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A Double-Edged Suture? A Comprehensive Review of the Literature

Tong, Lana X. MD, MPH; Rieder, Evan A. MD*

doi: 10.1097/DSS.0000000000001921
Review Article

BACKGROUND Thread-lifting has experienced a recent surge in popularity as interest in minimally invasive techniques for facial rejuvenation continues to grow. By placing barbed sutures along specific trajectories to lift the superficial musculoaponeurotic system to address facial ptosis, thread-lifting carries several advantages over the traditional facelift. Over the past few decades, there have been ongoing advances in the implementation of thread-lifting using barbed sutures.

OBJECTIVE To review the current evidence regarding the safety and efficacy of thread-lifting for facial rejuvenation.

MATERIALS AND METHODS An analysis was conducted of PubMed indexed English language literature regarding thread-lifting using barbed sutures.

RESULTS Early studies using nonabsorbable barbed sutures described high revision and complication rates. Newer techniques implementing absorbable sutures have fewer adverse events, although the long-term efficacy of these procedures remains unclear.

CONCLUSION Thread-lifts play a substantial role in minimally invasive techniques for facial rejuvenation. Additional studies are needed to better evaluate the safety and long-term efficacy of this quick, in-office procedure.

*Both authors are affiliated with the Ronald O. Perelman Department of Dermatology, NYU School of Medicine, New York, New York

Address correspondence and reprint requests to: Evan A. Rieder, MD, The Ronald O. Perelman Department of Dermatology, NYU School of Medicine, 240 E 38th Street, 11th Floor, New York, NY 10016, or e-mail:

The authors have indicated no significant interest with commercial supporters.

© 2019 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.
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