J Korean Soc Plast Reconstr Surg.  2010 Nov;37(6):801-807.

Limited Dissection Face Lift with PDS Quilting Suture

Affiliations
  • 1Department of Plastic & Reconstructive Surgery, Dong-A University School of Medicine, Busan, Korea. sgkim1@dau.ac.kr

Abstract

PURPOSE
Facial rejuvenating surgery has become a challenge to most plastic surgeons. Patients are demanding fewer complications, a prompt recovery, and more natural results. Current trend of the face lift surgery has been developed into less invasive procedures. Every aging patient in Asia wants to look younger without obvious evidence of surgical correction.
METHODS
The authors performed the limited dissection face lift with PDS quilting suture on twenty five patients. These five quilting sutures consist of sutures at 1~2 cm posterior to the prominent point of zygoma to the periosteum of the zygomatic arch, at the lateral border of Bichat's fat pad area to the zygomatic arch, at the lateral border of the orbicularis oculi muscle to the deep temporal fascia, at the upper lateral border of the platysma to the periosteum of the mastoid, and at the anterior lower margin of the earlobe to the deep temporal fascia by quilting suture technique to achieve rejuvenation.
RESULTS
These procedures could produce a balanced volumetric rejuvenation. This method gave considerable benefit of stable and satisfactory results. It provides reduced operative time, well corrected nasolabial fold and neck wrinkle, and swift recovery with minimal complications.
CONCLUSION
Although it could not replace the classic facelift, this technique can be recommended as an option for patients who do not present with advanced facial aging or not want a more extensive procedure.

Keyword

Facial rejuvenation; Limited dissection face lift; Quilting suture

MeSH Terms

Adipose Tissue
Aging
Asia
Fascia
Humans
Mastoid
Muscles
Nasolabial Fold
Neck
Operative Time
Periosteum
Rejuvenation
Rhytidoplasty
Suture Techniques
Sutures
Zygoma
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