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66. Elastic Lifting of the Lower Lip

In this young patient, the lower lip sagged after the insertion and removal of a chin implant. To restore the lip's position, we used an elastic suspension thread (Elasticum EP4, Korpo) anchored between the two bands of Loré.
The elastic thread lifts the lower lip and helps support the cheek, helping to prevent future sagging. It is important to note that this is the only true lower lip lift, which, like other facial structures, can sag over time due to gravity, exposing the lower dental arch.

The elastic lower lip lift, performed with elastic thread, represents an anti-aging procedure that corrects and prevents ptosis of the middle third of the face and chin.

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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!