Villa Mark T, White Lucile E, Alam Murad, Yoo Simon S, Walton Robert L
Chicago, Ill. From the Section of Plastic and Reconstructive Surgery, University of Chicago, and the Department of Dermatology, Northwestern University.
Plast Reconstr Surg. 2008 Mar;121(3):102e-108e. doi: 10.1097/01.prs.0000299452.24743.65.
Despite substantial mention in the popular press, there is little in the plastic surgery or dermatology literature regarding the safety, efficacy, longevity, or complications of barbed suture suspension procedures. The authors review the literature to estimate several clinical parameters pertaining to barbed thread suspensions.
The authors performed a MEDLINE search using the keywords "barbed and suture," "thread and suspension," "Aptos," "Featherlift," and "Contour Thread."
The authors identified six studies that met their criteria of addressing midface elevation with barbed thread suspension. These detected some adverse events, but most of these were minor, self-limited, and of short duration. Less clear are the data on the extent of the peak correction and the longevity of effect. Objective outcome measures and long-term follow-up data were not provided in a systematic manner in the few available studies.
Suspension of the aging face with barbed sutures offers the promise of a minimally invasive technique with diminished adverse events. The technique is in its infancy, but it has potential to be a useful and effective clinical tool as further innovations are made in the clinic and laboratory.
尽管大众媒体大量提及，但整形外科学或皮肤病学文献中关于倒刺缝线悬吊手术的安全性、有效性、持久性或并发症的内容却很少。作者回顾文献以评估与倒刺线悬吊相关的几个临床参数。
作者使用关键词“倒刺与缝线”“线与悬吊”“Aptos”“羽毛提升术”和“轮廓线”进行了MEDLINE检索。
作者确定了六项符合其用倒刺线悬吊解决中面部提升标准的研究。这些研究发现了一些不良事件，但大多数都是轻微的、自限性的且持续时间短。关于峰值矫正程度和效果持久性的数据尚不清楚。在少数现有研究中，未系统地提供客观结果测量和长期随访数据。
用倒刺缝线悬吊衰老面部有望成为一种不良事件减少的微创技术。该技术尚处于起步阶段，但随着临床和实验室的进一步创新，它有潜力成为一种有用且有效的临床工具。
