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Barbed sutures in aesthetic plastic surgery: evolution of thought and process
1Dr Paul is Clinical Professor of Surgery in the Aesthetic and Plastic Surgery Institute, University of California, Irvine.
Aesthetic Surgery Journal
|October 3, 2013
Summary
Barbed suture technology has evolved significantly in plastic surgery. While early designs had limitations, newer absorbable barbed sutures offer promising results and efficiency in aesthetic procedures.
Area of Science:
- Plastic Surgery
- Surgical Technology
- Biomaterials
Background:
- Barbed suture technology has been used in plastic surgery for over 20 years.
- Early barbed suture designs, often nonabsorbable, faced challenges with longevity and complications.
- Recent advancements include new absorbable, unidirectional barbed suture designs.
Purpose of the Study:
- To review the evolution of barbed suture technologies in plastic surgery.
- To discuss the author's experience with a specific barbed suture device.
- To highlight the applications and potential benefits of barbed sutures in aesthetic procedures.
Main Methods:
- Review of historical barbed suture designs.
- Author's clinical experience with the Quill Knotless Tissue-Closure Device.
- Application in open aesthetic facial procedures and breast/body contouring.
Main Results:
- The Quill Knotless Tissue-Closure Device has been used successfully in facial procedures like brow/midface suspension, platysmaplasty, and neck lifts.
- Competency with this barbed suture technology can be achieved after 1-2 cases.
- Time savings are noted in breast and body contouring procedures such as mastopexy, abdominoplasty, and brachioplasty.
Conclusions:
- Barbed suture technology continues to evolve, with newer designs showing promise.
- The Quill Knotless Tissue-Closure Device is effective for various aesthetic plastic surgery procedures.
- Barbed sutures offer potential for improved efficiency and outcomes in plastic surgery.
