Techniques

Background:

• Minimally invasive procedures for midface rejuvenation have gained popularity.
• A novel percutaneous barbed polypropylene suture technique is presented for midface aging.
• This technique offers both closed and open approaches based on tissue repositioning needs.

Purpose of the Study:

• To evaluate the efficacy of barbed polypropylene sutures in elevating the aging midface.
• To assess the rate of early complications associated with this midface rejuvenation technique.

Main Methods:

• A cohort of 44 patients undergoing midface rejuvenation with barbed polypropylene sutures was examined.
• Procedures included 34 open-approach and 10 closed-approach techniques.
• Outcomes focused on improvements in the infraorbital hollow, lower lid position, nasolabial/melolabial creases, nasojugal groove, and jowls.

Main Results:

• All patients experienced visible improvement in the midfacial area and jowls.
• The barbed polypropylene suture technique resulted in minimal early complications.

Conclusions:

• The evaluated barbed polypropylene suture offers a viable new technique for facial plastic surgeons.
• This method is particularly effective for selected patients presenting with midface ptosis.