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65. Elastic Mastopexy Under Local Anesthesia: Maintains Glandular Integrity, Increases the Upper Quadrant, and Prevents Ptosis

With the elastic suture and the double-tipped needle (Elasticum), it is possible to create an internal suspensory ellipse in the breasts, which replaces the non-functioning Cooper's ligament and increases the upper quadrant.

It is possible to perform a mastopexy under local anaesthesia without touching the glands by simply de-epithelializing the skin. This technique rejuvenates the breasts without the need to insert silicone implants.

Larger breasts are conized to have a more natural appearance. They return to their youthful shape without being deformed and under-projected by invasive surgical procedures. Maintaining the shape of the breasts over time, if necessary, is not demanding for the patients and leaves no scars. The elastic silicone thread (Elasticum Korpo) covered in polyester does not cut the tissues and is colonized by fibrohistiocytic cells; it turns into a "ligament".

The video publication shows the entire procedure, from design to result, which has remained very stable over time.

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64. Elastic lifting of the eyebrows and temporal region without dissection and without scar

The central and medial portions of the eyebrows typically elevate with age, while the tail of the eyebrows remain stable or descends. Various techniques exist. Endoscopic facelifts and temporal-frontal lifts provide limited and temporary results, often accompanied by complications. Removal of the skin above the eyebrows results in a residual scar that can be difficult to hide, especially in male patients. The elastic lifting of the eyebrows and temporal region employs one or two elastic threads with a two-tipped needle (Elasticum EP3.5 Korpo). The elastic lifting of the eyebrows and temporal region is simple, effective, and provides permanent results. It requires no tissue dissection and leaves no skin scars. This procedure, performed under local anesthesia, elevates the eyebrows and the tissues adjacent to the orbit, elongating the eyes and lifting the temporal region. Also useful for asymmetry.
Like other Elastic Plastic Surgery procedures, this technique conforms to the principle of Occam's razor.

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63. Elastic neck lift with three elastic threads and four safety pins: a new approach to neck lifting

Traditional neck lifts often produce poor results that do not justify the surgical trauma. Although the immediate results are good, they rarely last long. For this reason, our approach eliminates dissection and stably repositions the volumes of skin and tissue with elastic threads and Jano needle. In conclusion, the elastic neck lift with three elastic sutures and four safety pins is a minimally invasive outpatient procedure that significantly improves the neck region by reducing vertical folds and delineating the cervicomandibular angle. The Elastic neck lift with three elastic threads, and four safety pins is added to the horizontal neck liposuction procedure, and a simple elastic neck lift and the elastic neck lift low.

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62. Elastic rhinoplasty, bone fixation and pre-tunneling

Elastic rhinoplasty is a specialized technique designed to elevate the tip of a drooping nose and widen the nasolabial angle. This aesthetic and functional procedure is particularly beneficial for noses with long tips that may cause breathing difficulties, especially in patients who have undergone multiple surgeries. Traditional reoperation on such noses can be challenging and often results in uncertain outcomes. Modified elastic rhinoplasty effectively addresses these concerns by shortening the nose tip and correcting septal deviations. The procedure incorporates bone fixation and pre-tunneling techniques to ensure stability and ease of correction, even in scarred tissue. Local anesthesia is applied, and a meticulous preoperative design guides the surgical process. After creating the necessary tunnels, an elastic thread is implanted, allowing for precise adjustments to achieve the desired elevation and aesthetic results, with minimal scarring and a quick recovery time.

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61. Elastic neck lift with three threads and four safety pins

Although surgical techniques for neck correction yield good immediate post-operative results, they are unable to achieve persistent results over time. Even if the anterior region of the neck is completely dissected and the platysma is manipulated, the medium- and long-term results are often unsatisfactory. Moreover, these procedures are demanding and traumatic; they can also create iatrogenic deformities and sometimes require long post-operative recovery. With the two-tipped Jano needle and the Elasticum thread Korpo, the tissues of the cheeks and neck are not dissected, but simply repositioned under local anesthesia. Here, we present a revolutionary technique of elastic lifting which permanently eliminates the defects of the neck with only two incisions a few millimeters behind the ear lobes, without neck dissection!

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60. Elastic canthopexy with three threads

The chosen line is first drawn up to the hairline then in the direction of the eye. The line extends to below the level of the lower eyelashes, approximately 8mm/10mm from the apex of the outer canthus. The bases of the isosceles traction triangles are drawn. The base is not less than 2.5 cm long in women and about 3 cm in men. If the patient wants the eyes to be raised, the base is moved upwards. The same is done if one eye is more horizontal than the other; on the side that needs to be lifted more, the base of the isosceles triangle is drawn 5 mm/10 mm higher. The aim is to make the patient's look as symmetrical as possible.
A skin access is created with a slightly inclined 16G needle at the lower end of the base of the isosceles triangle. This hole will not be sutured, no scar will remain.
The thread Elasticum EP 3.5 (Korpo.com ) that forms the isosceles triangle is implanted; traction will be exerted on the left eye and on the lateral tissues inside this triangle.
The access holes are medicated with an antibiotic ointment twice a day. The eyes are now symmetrically elongated and equally narrow with minimal trauma and without dissection.