Eremia Sorin, Willoughby Mark A
Cosmetic Surgery Unit, Division of Dermatology, University of California at Los Angeles, Riverside, California 92501, USA.
Dermatol Surg. 2006 Mar;32(3):335-45. doi: 10.1111/j.1524-4725.2006.32070.x.
Various suspension suture techniques exist to elevate the mid-face, jowls, and neck.
To assess safety and efficacy of a new suspension suture and inserting instrument with both standard and minimal incision (no-skin-excision) face-lifts.
A new type of multianchor suspension suture assembled from commercially available 2-0 absorbable monofilament material, with 5 to 9 equally spaced knots through which are secured 7 to 9 mm bits of 0 thickness similar suture material, and an attached straightened needle, was used to elevate and suspend facial tissues to temporal or mastoid fascia. The suspension sutures are placed in the deep subcutaneous tissues, just above the superficial musculo aponeurotic system (SMAS), by use of a novel, blunt instrument, which does not require a second, distal exit point. The suspension suture distal end floats free. The proximal needle end is sutured to fascia. The suture was used on 20 patients. Fourteen of them underwent pure, "no-skin-excision," suspension lifts. Six had suspension suture elevation of the mid-face in conjunction with relatively conservative open lifts. Nine- to 12-month results were evaluated.
With open face-lifts, 9- to 12-month results are excellent with significant persistence of the correction initially achieved. Resulting scars remained fine line. There were no complications. With pure suspension lifts, initial results were impressive. By 6 months, correction started to fade. By 12 months 100% of initial correction for jowls, and 80 to 100% for mid-face, appeared lost. Recovery time was 2 to 4 days. There were no significant complications.
Large multianchor, absorbable monofilament sutures can safely and effectively enhance results of conservative lifts, with remarkable elevation of the mid-face not achievable with simple SMAS flaps. These suspension sutures can easily and safely achieve impressive, though relatively short-term results, with a minimal incision, "no-skin-excision" technique.
存在多种用于提升中面部、脸颊和颈部的悬吊缝合技术。
评估一种新型悬吊缝合线及插入器械在标准和微创（无皮肤切除）面部提升术中的安全性和有效性。
一种新型多锚悬吊缝合线由市售的2-0可吸收单丝材料组装而成，有5至9个等距结，通过这些结固定7至9毫米长、厚度为0的类似缝合材料小段，并带有一根连接的直针，用于将面部组织提升并悬吊至颞部或乳突筋膜。通过一种新型钝性器械将悬吊缝合线置于深皮下组织，恰好在表浅肌肉腱膜系统（SMAS）上方，该器械不需要第二个远端出口点。悬吊缝合线远端自由漂浮。近端针端缝合至筋膜。该缝合线应用于20例患者。其中14例接受了单纯的“无皮肤切除”悬吊提升术。6例在进行相对保守的开放式提升术的同时进行了中面部悬吊缝合提升术。评估了9至12个月的结果。
在开放式面部提升术中，9至12个月的效果极佳，最初实现的矫正效果显著持久。形成的瘢痕仍为细线状。无并发症。在单纯悬吊提升术中，初始效果令人印象深刻。到6个月时，矫正效果开始消退。到12个月时，脸颊最初矫正效果的100%以及中面部80%至100%的矫正效果似乎消失。恢复时间为2至4天。无明显并发症。
大型多锚可吸收单丝缝合线可安全有效地增强保守提升术的效果，能显著提升中面部，这是简单的SMAS瓣无法实现的。这些悬吊缝合线可通过微创、“无皮肤切除”技术轻松安全地取得令人印象深刻的效果，尽管效果相对短期。
