A hemostatic net is a suture system used at the end of a facelift surgery to secure the skin to the underlying soft tissues. We create a net-like suture pattern on the skin’s surface, which helps close the potential space beneath the skin.

During a facelift procedure, when we lift the tissues from the underlying structures, a potential space (or pocket) is created. This space can accumulate blood after surgery. Blood collection under the skin is one of the most common complications of facelift surgeries. According to the literature, its incidence ranges between 7% and 12%. This complication is called a "hematoma," which is derived from the Latin term meaning "blood mass." It is an undesirable situation because it can necessitate an urgent return to the operating room. If the bleeding is not drained, the blood supply to the skin tissue may be compromised, potentially leading to tissue loss. Additionally, the collected blood can create an environment prone to infection. At best, the patient may experience swelling and bruising for 6-12 weeks.

A hemostatic net reduces the incidence of hematoma to as low as 1-2%. Even if there is bleeding underneath the suture net, it cannot expand or accumulate significantly. The bleeding contained by the hemostatic net can be easily cleaned the morning after surgery using a fine cannula at the bedside.

In my opinion, this is one of the most significant advancements in facial rejuvenation surgery over the past decade.

The sutures are left in place for about 2-3 days and are then removed.
While slight pressure marks may remain from the sutures, these typically resolve on their own within 2-3 weeks, leaving no permanent scars.

When a hemostatic net is used, there is no need for surgical drains. This spares the patient the discomfort and hassle of having a drain inserted and removed after surgery.

The main drawback of the technique is that it causes an unappealing appearance on the face, resembling crocodile skin or a fishing net, during the first 2-3 days. However, this appearance is easily camouflaged under the compression garment provided to the patient.

This method emerged in early 2020 and has rapidly gained popularity among facial plastic surgeons worldwide. I have used it in over 400 cases to date, and it has become an indispensable part of my facelift procedures.

For more detailed information about this technique, feel free to contact us.

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Stay beautiful.