Southeastern Society of Plastic and Reconstructive SurgeonsSuture Suspension Technique for Midface and Neck RejuvenationGamboa, Gloria Mabel MD, FACS*; Vasconez, Luis O. MD, FACS†Author Information From the *Section of Plastic and Reconstructive Surgery, Medical College of Georgia, Augusta, GA; and †Division of Plastic Surgery, University of Alabama at Birmingham, Birmingham, AL. Received August 29, 2008, and accepted for publication, after revision, August 30, 2008. Reprints: Gloria Mabel Gamboa, MD, FACS, Associate Professor, Medical College of Georgia, Section of Plastic and Reconstructive Surgery, 1467 Harper St, HB-5040, Augusta, GA 30912. E-mail: email@example.com. Annals of Plastic Surgery: May 2009 - Volume 62 - Issue 5 - p 478-481 doi: 10.1097/SAP.0b013e31818c4b45 Buy Metrics Abstract Seventeen patients averaging 51 years of age underwent 23 surgical procedures, including suture suspension for both midface and neck rejuvenations. A 3/0 polypropylene thread with bioabsorbable cones with multiple point fixations in addition to 2 × 0.5-cm polypropylene surgical mesh are used in this technique. The mean postoperative, follow-up time was 9 months. Of the 17 patients, 12 underwent this procedure for midface rejuvenations, 3 for facial palsy, 5 for neck aesthetic procedures, 2 for brow ptosis, and 1 for brow asymmetry. The average number of sutures used for each face was 4 and 2 were used for each neck. The authors present an anatomic study for the safe placement of sutures, the surgical technique, and a microscopic photo documentation of the fibrosis around the suture knot and cone. All patients developed temporary edema. Two patients had a moderate aesthetic improvement of the face, and 1 patient underwent resuspension of the sutures 4 months postsurgery. Overall early patient satisfaction at 9 months was 90%. This technique has the potential to be a useful and effective clinical tool for minimally invasive face and neck rejuvenations. © 2009 Lippincott Williams & Wilkins, Inc.