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Related Concept Videos

Sutures of the Skull01:22

Sutures of the Skull

The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...

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Related Experiment Video

Updated: Jun 24, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Elevating the midface with barbed polypropylene sutures.

Nicanor G Isse, Peter B Fodor

    Aesthetic Surgery Journal
    |April 3, 2009
    PubMed
    Summary

    Barbed sutures can be used in facelift surgery, alone or with other procedures like implants and fillers. This technique repositions facial tissues, improving jowling and fullness while affecting eyelid distance and nasolabial folds.

    Area of Science:

    • Plastic Surgery
    • Facial Rejuvenation Techniques

    Background:

    • Facelift surgery aims to restore a youthful appearance by repositioning facial tissues.
    • Various adjuncts are used to enhance facelift outcomes, including implants and fillers.

    Purpose of the Study:

    • To describe the application and outcomes of barbed sutures in facial rejuvenation.
    • To detail the effects of cephalad cheek repositioning on adjacent facial structures.

    Main Methods:

    • Barbed sutures utilized in closed or open facelift approaches.
    • Combination therapy with malar implants, soft tissue fillers, chemical peels, and laser resurfacing.

    Main Results:

    • Cephalad cheek repositioning leads to predictable adjacent area changes.

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  • Observed results include lower eyelid distance shortening, nasolabial fold flattening, and submalar tissue elevation.
  • Improvements noted in jowling and reduction of submalar area fullness.

    • Conclusions:

    • Barbed sutures offer a versatile tool in facelift surgery.
    • The technique effectively addresses multiple signs of facial aging, including jowling and volume deficits.
    • Understanding adjacent area effects is crucial for optimizing results.