What Is Suture Suspension? A Modern Approach to Facial Rejuvenation
As we age, one of the most noticeable changes in our appearance is the descent of the midface—the area between the lower eyelids and the corners of the mouth. Volume loss, skin laxity, and gravity work together to create sagging cheeks, deepening nasolabial folds, and a tired or aged expression. For those looking for a minimally invasive solution without undergoing a full facelift, midface suture suspension has emerged as an appealing option.
What Is Suture Suspension?
Midface suture suspension is a cosmetic procedure that uses specially placed sutures (stitches) to lift and support the midface tissues. Instead of cutting away skin or repositioning deep facial structures like in a traditional facelift, this technique suspends the soft tissues using sutures anchored to a stable structure such as the deep temporal fascia (a strong layer of connective tissue above the cheekbone).
How Does It Work?
The procedure typically involves small incisions made either in the scalp (behind the hairline) or inside the mouth. Through these openings, the surgeon threads permanent or long-lasting sutures beneath the skin to grasp and elevate the soft tissues of the cheek. These sutures are then anchored to provide support and a lifted appearance.
The goal is not just to pull the skin tight, but to reposition the deeper facial tissues to restore natural contours and fullness.
Who Is It For?
Midface suture suspension is best suited for individuals with mild to moderate midface sagging who want a more youthful appearance without the downtime or invasiveness of a traditional facelift. It's especially popular among patients in their 30s to 50s who are beginning to notice volume descent but still have relatively good skin elasticity.
It’s also commonly used in reconstructive contexts—for example, in patients who have experienced facial paralysis or trauma—as a way to restore symmetry and facial function.
Benefits of Suture Suspension
Minimally invasive – Smaller incisions and quicker recovery than traditional facelifts
Natural-looking results – Repositions existing tissue rather than stretching skin
Less downtime – Most patients return to normal activities within a week or two
Customizable – Can be combined with other procedures like fat grafting, eyelid surgery, or injectables
What Are the Limitations?
Like any procedure, midface suture suspension isn’t a miracle cure. Results can vary based on individual anatomy and skin quality. The lift is generally more subtle compared to a full facelift, and while some sutures are permanent, tissue aging continues. In some cases, additional procedures may be desired after a few years to maintain or enhance results.
Recovery and Aftercare
Post-procedure swelling and bruising are common but usually mild. Patients are often advised to avoid strenuous activity, sleep with their heads elevated, and follow specific care instructions to ensure optimal healing. Most can return to work and social activities within 7–14 days.
Final Thoughts
Midface suture suspension is a promising middle ground between injectables and full-on surgery. Whether you’re aiming for subtle rejuvenation or addressing early signs of aging, it offers a way to restore youthful contours with less downtime and risk. As with any cosmetic procedure, consult with a qualified facial plastic surgeon or specialist to determine if it’s the right approach for you.
Appointment Inquiries
For inquiries and appointments, please email appointments at appointments@laradevganmd.com or call 212-452-2400. You may also use the following button to schedule an appointment online. We look forward to hearing from you. Thank you!
