Suture midface suspension

Retrospective, non-comparative case series. Thirty five patients undergoing suture midface suspension from 1998 to 2000. Suspension sutures were passed from the nasolabial fold to the temporalis fascia to elevate the midface and the corner of the mouth.A satisfactory and stable outcome is obtained in 2 years of follow up.Suture midface suspension is a safe and effective technique for the management of midface descent.As our concept of facial rejuvenation has evolved, the midface has become an area of interest to oculoplastic surgeons. The midface is involved in the extended eyelid complex and also is affected by descent of the facial tissues during the aging process of the body. Drooping of facial skin and deepening of the nasolabial sulcus are characteristic features of midface descent. Several surgical methods that achieve vertical elevation are available to address this problem[1]. Today, the surgical techniques are shaped by an improvement in inert suture materials and interest for less invasive surgeries by the public. Herein, we describe and report the results of a simple and effective treatment for midface descent which is less invasive than the traditional deeper plane facelift surgeries. The purpose of the current paper is to describe two years follow up of 35 patients with mid-face descent of various causes who were operated using suture mid-face cable suspension at the division of orbito-facial surgery, Jules Stein Eye Institute.We reviewed the charts of 35 patients who underwent suture facelift surgery and at least 2 years of follow up after the operation. In this series, the procedure was performed either as primary surgery or as an adjunct to other oculoplastic procedures such as upper and lower blepharoplasty, endoscopic brow lift and neck liposuction.All patients were assessed using pre- and post-operative full face photographs. Digital images were taken and recorded in the electronic medical record of the oculoplastic registry at the Jules Stein Eye