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Dr. Mike’s Take on Facelifts Without Incisions

Facelifts Without Incisions: A Good Idea?

The other day, one of my patients asked me with great excitement, “Are you aware of the new facelift procedure that is done without any incisions?!”

I had to admit, this was news to me, but despite my skepticism, I agreed to look into it. She had gotten her medical information from The Doctor Show. I suspect the procedure my patient was referring to is called “iGuide” or “trampoline platysmoplasty.” I was able to watch a video of this procedure.

First, the neck is extensively liposuctioned, which is what I believe to be the major contributor to the results. Next, a dissolvable suture is passed back and forth under the neck in a manner similar to lacing up a shoe. This is not new. We have seen threads and sutures passed under the skin and used for suspension before. They all have failed, as I believe the iGuide will.

The video shows the suture being secured to the connection between the skin and the underlying fatty tissue. These sutures will pull through because the layer of fat tissue will not be able to hold the sutures. These flimsy connections are not able to support this degree of tension.

The iGuide procedure is no different than the “quick facelift” procedure and “lifestyle” procedure which are heavily advertised these days. These procedures are not based on fundamental surgical principles and are destined for early failure. It is not surprising that I could not find any information about long-term results with the iGuide procedure. When it comes to facelifts without incisions, if it is too good to be true, it usually is.

Filed Under: Facial Procedures

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Columbus Facial Plastics

Today, under the direction of board-certified facial plastic surgeon Dr. Stephen Nogan, Columbus Facial Plastics offers a comprehensive array of surgical and non-surgical procedures and treatments. Each new treatment is carefully tested and evaluated by our board-certified facial plastic surgeon to ensure its safety and efficacy. We are proud to provide education in skin care, non-invasive cosmetic surgery, and plastic surgery in Central Ohio.

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Welcome to Columbus Facial Plastics at The Sullivan Centre.

We believe that healthy, youthful renewal begins with science. Founded in 1996 by Dr. Michael and Christine Sullivan, our practice was the first of its kind in central Ohio. For 20+ years, The Sullivan Centre has led the way in advancing the science of beauty and providing only the safest and most effective surgical and non-surgical treatments for our patients.

I met Dr. Mike, Dr. Chris and the rest of the team in 2014 and have had the incredible opportunity to train and collaborate with Dr. Mike for the past five years. I officially joined The Sullivan Centre in September 2019 and could not be more excited to lead this exceptional practice into the future.

My goal is to provide you with the education and expertise needed to help you feel confident with your decision to pursue surgical or non-surgical treatment. I am proud to be a part of a highly skilled team that delivers personalized care so that you feel comfortable through every step of the process.

In addition to practicing exclusively in facial plastic and reconstructive surgery, I also serve as the medical director for our non-surgical services. We are fortunate to have two of the most experienced aesthetic providers in central Ohio in their respective fields. Dina Maynard and Nancy Cotterman, RN have been caring for patients at The Sullivan Centre for a combined 25 years! You won’t find anyone with more training or skill.

Spend as much time as you need learning more about our team and the services we provide. We are passionate about what we do, and we would love to see you soon.

Dr. Stephen Nogan M.D.
Facial Plastic & Reconstructive Surgeon
Columbus Facial Plastics at The Sullivan Centre