Application of Quill Suture during Face-Lift When Combined with Smartlipo 1064-nm Laser

Abstract

Introduction: This study explores how to improve long-term results of a face-lift using the combination of a Smartlipo laser and a Quill suture. Materials and Methods: For this study, 29 consecutive patients undergoing face-lift and lipolysis with Smartlipo were assessed using preoperative photos as a baseline. The 1064-nm laser was used to assist with skin separation, blood-vessel coagulation, and skin tightening during the face-lift procedure. Patients were treated with 2-0 Quill sutures for lateral platysmal plication. Postoperative photos were taken at 6 weeks and 6 months. The photographic review was performed by an independent board of physicians using the following scales: Fitzpatrick Wrinkle Assessment Scale, Global Aesthetic Improvement Scale, and Cervicomental Angle Scale. Results: Subjects were 29 women ranging in age from 50 to 80 years (mean = 63.7 years) and a mean body mass index of 24.9 (± 4) who received simultaneous face-lifting with laser-assisted lipolysis via Smartlipo technology. Each patient received lateral platysmal plication with 2-0 Quill suture. All of the patients showed improvement in their 6-week and 6-month photos. None of the patients experienced complications after or during the lipolysis procedure or damage from the Quill suture. Conclusions: Use of a bidirectional barbed suture is safe and effective for ensuring minimal regression of the soft tissue. This study also demonstrated that the Smartlipo 1064-nm laser is a safe and effective platform to combine with face-lifts.