Suture Suspension Technique for Mid Face and Neck Rejuvenation

Purpose:  The purpose of this study is to present a new surgical technique using subcutaneous suture suspensions, with polypropylene bio absorbable cones, and multiple point fixations (figure 1).

Methods:  Anatomic study in fresh cadavers showing the efficiency of suture lifting and safety with the branches of the facial nerve (figure 2).

The surgical technique presented in video and photographic documentation (figures 3-6).  Microscopic illustration supports the accion of the bio-absorbable cones with the surrounding tissue (figure 7).  Two suspension points each; nasolabial fold, commissure mandible line, all secure at the temporal fascia with mesh.  The neck procedure, sutures directed from retro-auricular incisions to the mid line (figure 8).  Performed in outpatient setting, local anesthesia, 20-30 minutes.

Results: 11 surgical procedures, 9 patients, 6 months follow up; Suture lift provides anterior projection of the cheek, elevates the corner of the mouth and improves the jowls. 

The complications are minimal temporary edema.  Patients return to work 3 to 4 days (figure 9-10).

Conclusion:   Suture suspension technique with polypropylene absorbable cones; multiple point fixations, safe and aesthetically pleasing results, minimal down time and high patient satisfaction.

Authors: G. Mabel Gamboa, M.D., Luis Vasconez, M.D.