The Use of Multifilament Suture for SMAS Plication in Rytidectomy

Area of Science:

• Plastic Surgery
• Facial Rejuvenation Techniques

Background:

• Rhytidectomy (facelift) is a cornerstone of plastic surgery, with patient satisfaction highly dependent on technique.
• The superficial musculoaponeurotic system (SMAS) is a critical layer for effective facelift results.

Purpose of the Study:

• To retrospectively evaluate the outcomes of facelift procedures utilizing SMAS plication.
• To assess the efficacy of multifilament braided sutures in SMAS plication for rhytidectomy.

Main Methods:

• Retrospective review of 137 patients undergoing primary or secondary facelifts over 46 months.
• Patients averaged 59 years old (range 30-77) and were followed for 12 months post-surgery.
• Pre- and postoperative photographic analysis was used for subjective evaluation.

Main Results:

• 100% patient and surgeon satisfaction reported at the 1-year postoperative review.
• Minor complications included hematoma (4 patients), skin infection with necrosis (1 patient), and wound infection with dehiscence (1 patient).
• All complications were managed successfully, with conservative measures for wound issues.

Conclusions:

• SMAS plication is a pivotal technique in modern facelift surgery.
• Braided multifilament sutures are effective for SMAS plication, yielding sustainable lift and satisfactory long-term results.
• The choice of suture material is crucial for successful SMAS manipulation in rhytidectomy.