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COSMETIC SKIN SURGERY OF THE FUTURE:  NEW THREADS, SMALLER INCISIONS, UNDETECTABLE SCARS AND LESS DOWNTIME
by ASDS


More and more women, especially younger patients who do not have a lot of sagging, are turning to new minimally invasive lifting procedures that entail smaller incisions and can be performed using local anesthesia, according to dermatologic surgeon Ronald L. Moy, MD, associate clinical professor, UCLA and president-elect of the American Society for Dermatologic Surgery.

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Press release from the American Society for Dermatologic Surgery (ASDS) (June 5, 2003)

June 5, 2003 – New York, NY. More and more women, especially younger patients who do not have a lot of sagging, are turning to new minimally invasive lifting procedures that entail smaller incisions and can be performed using local anesthesia, according to dermatologic surgeon Ronald L. Moy, MD, associate clinical professor, UCLA and president-elect of the American Society for Dermatologic Surgery.

“The motto of cosmetic surgery in the future is “less is more” with less invasive, mini procedures performed at a younger age to avoid major facelifts, prolonged recovery times and exaggerated changes in appearance,” Dr. Moy told journalists here at the Beauty & Medicine: Changing the Landscape of Dermatologic Surgery press briefing. “A newly emerging technique that epitomizes this trend is called the feather lift, which uses specially designed threads to support the soft tissue upwards.”

The lunch-time procedure is achieved by placing aptos or anti-drooping suturing threads underneath the skin surface. These serve as a truss to elevate a drooping jowl, brow or cheek pad. The thread has bi-directional knot-like barbs that hook tissue and lift it into place with more stability than conventional sutures. The thread can be gently tightened for added support. Only tiny incisions are needed, and treatment can be performed using local anesthesia in the dermatologic surgeon’s office.

Dr. Moy explained that patients typically have four or more threads placed, depending on the number of facial areas to be treated. The procedure takes about 30 minutes and is seldom repeated in the same area. He added that the feather lift technique was originally developed in Europe about 5 years ago and is now being introduced in the U.S. but is not approved by the FDA. While it is unclear how long the effects will last, Dr. Moy said he is seeing nice results with no significant complications in his younger and middle aged patients.

Another lifting procedure associated with some downtime is suture placation, which is similar to a mid-facelift. Dr. Moy uses this tightening technique to elevate the cheek fat pad and improve creases along the nasolabial fold, the lines from the nostril to the corner of the mouth. He said that suture placation results can often rival those of a conventional mid-facelift in appropriately selected patients who do not have a lot of sagging or do not want to undergo traditional surgery.

While the minimal-incision facelift has been performed for some time, it is now coming into vogue in response to consumer demand for less complex surgeries and less visible scarring. This approach avoids extensive undermining and the extension of the incisions into the hairline behind and above the ears. Instead, smaller incisions are made in front of the ear so women can wear their hair up without a noticeable scar. According to Dr. Moy, this technique is a safe procedure, can be combined with other procedures such as laser resurfacing, and has the long-lasting benefits of a 'classic' facelift in a patient without excessive neck sagging.

The American Society for Dermatologic Surgery was founded in 1970 to promote excellence in the subspecialty of dermatologic surgery and to foster the highest standards of patient care. With more than 3,500 members, the ASDS is the nation’s primary resource and advocate for education, research and patient safety related to therapeutic, reconstructive and cosmetic surgery of the skin.

For more information on skin rejuvenation treatments, along with referrals to board-certified dermatology specialists in specific geographic locations, please contact the ASDS consumer hotline, 1-800-441-ASDS (2737) during weekday business hours, or visit its web site at www.aboutskinsurgery.org 

For more information, contact:
  Nadine Tosk, ASDS, at (504) 483-6957


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The Feather Lift AKA the APTOS Lift, the APTOS Thread Lift and Suture Suspension Face Lift is Kolster Methods, Inc.'s (K.M.I.) name for using monofilament, polypropylene threads with cogs or "barbs," called APTOS® threads. These threads lift the underlying tissue and contour the face. 

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The Progressive Facelift has been named and developed by Dr. Nicanor Isse, a Burbank, California plastic surgeon. He is affiliated with UCLA and is world renowned for his creation of the endoscopic browlift. He is a leader in the current movement away from traditional surgical facelift. He has modified the FeatherLift (APTOS) thread and procedure in order to get a strong, reliable, midface lift. These threads are engaged (‘hooked’) into the cheek, pass upward thru the temple area, and are tied (‘anchored’) to a fixed point under the scalp above the ear. Not only is more long lasting force created, but the sutures can be tightened (or even loosened) months or years later!

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