title: A novel specialized suture and inserting device for the resuspension of ptotic facial tissues: early results.
abstract: BACKGROUND
  In the past decade, the popularity of minimally invasive procedures for facial rejuvenation has increased.
  
  
  OBJECTIVE
  To describe a new specialized suture, and its associated technique, used to elevate sagging tissues of the face and neck.
  
  
  METHODS
  A detailed description of the technique and the results obtained in 20 patients in whom we have used this novel approach. Attention was given to appropriate patient selection. The primary focus was on the correction of the jowl, jawline, and neck subunits. It involves the percutaneous introduction of a novel 3-0 polypropylene suture that has 10 absorbable hollow cones along its axis that are equally interspersed with knots. Once the absorbable cones are resorbed into the surrounding tissues, the non-absorbable suture component can be removed without compromising the aesthetic outcome.
  
  
  RESULTS
  All patients demonstrated improvement in these areas, with minimal complications. One patient required resuspension using the open technique. (Excessive ptotic tissue was later excised for an optimal cosmetic result.)
  
  
  CONCLUSIONS
  The suture and technique described in this article provide a major contribution to the correction of ptosis of facial tissues. When done in conjunction with other procedures, such as neck and jowl microliposuction, this technique has proven to be a useful addition to facial rejuvenation.
authors.affiliation: Clinical Dermatology, Columbia University College of Physicians and Surgeons, New York, New York, USA.
authors.forename: Emil
authors.initials: E
authors.lastname: Bisaccia
authors.forename: Razan
authors.initials: R
authors.lastname: Kadry
authors.forename: Liliana
authors.initials: L
authors.lastname: Saap
authors.forename: Arlene
authors.initials: A
authors.lastname: Rogachefsky
authors.forename: Dwight
authors.initials: D
authors.lastname: Scarborough
mesh_terms: D003357:Cosmetic Techniques / Q000295:instrumentation; D005145:Face / Q000601:surgery*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation*; D009333:Neck / Q000601:surgery*; D012060:Rejuvenation; D015361:Rhytidoplasty / Q000295:instrumentation*; D015595:Skin Aging; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures