The Extended Purse-String Rhytidectomy

Area of Science:

• Plastic Surgery
• Cosmetic Procedures
• Surgical Techniques

Background:

• Facelifts are integral to cosmetic surgery, with evolving techniques and patient preference for less invasive options.
• The superficial musculoaponeurotic system (SMAS) and platysma are key layers targeted in facial rejuvenation.
• Patient demand for reduced morbidity in cosmetic procedures is increasing.

Observation:

• A retrospective review assessed a novel facelift plication technique using wide purse-string sutures on the SMAS and platysma.
• Ninety-five patients with a minimum 1-year follow-up were included in the analysis.
• The technique involves an inner followed by an outer purse-string suture placement.

Findings:

• Excellent or good results were achieved in 80 out of 95 patients based on surgeon assessment and patient satisfaction.
• Fair results were noted in 10 patients, and poor results in 5 patients.
• Complications included hematomas, prominent scars, and one case of skin loss; no facial nerve injuries were reported.

Implications:

• The extended purse-string rhytidectomy offers a viable alternative to traditional facelift methods.
• This plication technique effectively achieves the vertical vector crucial for modern facelifts.
• The technique is considered a valuable tool for surgeons performing aging face surgery.