The Holy Grail of facial rejuvenation has always been the ability to turn back the clock without invasive and risky surgery.
A couple of decades ago, the idea of “lifting” tissues by inserting permanent barbed sutures under the skin enjoyed popularity. That is, until so many complications such as skin irregularity, exposed sutures, and infections came to light.
Recently, the idea of using barbed sutures that are dissolvable has been advanced. A recent study, however, has shown that although initial improvements were seen in all cases, these improvements were gone in all patients by one year following insertion. And the complication rate was 34%!
So once again, we are forced to realize that a half-assed approach to a difficult problem only guarantees half-assed results.