Descripción:
Scarless closed approach suture liftings present skeletal fixation with skin punctures without incisions as a first alternative to classic excision lifts. We started the anatomy study, instrument creation and thread selection in 1990 and the whole anatomy, instrumentarium and technique understanding of this new method was ready in 1993. Needle preparation and selection of threads was experimental. For threads we have performed stretch, elasticity and cut through tests. Thread long term absorption is crucial in our method. In the last year 1993-1994 we have operated 38 patients to correct early ptosis and flabbiness in areas of face and body. Our contribution is that our closed approach suture techniques lift SMAS and fascias without traditional incisions. Operations were ambulatory with excellent results, reported by the patients. The trauma is minimal and the follow-up period is no longer than 3 days with fast, sometimes immediate return to work and social life. There are no visible scars, the needle perforations on the skin are not visible after days.
