19th International Rhinoplasty Workshop& 2nd Chosun Aging face Symposium ソウル、韓国 2015/10/09-11
history of dorsal implantseptal extension with septal cartilage
Spring Thread for face lift
Spring ThreadTM is the elastic suspension thread with cogs made of silicone rubber. Each cog is mechanically strong and large enough to provide secure anchorage of subcutaneous fat tissue. The elasticity of the thread can prevent the loss of anchorage even in the facial skin being stretched.
Spring thread has cogs arranged in bi-direction manner; I cut a thread in the midpoint to produce from one to two treads with unidirectional cogs.
Through a 2 to 3 cm long incision in the temporal area, the subcutaneous dissection is performed just below the zygomatic arch.
Sprig threads are introduced into the subcutaneous pocket and inserted in the subcutaneous soft tissue (fat layer) using a special spatula needle pin provided by 1st surgiconcept company.
12 threads or even more are used for one side of cheek. The distal end of thread, which is smooth in surface with no cog, is penetrated at the skin along the lower margin of cheek sagging (jowl deformity).
The thread end is pulled out until the most distal cog arrives at 1cm deep to the skin surface. The threads in the temporal region are placed in a neutral tension. They are then pulled superiorly by 1 cm and fixed to the temporal fascia with nylon suture. The distal and proximal ends of thread are trimmed and temporal skin wound is closed.
From my clinical experiences with various cog threads I have found the spring thread can suspend the facial soft tissue with minimal chance of anchor breaking.
I believe traction of threads with full strength in the temporal area is not necessary but can be harmful; excessive pull can not only cause an unnatural appearance but also readily lead to anchor loss. Therefore I suspend the lower cheek tissue in the superior direction by 1 cm.
Clinical experiences of glamorous line plasty
② downward convex curved line of lower eyelid margin
① mid-pupil 黑眼球的中央
② lateral limb 黑眼球的外侧边缘
③ midpoint between the lateral limb and lateral canthus 黑眼球的外侧边缘到眼外角的中间点
to identify the possible problems after glamorous line plasty, their incidents and solutions
198 cases 2012~2014
retrospective evaluation based on clinical photos
chemosis dissolved spontaneously in 3 to 4 weeks
severe chemosis treated with temporary tarsorrhaphy