27. Upper blepharoplasty by means of the Timed apparatus (technique and golden number)

Upper blepharoplasty is the first anti-aging procedure requested by patients. It is not a simple procedure, as many surgeons believe. However, it becomes simple if we know how to perform it and what result we want to obtain.
First, the skin flap that is to be removed must be drawn out precisely; designs that are fanciful or which do not take into account the removal of the aged palpebral skin must be avoided. In this way the golden proportions are restored. The look is rejuvenated without artifacts.
Most patients want to rejuvenate their eyelids. This video demonstrates how the Timed apparatus can be used to perform the procedure with extreme precision.

12. Elastic "round block" and Adipofilling of "hollowed out" breasts, without skin excision

Breasts that have a "hollowed out" appearance can be improved by means of elastic conization and simultaneous Adipofilling. The patients who request this procedure want their breasts to have a natural look, but do not want to undergo additive mastoplasty.
A circle is drawn around the areola at a distance of 4-6 cm from the nipple. An 8 mm incision is made at the areolar margin and a tunnel is created at a depth of 1 cm. Conization shapes the breast and broadens its base, making it more stable and more compact. Shaping of the breasts enables Adipofilling to be carried out wherever it is needed. Breast conization always precedes the grafting of fat.

54. Percutaneous correction of the diastasis of the rectus abdominis muscles with the Elasticum suture and the two-tipped needle

The Elasticum EP4 elastic thread mounted on the two-tipped Jano needle can be used to correct moderate diastases of the rectus muscles, without leaving scars. This Elastic Plastic Surgery procedure enables the muscles to be drawn back together in a stable manner, without tissue dissection and without leaving scars. Patient selection is important.
Palpation and echography are used to identify the diastasis of the abdominal rectus muscles accurately. It is useful to draw the pathway of the thread.
Local anesthesia is achieved by means of a modified Klein solution.

55. Local anesthesia in elastic gluteoplasty

The buttock can be compacted and lifted under local anesthesia with Elasticum EP5 Korpo elastic threads.
Two loops are drawn – one upper and one lower. The upper loop lifts and firms the upper portion of the buttock. The lower loop lifts the lower portion of the buttock. The results of basic elastic gluteoplasty can be further improved by means of liposuction and Adipofilling, which enhance the shape and symmetry of the buttocks, or even by implanting further elastic threads.

56. Correction of a long nose with the elastic thread and simultaneous removal of the cartilaginous hump

The patient has a drooping nose tip, a noticeable cartilaginous hump, and an anterior septal deviation. We remove the cartilaginous hump. Elastic rhinoplasty is performed. Near the procerus to improve the fixing of the elastic thread, we cross the deep tissues and of the nasal spine. From here the two-tipped needle comes out of the small entrance incision. Today we no longer perform the access with a micro-blade, we prefer to access it with a simple 16 G or 18 G needle, which does not leave scars. The anterior septum is now corrected.

57. Lifting of marionet's wrinkles with 4 elastic sutures and removal of the pre-auricular skin

In more ptotic faces, the elastic lifting of the puppet's wrinkles is done through an 8 mm incision behind both lobes. In this case, two isosceles triangles are implanted. The marionette elastic wrinkle lifting is usually performed after the elastic MACS lift or the elastic cheek lift. The elastic threads pull the lower third tissues laterally near the defects. If the preauricular skin is in excess, it is removed.