Elastic Plastic Surgery

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

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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

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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

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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.

02. Revision of Scars on Thigh without a Blunt Dissection using Elastic Suture with a Two-Tipped Atraumatic Needle

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02. Revision of scars on the thigh without a blunt dissection using an elastic suture with a two-tipped atraumatic needle

The excision of large scarred skin areas often involves enlarging the scar due of the increased tension that is created on the edges of the wound.
To get round this problem we have used the new elastic suture (Elasticum®) which has a two tipped Jano needle® (Korpo srl Genoa Italy). This new suture allows us remove the tension in the areas around the wound to therefore obtain a better quality of scar.
Scar de-epithelialisation is performed without skin undermining, hence vascular, nerve and cicatricial damage is avoided. One tip of the Jano needle is inserted into the edge of the cut. The tip comes out at 3 or 4 cm from the wound. By extracting half of the needle the elastic thread is pulled out. The two-tipped needle is not completely extracted. The deep indentations signal the position of the posterior tip which remains inside the subcutaneous tissue.

01. Elastic Face Lift of the Cheeks without Blunt Dissection

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Italian

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01. Elastic Face Lift of the cheeks without blunt dissection

Elastic lifting of the cheeks without blunt dissection of the skin is indicated in patients who wish to have facial volumes lifted without extensive incisions and without dissection of the tissues.
Lifting is carried out through small incisions of 4 or 5 mm after a centimetre of the sideburns has been shaved off. Once the incisions have been made, tweezers are used to reach the deep temporal fascia, which is the point of anchorage of the elastic thread. This elastic thread (Elasticum®, Korpo SRL) does not cut into the tissues and becomes an integrated suspensive ligament.
Lifting without blunt dissection is made possible by the two-tipped atraumatic needle (Jano needle®) designed, like the elastic thread itself, by the Capurro Research Group.

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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

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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

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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

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02. Revision of scars on the thigh without a blunt dissection using an elastic suture with a two-tipped atraumatic needle

Italian

02. Revisione di cicatrice sulla coscia senza scollamento con la sutura elastica dotata di ago atraumatico a due punte

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01. Elastic Face Lift of the cheeks without blunt dissection

Italian

01. Elastic Face Lift delle guance senza scollamento