Journal Article

Rhytidectomy Utilizing Bidirectional Self-Retaining Sutures: The Bidirectional Lift and the Extended Bidirectional Lift

Joseph B. O'Connell

in Aesthetic Surgery Journal

Published on behalf of American Society for Aesthetic Plastic Surgery

Volume 35, issue 6, pages 633-643
Published in print August 2015 | ISSN: 1090-820X
Published online July 2015 | e-ISSN: 1527-330X | DOI: https://dx.doi.org/10.1093/asj/sju167
Rhytidectomy Utilizing Bidirectional Self-Retaining Sutures: The Bidirectional Lift and the Extended Bidirectional Lift

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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.

Journal Article.  4227 words.  Illustrated.

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