Use Aesthetic Sutures To Provide Uplifting Results. Rebecca Suess, RN, CPSN, CANS

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1 Use Aesthetic Sutures To Provide Uplifting Results Rebecca Suess, RN, CPSN, CANS

2 Objectives For Today: Identify the different types of aesthetic sutures Explain how aesthetic sutures will compliment existing, non-invasive treatments provided in your office

3 Aging: What Happens To The Face? Skin Changes: texture, pigmentation, laxity Fat Loss: superficial and deep fat compartments Ligaments: loosen, separate Muscles: contraction, hypertrophy Skeletal: resorption, rotation

4 How Do We Treat These Issues? Resurface: skin changes (laser, peels, microneedling) Refill: volume/fat loss (dermal fillers) Relax: hypertrophy, contraction But what about laxity? How do we actually REPOSITION the skin?

5 Repositioning The Skin Laxity needs to be repositioned The only option available was facelift surgery Re-evolution of sutures makes this available to your clients

6 History of Aesthetic Sutures: 1961: First sutures arrived: used for tendon repair and they were permanent 2005: Reports of adverse events: breaking and extruding 1964: Pioneer of barbed sutures 1990: Began use in the aesthetic market for cosmetic use. Unidirectional and permanent 2002: Introduced bi-directional threads still permanent 2007: Contour Threads were removed from market 2009: FDA withdraws approval 2014: FDA approves RESORBABLE sutures 2004: FDA approval given to Contour Threads

7 New Generation of Sutures ABSORBABLE Polydioxanone (PDO) Nova Thread, Aqulift, Elionce Used in cardiothorasic surgeries Uni and Bi directional barbed threads Fully absorbed in 4-6 months No scar tissue Creates an inflammatory response similar to other modalities such as lasers/microneedling Results 4-12 months Repeat treatment at 4-6 weeks for best result Can add volume to the face as well Poly-L-lactic Acid (PLLA) Silhouette Instalift only type 82% PLLA (Sculptra) and 18% Vicryl suture Only bi-directional Uses 360 degree smooth cones Fully absorbed in 9-12 months Neocollagenesis with biostimulator effect producing collagen type I and type III Results peak at 6 months Lasts months Will not add volume

8 Who Is An Ideal Client? Ideal Client Strong, bony projection Not Ideal Client Excessive skin Good skin quality Thick skin Malleable tissue Thin skin with no fat Midface sagging Non-mobile skin tissue Nasal labial fold/marionette/ buccal region Sensitivity to suture materials

9 No Treatment Is Perfect Or Without Risk Adverse Reactions: they are rare, minor, not long lasting, and self-limiting. Asymmetry Misplacement Bruising Dimpling or puckering of the skin *Downtime approximately 1 week

10 Not A Solo Treatment Sutures should be used in addition to all other modalities in your practice: Neurotoxins: relax fine lines, muscle hypertrophy Dermal Fillers: restore volume Lasers/Microneedling: repair texture, pigmentation Skin Care/peels/facials: restore glow and hydration Sutures: reposition the skin, lower face laxity

11 Before And After

12 Before and After Photos

13 Longevity Of Results

14 Treatment Progression

15 Thank You

16 References: Bishara S Atiyeh, MD, FACS, Saad A Dibo, MD, Michel Costagliola, MD, & Shady N Hayek, MD (2010). Barbed sutures lunch time lifting: evidence-based efficacy. Journal of Cosmetic Dermatology 9, Helmy Ali, Yasser, MD. (2017). Two years outcome of thread lifting with absorbable barbed PDO threads: Innovative score for objective and subjective assessment. Journal of Cosmetic and Laser Therapy. 20 (1), DOI: / Kalra, R. (2008). Use of barbed threads in facial rejuvenation. Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India, 41(Suppl), S93 S100. Kaminer, Michael S, MD; Bogart, Megan MD; Choi, Christine MD; Wee, Sue Ann, MD. (2008). Long-Term Efficacy of Anchored Barbed Sutures in the Face and Neck. Dermatologic Surgery,34(8), doi: /j x Villa, Mark T. M.D.; White, Lucile E. M.D.; Alam, Murad M.D.; Yoo, Simon S. M.D.; Walton, Robert L. M.D. (2008). Barbed Sutures: A Review of the Literature. Plastic and Reconstructive Surgery, 121(3), 102e-108e. doi: /01.prs

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