title: Short-scar purse-string facelift.
abstract: Despite the variety of novel facial rejuvenation technologies available today, the reference standard for correction of the senescent jaw line and neck remains rhytidectomy. This article describes the purse-string facelift, a vertical facelift that moves away from traditional techniques that use a horizontal vector of subcutaneous muscle-aponeurotic system repositioning. The vertical facelift can counterbalance the effects of gravity and natural facial aging and can reposition the facial soft tissues into a more youthful position more directly and correctly. Rather than multiple, separate sutures to support the suspended tissues, the purse-string technique offers two distinct advantages: operative expediency and a tenacious suture anchor based on the periosteum of the posterolateral zygomatic arch.
authors.affiliation: Carmel Valley Facial Plastic Surgery, 4765 Carmel Mountain Road, Suite 201, San Diego, CA 92130, USA. md@drkaram.com
authors.forename: Amir M
authors.initials: AM
authors.lastname: Karam
authors.forename: L Mike
authors.initials: LM
authors.lastname: Nayak
authors.forename: Samuel M
authors.initials: SM
authors.lastname: Lam
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D009333:Neck / Q000601:surgery; D012060:Rejuvenation; D015361:Rhytidoplasty / Q000379:methods*