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28. Increasing the naso-labial angle further and immobilising the depressor muscle of the nasal septum

This patient had an acute nasolabial angle, which was corrected. Six months later, the inclination of the nose appeared optimal, but the patient still presented dysmorphism caused by the injection of liquid silicone into the vermilion border. The silicone has caused the vermilion border to protrude too far in relation to the lip.

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27. Correction of the naso-labial angle with the elastic thread and two-tipped needle

In women, the naso-labial angle should be greater than 90°. An acute angle is less feminine and makes the nose look longer. The naso-labial angle can easily be corrected by means of an EP4 elastic thread mounted on a two-tipped needle.
Local anaesthesia is carried out by means of mepivacaine with epinephrine. A N° 11 blade is used to make a skin incision a few millimetres long at the angle formed between the anterior portion of the right wing of the nose and the lip. Once the skin has been incised, a Klemmer is used to create a deep pocket that reaches the bottom of the bony fossa present in this region.

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26. Correction of naso-labial angle with elastic thread

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24. Lifting of the buttocks with the elastic thread and the two-tipped cannula through two 5 mm incisions

Elastic lifting of the buttocks is achieved by raising and compacting the subcutaneous tissues by means of the elastic thread. This thread does not cut into the tissues, is impalpable and becomes integrated into the tissues.
Two EP5 elastic threads are implanted in each buttock through a 35 cm cannula with two rounded tips. Using the two-tipped cannula offers the advantage of being able to implant the thread at a constant depth.

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23. Liposuction and immediate implantation of an elastic thread between the Loré's fasciae