Suture suspension technique for midface and neck rejuvenation

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Regenerative Medicine

Background:

• Facial and neck rejuvenation procedures aim to restore a youthful appearance.
• Minimally invasive techniques are increasingly preferred for reduced recovery times and risks.
• Suture suspension offers a less invasive alternative to traditional rhytidectomy.

Purpose of the Study:

• To evaluate the safety and efficacy of a novel suture suspension technique for midface and neck rejuvenation.
• To assess patient outcomes and satisfaction with the described surgical method.
• To provide anatomical insights for safe suture placement and document tissue response.

Main Methods:

• A cohort of 17 patients underwent 23 procedures using 3/0 polypropylene threads with bioabsorbable cones and polypropylene mesh.
• Procedures included midface and neck rejuvenation, facial palsy correction, brow ptosis, and asymmetry correction.
• Anatomical study, surgical technique description, and microscopic documentation of tissue response were performed.

Main Results:

• The average follow-up period was 9 months, with 90% early patient satisfaction.
• Temporary edema was observed in all patients; one patient required suture resuspension.
• Moderate aesthetic improvement was noted in two patients undergoing midface rejuvenation.

Conclusions:

• The described suture suspension technique is a potentially useful and effective tool for minimally invasive facial and neck rejuvenation.
• The technique demonstrates a favorable safety profile with high patient satisfaction.
• Further studies may validate its long-term efficacy and broader clinical application.