Barbed sutures have been the noninvasive facelift hope of plastic surgeons for over a decade. The first generation failed miserably and were taken off the market by the FDA. A new generation of dissolvable threads using barbs or cones arrived about 2 years ago. I was convinced that this generation was better. Early on, I gave up on the procedure, realizing that it was not a good procedure. Last week, a paper was published in Aesthetic Surgery Journal that discussed the over 30% complication rate and the total failure of the procedure by a year, and even earlier. On tonight's show, I discuss this procedure. Also, in graphic detail, I explain how I perform a rhinoplasty - nasal reshaping.