title: Barbed polypropylene sutures for midface elevation: early results.
abstract: BACKGROUND
  In the past decade, the popularity of minimally invasive procedures for midface rejuvenation has greatly increased. We describe a new technique using percutaneous barbed polypropylene sutures to specifically address midface aging. It can be performed in a closed or open approach, depending on the degree of tissue repositioning required.
  
  
  OBJECTIVE
  To determine the efficacy of the barbed polypropylene suture in the elevation of the aging midface and the rate of associated early complications.
  
  
  METHODS
  Examination of the results obtained in 44 patients in whom we used the barbed polypropylene suture in a private practice plastic surgery facility. Of these patients, 34 underwent an open-approach and 10 a closed-approach procedure. Attention was focused on improvement of the aging midface, including the infraorbital hollow, lower lid position, nasolabial and melolabial creases, and nasojugal groove. Attention was also focused on improvement of the jowls.
  
  
  RESULTS
  All patients demonstrated improvement in the midfacial area and jowls, with minimal complications.
  
  
  CONCLUSIONS
  The suture evaluated in this article provides another technique that can be used by facial plastic surgeons in selected patients to address, in particular, ptosis of the midface.
authors.affiliation: Department of Otolaryngology, University of Washington, Seattle, USA.
authors.forename: Samson
authors.initials: S
authors.lastname: Lee
authors.forename: Nicannor
authors.initials: N
authors.lastname: Isse
mesh_terms: D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D011126:Polypropylenes; D015361:Rhytidoplasty / Q000295:instrumentation* / Q000379:methods; D013536:Suture Techniques; D013537:Sutures
chemical_list: D011126:Polypropylenes