Cirugía Plástica Ibero-Latinoamericana
versión impresa ISSN 0376-7892
We present a personal technique called "Face Up", using polyester sutures, deployed via minimal incisions which make it possible to achieve a raid lifting effect for the rejuvenation of the face. Our experience is based on the results of treating 600 patients who underwent this procedure between september 2002 and march 2006. The results were evident immediately post-surgery. The treated areas were firmly tied to the anchorage plain of the scalp. Theese areas were forehead, temples, eyebrows, cheeks, cheekbones, neck and paramaxillar regions adjacent to the area of masseter and buccinator muscles, which sag due to gravitational force and ageing. In the selected areas, sutures are slid along the subcutaneous tissue, where the aponeurosis of the muscles involved is firmly tied to this plain. For the intervention, a so-called "Demax" needle is used (pointed in bevel at both ends with a hole at one end) to drag the suture inserted from the temporal cephalic region as far as the distal point of the area of ptosis, where a change in direction is taken forming a hub which is produced by the second anchorage of the tissue, avoiding its shifting. The suture returns to the entry point for knotting to the periosteum in order to achieve and maintain the lifting. Complications were mild haematoma, equimosis, oedema, and localised infection at the entry incision and suture knot. In short and long term evaluations the results were good with a high satisfaction index both by patients and doctors. The "Face Up" technique is minimally traumatic and provides an alternative to traditional surgical lifting for the treatment of facial ageing and laxness.
Palabras clave : Lifting with threads; Minimally invasive surgery; Facial lifting.