Rhytidectomy

Abstract

The understanding of cervicofacial anatomy, and of the physiologic and anatomic changes that occur with the aging process, has vastly increased over the past three to four decades. This knowledge has led to more logical approaches to face-lift surgery. Vastly different than most other surgical domains, cervicofacial rhytidectomy is a cosmetic procedure. Face-lift surgery is driven not just by the ultimate result, but also by patient-driven economic factors of cost and recovery time. General resistance by patients to what they perceive as more invasive procedures often also plays a significant role in planning procedures.

Novel Pretrichial Browlift Technique and Review of Methods and Complications

“…Whereas these two ''thread lifts'' use tiny barbs, a third technique introduced by Eremia instead uses an anchor suspension suture created by the placement of 7-to 9-mm pieces of suture secured by basic square knots along a slowly absorbable 2-0 monofilament suture. 38 The five to nine cross-suture bits, spaced approximately 1 cm apart, act as anchors, allowing tissue elevation once the proximal ends are secured to fascia. The multiple supporting structures in these three sus-pension lift techniques allow tension to be distributed over a larger area of the adjacent subcutaneous tissue.…”

“…It has a long, straight inserting needle on the distal end to aid in placement in the midsubcutaneous tissue and a curved needle on the proximal aspect to secure the thread to fascia. Whereas these two “thread lifts” use tiny barbs, a third technique introduced by Eremia instead uses an anchor suspension suture created by the placement of 7‐ to 9‐mm pieces of suture secured by basic square knots along a slowly absorbable 2‐0 monofilament suture 38 . The five to nine cross‐suture bits, spaced approximately 1 cm apart, act as anchors, allowing tissue elevation once the proximal ends are secured to fascia.…”