Elastic Plastic Surgery

English
Italian

English

08. Neck lift with two elastic threads

After undergoing an elastic MACS lift of the cheeks, this patient also noted a marked improvement in the lateral cervical region. However, some excess skin remained in the central area of the neck. This defect can easily be corrected by means of elastic neck lifting; unlike traditional lifting techniques, this procedure does not require blunt dissection of the skin of the neck.

07. Correction of Facial Paralysis by Elastic Thread and Two-Tipped Needle

English
Italian

English

07. Correction of facial paralysis by means of the elastic thread and two-tipped needle

Facial paralysis can easily be corrected by means of the new elastic thread (Elasticum, Korpo srl) equipped with an atraumatic two-tipped needle. The two-tipped needle enables permanent volumetric lifting to be carried out exactly where it is needed.
This patient had undergone removal of the parotid gland and requested plastic correction for the ensuing paralysis of the facial nerve. In this procedure, the pathway of the elastic threads is drawn on the patient's face. Five threads will be implanted: one to lift the outer corner of the eyebrow, one to lift the cheek, two for the nasolabial fold and one to lift the orbital/malar region. The operation is carried out under local anaesthesia. First, a minimal MACS lift incision is made, which stops at the tragus. A small flap is then dissected above the superficial temporal fascia; alternatively, dissection may be performed at the level of the deep temporal fascia.

English
Italian

English

06. Elastic MACS lift and Adipofilling

Elastic MACS lift is one of the face-lifting procedures of Elastic Plastic Surgery. This ambulatory procedure yields excellent aesthetic results and involves minimal blunt dissection of the tissues. The operation can be performed in an ordinary surgical ambulatory. An incision is made which loops around the sideburn and continues to the tragus. Depending on the amount of excess skin, the incision may end at the tragus or, as in the case described, extend to the earlobe. In the temporal region, subcutaneous dissection is carried out immediately below the hair bulbs, above the superficial temporal fascia. The elastic thread (Elasticum, Korpo SRL), equipped with a two-tipped atraumatic needle (Jano Needle®), enables skin dissection and its associated complications to be kept to a minimum. If neck lifting is to be carried out at the same time, the peri-auricular incision is extended to the lobe and, in patients with severe drooping of the skin, to the posterior portion of the ear. Dissection of the skin around the inferior portion of the ear is directly proportional to the amount of skin that needs to be removed (see Elastic Neck Lift).

05. Correction of the Lower Lip by Elastic Thread in a Patient with Agenesia of the Facial Nerve

English
Italian

English

05. Correction of the lower lip by means of the elastic thread in a patient with agenesia of the facial nerve

Congenital agenesia of the facial nerve is a very rare and invalidating pathology. In this patient, the flaccidity due to the absence of the VII encephalic nerve is particularly evident in the lower lip, which is unable to retain liquids and solids in the mouth properly. To overcome this problem, we decided to use an EP 3.5 Elasticum® thread (Korpo SRL), which is equipped with an atraumatic two-tipped Jano needle®. As this needle is able to rotate through 360° (180°+180°), it enables us to implant an elastic thread that runs from one temporal region to the other, passing through the subcutaneous tissue of both cheeks and the lower lip. In this way, the Elasticum® thread provides permanent suspension of the lip.

04. Skin-Scar Revision and Correction of Chin Ptosis by Elastic Thread and Two-Tipped Needle

English
Italian

English

04. Case report skin-scar revision and correction of chin ptosis by means of the elastic thread and two-tipped needle

This patient requested revision of a scar on the chin and, at the same time, correction of chin ptosis. The area of scarring is first designated. The pathway of the elastic thread (Elasticum®) is then drawn. Excision is started; the scar tissue is removed, while the deep dermis is preserved. The two-tipped Jano needle® is now inserted into the wound and the thread is fixed to the deep tissues of the chin. The tip of the needle emerges from the skin at the designated point. The needle is not extracted completely; the posterior tip remains in the tissues. Once the two-tipped needle has been extracted more than halfway, the elastic thread is pulled through. The posterior tip of the needle is then inserted to the required depth; the needle is rotated through 180° and continues to follow its predetermined route. When the tip of the needle again emerges from the skin, the elastic thread is pulled through, as before. A series of graduations on the shaft of the needle enable it to be extracted up to the depth required. The tip of the needle is again rotated and the needle follows the drawing, partially emerging at the predetermined point.

03. Elastic Lifting of Eyebrow by Small Incisions and Minimal Blunt Dissection

English
Italian

English

03. Elastic lifting of the eyebrow by means of small incisions and minimal blunt dissection

This patient, who had already undergone eyebrow lifting with skin excision, wanted the outer corners of her eyebrows to be raised by another few millimetres. To achieve this, we used the two-tipped Jano needle® to implant a new elastic thread (Elasticum®, Korpo SRL) through two small, inconspicuous incisions. The preoperative design is first drawn and local anaesthesia carried out. The first incision is made at the hairline, above the temporal muscle, and the Jano needle® is inserted in the direction of the eyebrow. The anterior tip of the needle emerges from the skin just beyond the eyebrow. The needle is partially extracted and the elastic thread is pulled through. The depth-marks on the needle indicate the depth of the posterior tip. When the posterior tip of the needle is about 5 mm from the surface of the skin, it becomes anterior and the needle travels back towards the hairline, where it emerges from integral skin in a position lateral to the entry incision.

English

08. Neck lift with two elastic threads

Italian

08. Lifting del collo con due fili elastici e minimo scollamento sottocutaneo

English

07. Correction of facial paralysis by means of the elastic thread and two-tipped needle

Italian

07. Correzione di una paralisi del facciale con il filo elastico e l'ago a due punte

English

06. Elastic MACS lift and Adipofilling

Italian

06. Elastic MACS lift e Adipofilling

English

05. Correction of the lower lip by means of the elastic thread in a patient with agenesia of the facial nerve

Italian

05. Correzione del labbro inferiore in un paziente con agenesia del nervo facciale

English

04. Case report skin-scar revision and correction of chin ptosis by means of the elastic thread and two-tipped needle

Italian

04. Case report revisione di cicatrice del mento e sollevamento dello stesso con la sutura elastica

English

03. Elastic lifting of the eyebrow by means of small incisions and minimal blunt dissection

Italian

03. Sollevamento elastico del sopracciglio con piccoli tagli e minimo scollamento