While we may forget our age for a while, it only takes a quick look in the mirror to notice our faces really have changed since our younger years. Gravity of course has a big influence on this as does tissue laxity, and loss of volume. Still you may not be ready for surgery. This minimally invasive procedure was invented in 1999 by a Russian cosmetic surgeon, Dr. Marlen Sulamanidze. The procedure actually involves facial lifting, (not pulling) which is done with threads. The threads are made of a monofilament material call "polypropylene". These threads are designed with directional cogs. Once inserted under the skin, the thread cog will form a permanent support structure for the tissue of the face, actually lifting and contouring it. Nasolabial lines (smile lines) will lessen as the patient's cheeks are raised and their jowls retracted. It is performed under local anesthesia with the patient remaining comfortably awake. There is no surgery involved; rather the threads are inserted through a needle. Placement is deep into the subcutaneous tissue along the lines where the new contour is desired. As little as three threads will significantly raise the cheek and two threads, correctly placed will draw back the jowls.

Anesthesia:
Local, with sedation.

In/Outpatient:
Usually outpatient.

Length of Surgery:
1 hour.

Recovery:
Back to work: 8 to 10 days. More strenuous activity: 2 weeks or more. Bruising: 2 to 3 weeks.

Duration of Results:
2 to 5 years.