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Skin Tightening


Women and men from the Los Angeles area, Glendale, and Arcadia looking for a minimally invasive alternative to a facelift at our Pasadena practice can get excellent results from Dr. Sasaki’s “Sasaki Suture Suspension System” (S4), which uses permanent suspension sutures and doesn’t require incisions.

Sasaki Suture Suspension System Benefits

For patients concerned about the early signs of aging, but who don’t want a surgical facelift, the S4 suture system can be used with a “closed technique” to elevate the mid-face and can be used to lift sagging jowls and tighten loose neck skin. The S4 procedure not only elevates underlying tissue but helps restore volume without the need for fillers by lifting and repositioning the facial fat pads.

Dr. Sasaki also offers an “open technique” which repositions the skin, tightens the facial muscles and repositions the fat pads on the cheeks using permanent sutures for patient who are experiencing volume loss and sagging skin due to aging.

The material used to make the permanent suspension sutures is Gore-Tex, a widely-used, durable product known for its long-lasting durability.

The Dr. Sasaki Difference

Dr. Sasaki is recognized as one of the leading innovators in the field of facial plastic surgery. He introduced the S4 permanent suture system in 2002 at Sasaki Advanced Aesthetic Medical Center in Pasadena. The S4 facelift alternative is a popular choice for people who want less downtime and a lower cost than what traditional facelift surgery involves.

Dr. Sasaki has taught the S4 permanent suture system in teaching courses at the American Society for Plastic Surgeons for many years, published manuscripts and chapters in peer-reviewed journals, and S4 nonsurgical facelift techniques have been utilized by plastic surgeons throughout the world.

Dr. Gordon H. Sasaki

Triple Board-Certified Plastic Surgeon
Few plastic surgeons can match Dr. Sasaki's combination of expertise, compassion, and experience. He's a distinguished educator and a renowned innovator whose work and research have influenced a generation of plastic surgeons. Dr. Sasaki will work with you to make the improvements you desire.

Meet Dr. Sasaki

The S4 Procedure

A Sasaki Suture Suspension System closed procedure doesn’t involve incisions and usually takes about 1 hour. During the procedure, Dr. Sasaki places 3 sutures and integrated bi-directional cones on each side of the face to lift the cheek fat pad, jowls, and submandibular tissues. Patients see the results almost immediately with limited downtime, swelling, or pain.

The S4 open procedure requires minimal incisions, and it allows Dr. Sasaki to adjust and tighten the skin, lift the fascia muscle, and reposition the cheek fat pad to lift and tighten the face. This open technique can be combined with fat transfer using the patient’s own fat to enhance facial volume.

The results of an S4 are permanent, but the results will change over time during the natural aging process. If desired, Dr. Sasaki can insert additional sutures if a patient wants to shore up sagging tissue over time. When the degree of tissue sagging or loss of volume becomes too significant, however, patients may decide on a surgical facelift to achieve a more dramatic result.

Are you ready to discover all the ways Sasaki Advanced Aesthetic Medical Center in Pasadena can enhance your appearance and confidence? Request a consultation using our online form or call (626) 219-2458 for an appointment.


Sasaki Advanced Aesthetic Medical Center
800 S. Fairmount Ave., Suite 319
Pasadena, CA 91105
Phone: 626-790-2246
Fax: 626-796-1678

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