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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
19:53

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

Published on: March 1, 2015

Using barbed sutures in open/subperiosteal midface lifting.

Malcolm D Paul

    Aesthetic Surgery Journal
    |April 3, 2009
    PubMed
    Summary

    Barbed sutures simplify midface suspension by stacking soft tissue and allowing adjustments. This technique has shown rare complications like suture breakage or malposition in practice.

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    The Anterior SMAS Approach for Facelifting and for Buccal Fat Pad Removal.

    Aesthetic plastic surgery·2017
    Same author

    Bidirectional barbed sutures for wound closure: evolution and applications.

    The journal of the American College of Certified Wound Specialists·2014
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    Face expressive lifting (FEL): an original surgical concept combined with bipolar radiofrequency.

    European journal of plastic surgery·2014
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    Neck lift technique: the Lifestyle Lift.

    Clinics in plastic surgery·2013
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    Preface. The neck: a complex cylinder.

    Clinics in plastic surgery·2013
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    Barbed sutures in aesthetic plastic surgery: evolution of thought and process.

    Aesthetic surgery journal·2013

    Area of Science:

    • Plastic Surgery
    • Facial Rejuvenation Techniques

    Background:

    • Midface aging leads to soft tissue ptosis.
    • Traditional suspension methods can be complex.

    Purpose of the Study:

    • To evaluate the efficacy of barbed sutures for midface suspension.
    • To assess the ease of use and complication rates.

    Main Methods:

    • Utilized barbed sutures for midface suspension.
    • Focused on stacking elevated soft tissue.
    • Emphasized postoperative suture adjustability.

    Main Results:

    • Barbed sutures simplified the midface suspension procedure.
    • Postoperative adjustments were feasible.
    • Complications including suture breakage, malposition, and loss of support were rare.

    Conclusions:

    • Barbed sutures offer a simplified and adjustable approach to midface suspension.
    • The technique appears safe with a low complication profile.

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