Dr Deans was one of the first surgeons in Ontario to use this technique in 2004. He has developed his own modifications to improve the technique and combine it with other complementary minimal incision techniques.haha good to

The threads themselves consist of tiny barbs to pull up the skin. These are inserted under local anesthesia and vary depending on how much tissue need to be supported.

Many of these techniques are evolving rapidly.  Feel free to discuss your needs with Dr Deans at your consultation to take advantage of the most modern and up to date approaches.