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  • Title: [Purse-string suture of imbrication of SMAS and malar fat pad technique for midface and lower face lift].
    Author: Zhan Z, Li W, Wang J.
    Journal: Zhonghua Zheng Xing Wai Ke Za Zhi; 2016 May; 32(3):174-8. PubMed ID: 30043601.
    Abstract:
    OBJECTIVE: To discuss the rhytidectomy technical improvements and clinical efficacy and safety, using the purse-string imbrication suture in midface and lower face lift. METHODS: The absorbable purse-string suture was used in a pure antigravitational direction for correction of the aging middle and lower parts of the face. The volume of cheeks and jowls was repositioned in a cranial direction with a first, slightly oblique purse-string suture on SMAS. To correct the nasolabial fold, the face-lift was performed by adding a second malar vertical purse-string suture between the paracantbal area and the malar fat pad. RESULTS: From July 2009 to May 2014,52 patients underwent this technique for facial rejuvenation with obvious effect and high satisfactory rate. There was only two minor complication of hematoma. CONCLUSIONS: The Purse-string imbrication suture in the rhytidectomy produces a natural face lifting through a better correction of the sagging tissue and restoration of the volume of the face. This is a simple technique with good results, short down-time, and high patient satisfactory rate.
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