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Non-Surgical Procedures

Non-Surgical Procedures

BARBED SUTURE LIFT

BARBED SUTURE LIFT

A thread lift is a non-surgical, temporary face lift. Through the use of barbed sutures, the plastic surgeon lifts and repositions the patient's facial soft tissues.

Procedure

For a face lift without surgery, barbed sutures are inserted into the face to create a lifting effect or a tightening and firming of the soft facial tissues. This non-surgical procedure is useful for those with flabby faces or ageing of the mid-face, jowls, brow and neck. Selective regional lifting is possible. Threads come in various configurations: short, bi-directional threads (APTOS, Feather lift); or long bi-directional slings (barbed suture lift), or long uni-directional threads (contour threads). Different threads create different effects (such as firming or lifting). These threads can be used in conjunction with traditional open face lift surgery or endoscopic techniques.

A thread lift takes 30 to 40 minutes.


Local anaesthesia with or without light sedation.


This is a simple outpatient procedure. The patient can leave immediately after completion.


Temporary discomfort and pain in the temples or behind the ear. Postoperative swelling and bruising are minimal. Some patients experience difficulty in opening their mouth widely. Puckering or dimpling of skin and pleating usually fades within two to three weeks.


Bleeding at the time of the procedure causing a hematoma (accumulation of blood) in the temple, infection of the threads, granuloma (suture reaction), snapping of threads, migration, extrusion, localised pain when thread end abuts against underside of the skin (which is easy to locate, shorten, or remove completely). Collective risk of complications is 15 to 20%, but all are minor and easily corrected.


Patients look presentable after 24 to 48 hours. Occasionally, puckering and pleating may persist for several weeks.


These are excellent techniques for achieving a temporary face lift effect. The effects after the procedure last one to two years after which new threads need to be inserted to maintain or enhance the patient's appearance. These threads should be viewed in the same way as other temporary procedures such as botulinum toxin or temporary dermal fillers where the loss of result after some time is not considered a failure. Together with other non-surgical techniques such as botulinum toxin injections, hyaluronic acid soft tissue fillers, IPL (intense pulsed light) treatments, laser therapy, or Thermage® (radiofrequency skin tightening), the rejuvenation can be powerful but remains temporary.


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The Association of Plastic, Reconstructive and Aesthetic Surgeons of Southern Africa was formed in 1956. It currently has over 169 members from all around South Africa. All our members are fully qualified Plastic surgeons that have been approved for APRASSA membership and will endeavour to provide you with excellent care throughout your plastic surgery journey.









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