Abstract: Objective: We aimed to prove the value of bidirectional barbed absorbable suture (QuillTM SRS suture) in periareolar mastopexy. Methods: A total of 17 cases with breast ptosis were enrolled in this study who were subjected to continuous suturing on double-circle incision designed preoperatively with QuillTM SRS suture. Compared with previous 21 cases subjected to interrupted suture with conventional nonbarb absorbable filament, suturing time, wound healing and scar appearance in 6-month follow up were studied in both groups. Results: The time of suturing and wound healing was significantly short in QuillTM SRS group compared with conventional suture group (P < 0.05). Moreover, there was obvious significance of scar appearance in 6-month follow up between two groups. Conclusion: The use of QuillTM SRS suture in periareolar mastopexy can significantly decrease suturing time, improve the long-term quality of high-tension scars by more effective tension unloading and reduce the incidence of hyperplasia of scar. Therefore, Quill SRS suture will be widely applied in clinical treatment as a new suture material.

Key words: bidirectional barbed absorbable suture, suture technique, breast ptosis, periareolar mastopexy