Midface barbed suture lift.

Barbed suture lifting is not comparable to and should not be presented as an alternative to a face-lift. It should be viewed as a temporizing procedure that can and should be maintained until the aging appearance in a patient demands a different approach. Much more experience is need with retightening of these procedures. New variations on self-engaging sutures are on the horizon. These and other new sutures represent a continued evolution in this technology.