Elastic Plastic Surgery has revolutionized lifting procedures. 

Elastic Plastic Surgery comprises the numerous innovative techniques made possible by the creation of a new elastic surgical thread; this thread is impalpable, does not cut into the tissues, and is transformed into "natural ligament" (Elasticum- Korpo). 

The elastic thread is mounted on a two-tipped needle (Jano needle), which enables lifting to be performed without, or with only minimal, dissection of the tissues.

It is no longer necessary to dissect the face in order to isolate and traction the SMAS. The traction and suspension of facial volumes is achieved through the implementation of the elastic thread, without dissection and without the trophic damage that it causes.

Elastic lifting of the temporal region and the eyebrows does not require tissue dissection, either; it is achieved by implanting one or two elastic threads through an incision of a few millimeters at the hairline.

Nor is dissection needed in neck lifting procedures. The excess skin partially covers the new cervicomandibular angle created by the elastic thread stretched between the two fasciae of Loré. Some of the excess skin is simply repositioned at the sides of the neck, where it corrects the emaciation of the cervical region (elastic lifting of the platysma and lifting of the upper and lower neck). In patients with drooping neck skin, the procedure of choice is now elastic lifting with the aid of safety-pins. The pins temporarily fix together at several points the two elastic threads running between the two fasciae of Loré, and are replaced by stitches to prevent the recurrence of drooping.

If the skin at the sideburns can be pinched between the fingers, elastic MACS lifting is performed. This involves making an incision that runs round the lower part of the sideburn and stops at the tragus; dissection extending slightly beyond the zygomatic arch is carried out and three suspension triangles are created in order to lift the cheek and the malar region. Through the elastic MACS lifting incision, elastic lifting of the neck can also be carried out. The other access used in neck surgery is an 8 mm incision behind the lobe of one or both ears. This access can also be used to perform elastic lifting of "marionette wrinkles". Other procedures include: elastic lifting of the upper lip, elastic lifting of the chin, etc.

Elastic lifting of the face can also be used to perfect the results of traditional lifting procedures.

In procedures carried out on the body, the elastic thread is able to lift and compact the buttocks by means of a 6 mm incision and a few 2 mm micro-incisions, without tissue dissection. Two elastic threads are implanted (Elasticum EP5 mounted on a Jano cannula): one of these lifts and compacts the upper portion of the buttock; the other raises the gluteal sulcus. If the buttock is heavy or requires further shaping, a third thread is implanted.

Breasts that have implants can be given a more natural look by implanting two elastic threads through an 8 mm incision in the areolar margin. These threads conize the anterior portion of the breast and reduce the diameter of the areola. The breasts become firmer and look more natural.

If breasts that have implants are drooping, a third elastic thread can lift them.

The elastic thread raises drooping breasts (2- and 1-degree ptosis) and prevents recurrence. This procedure is carried out through an 8 mm incision in the areolar margin and a 5 mm incision close to the armpit. Three elastic threads are used and, as always, no dissection is needed.

he elastic thread can also be used to make the breasts symmetrical before grafting adipose and stromal cells (Adipofilling®). The elastic threads are also used to stabilize the breast during surgical mastopexy (3-degree ptosis). Today, surgical mastopexy can be performed without damaging the glandular tissues. This means that there is no recurrence of the ptosis seen after manipulation of the gland and the related trophic damage to the mammary tissues. Adipofilling® can further improve the appearance of the breasts. Other elastic lifting procedures concern the arms, scars, etc.

All these procedures are ambulatory and require only local anesthesia.

The elastic thread was invented by Dr. Capurro (PCT). The two-tipped surgical needle was designed by Dr. Capurro in 1983 and was publicized in 1984. Subsequently, this "Jano needle" was re-patented as an "atraumatic two-tipped needle" (PCT).

Elastic Plastic Surgery is a section of the open access Medical Video Journal www.crpub.org. CRPUB only publishes innovative techniques in Plastic and Aesthetic Surgery, Corrective Dermatology and Phlebology.

Elastic Plastic Surgery

In elastic MACS lifting, the cheeks and neck are not dissected. This ambulatory procedure is performed under local anesthesia. The incision stops at the tragus and the only dissection required extends slightly beyond the zygomatic arch. No incisions are made in front of the inferior portion of the ear, behind the ear or in the mastoid and cervical regions. No hematomas are caused and there is no trophic damage to the tissues. Lifting is exclusively vertical, the typical post-lifting appearance is avoided, and the face has a truly rejuvenated look.

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