PURPOSE STATEMENT In the space between full face lift with extensive undermining and the percutaneous thread lift, lays the minimally invasive open lift. It allows important option of over-tightening the skin initially to compensate for postoperative facial lag and adjusting tension up to 2 weeks postoperatively.

METHODS AND MATERIALS Facial skin flaps undermined to the mid-zygomatic arch only. Limiting dissection to this point helps to decrease potential damage of facial nerves and post-operative swelling and ecchymosis. Under direct vision, Contour Threads™ are placed subcutaneously. Skin flaps are trimmed conservatively and then closed without any tension. SUMMARY OF RESULTS Unlike previous percutaneous thread lifts, this technique allows for complete visualization of the placement of the needle and thread. This open thread lift approach allows for dramatic decrease in surgical time, as well as quicker recovery. Finally, postoperative loss of facial skin tightness can be minimized by over-tightening the sutures initially with immediate post-operative adjustment if necessary CONCLUSION Utilizing the described technique with the ability to adjust the skin tension helps enhance the concept of personalized surgical approach and appeals to younger and socially active patients who require quick recovery with noticeable immediate result.