Elastic Plastic Surgery

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10. Elastic MACS and Neck Lift in Men

This patient requested an Elastic MACS lift (Minimal Access Cranial Suspension–lift) and an Elastic neck lift.
The new elastic thread (Elasticum®, Korpo srl) enables vertical face-lifting with minimal blunt dissection and neck-lifting without blunt dissection to be carried out simultaneously. This ambulatory procedure is performed under local anaesthesia.
The operation begins with liposuction of a small amount of fat from the submental region.
An incision is then made around the sideburn, which has previously been shaved back by 1 cm. The incision is undulated and forms a loop that extends to the preauricular region. In the area of the sideburn, the scalpel is inclined so as not to damage the hair bulbs. Blunt dissection, which is much less ample than in traditional MACS lift procedures, is carried out immediately beneath the hair bulbs. Blunt dissection is started with the scalpel and terminated with scissors.

09. Elastic Neck Lift in Elderly Patients

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09. Elastic Neck lift in elderly patients

This patient was 85 years old. Before elastic lifting of the neck is performed in elderly patients, the amount of excess adipose tissue in the neck and cheeks must be evaluated. This will be removed by means of liposuction. First, local anaesthesia with 1% lidocaine with epinephrine is carried out along the U-shaped incision in the lower half of the pavilion of each ear. The areas in which liposuction is to be performed are then anaesthetised with a dilute solution of anaesthetic. Anaesthesia is also carried out along the line of the cervico-mandibular angle, where the elastic thread will be implanted. After performing limited dissection of the skin around the ears (a little more than twice the skin that is to be removed), the operator begins liposuction.

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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

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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.

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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

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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.

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10. Elastic MACS and Neck Lift in Men

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10. Elastic MACS e Neck lift nell’uomo

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09. Elastic Neck lift in elderly patients

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09. Lifting elastico del collo nell’anziano

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08. Neck lift with two elastic threads

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

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

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

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06. Elastic MACS lift and Adipofilling

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06. Elastic MACS lift e Adipofilling

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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

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