title: Rhytidectomy Utilizing Bidirectional Self-Retaining Sutures: The Bidirectional Lift and the Extended Bidirectional Lift.
abstract: This article outlines a new rhytidectomy technique, developed by the author, that utilizes bidirectional self-retaining (barbed) sutures for superficial musculoaponeurotic system (SMAS) plication and, in some instances, skin closures. Short-scar and traditional versions of the procedure are presented, and the history of purse-string SMAS plication and the advantages for using self-retaining sutures in this application are discussed.
authors.affiliation: Dr O'Connell is a Senior Attending Plastic and Reconstructive Surgeon, Bridgeport Hospital, Bridgeport, CT.
authors.forename: Joseph B
authors.initials: JB
authors.lastname: O'Connell
mesh_terms: D000367:Age Factors; D000368:Aged; D004867:Equipment Design; D005260:Female; D006801:Humans; D008875:Middle Aged; D056888:Patient Positioning; D012060:Rejuvenation; D015361:Rhytidoplasty / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D015595:Skin Aging; D013536:Suture Techniques / Q000009:adverse effects / Q000295:instrumentation*; D013537:Sutures; D016896:Treatment Outcome