The Elasticum® surgical thread is specially designed not to cut into the tissues. Use of the Elasticum thread and the Jano needle enables ambulatory procedures for the traction and suspension of the tissues to be carried out exactly where necessary, while avoiding skin dissection, which is harmful to the vascularisation and trophism of the tissues. The fact that the elastic thread is transformed into a natural ligament means that the results are permanent.
There are several reasons why Elasticum does not cut into the tissues:
Elasticum® accompanies the slightest movements of the face and body. The elasticity of Elasticum® counteracts the elasticity of the tissues, enabling optimal traction or suspension to be achieved.
- DIAMETER OF THE ELASTIC THREAD
A fine thread will easily cut into the tissues. Elasticum is not fine. At the same time, it is impalpable, as it is soft and has the same consistency as the subcutaneous tissues.
- TRASFORMATION INTO A “LIGAMENT”
Elasticum® is colonised by connective tissue cells. The thread is integrated into the tissues after only three weeks, and the process is completed within a few months.
Colonisation of the Elasticum® thread by fibrohistiocytic cells takes place without inflammatory phenomena and with excellent biocompatibility. This means that the thread can also be used as an implant in cases of small losses of bone or tissue.
The simplicity of these ambulatory surgical procedures and the excellent natural results clearly constitute an important advantage for both the surgeon and the patient.
Several procedures can be carried out, and their number is constantly growing. Most of these procedures require no dissection, but only small incisions of a few mm in length.
The implantation technique requires the two-tipped needle and cannula to pass through the tissues at a uniform depth – neither too superficial nor too deep. If the elastic thread is too superficial, it may cause introflection of the skin; if it is too deep, the volumes will not be raised.
What you should know about elastic suturing
During insertion of the Jano needle, slight up-and-down movements must be made in order to reveal any skin introflection. If this occurs, the two-tipped needle or cannula must be withdrawn and reinserted correctly.
In lifting the cheeks, the operator uses three fingers in order to visualise the direction of the three optimal suspension vectors, which are drawn in with a dermographic pen.
Once the elastic thread has completed its pathway, the two ends are tightened and, only if the result is deemed optimal and the skin presents no introflections, are knotted. If the result is not satisfactory and there are evident introflections or creases, the thread must be slid out and reimplanted.
Small introflections can be corrected by detaching the skin in the most introflected area with a hypodermic needle. However, it is preferable to learn how to avoid introflections in the first place.
While the Elastic Plastic Surgery procedures are easy to carry out, they do require care; moreover, the pathway of the thread must be studied and the indication for the procedure must be correct. The greatest care must be taken in facial procedures. If there is excess skin at the sideburns, an elastic MACS lift will be carried out through an incision that runs around the sideburn and reaches the tragus. In this case, all the excess skin must be removed. This incision can also be used to perform elastic neck lifting by attaching the thread to the two fasciae of Loré. In this way, we avoid leaving visible scars in the lower part of the ear.
In the case of excess fat under the chin, even a single cc, horizontal liposuction can be performed by means of a small cannula; retraction of the subcutaneous tissues will improve the result.
If there is no excess skin at the sideburns, two elastic threads will be implanted through small incisions; the threads will not be placed under maximum tension, as in the case of elastic MACS and Neck lifting, but 5 mm of stretch will be left.
The same tips will be implemented in procedures to raise the breasts and buttocks.
The Elastic Plastic Surgery procedures are published in the Medical Video Journal www.crpub.org; this enables you to observe the procedure is freely, as if you were in the operating room.
Elastic Plastic Surgery is a new kind of surgery; it is minimally invasive, requires little or no dissection and is of lasting efficacy.
A new mentality
Elastic Plastic Surgery also exploits the biological capacity of the organism. We need only think of the ability of the skin, once it has been freed from the pull of gravity, to retract and adapt to the morphology created by the new “ligaments”. The skin adapts. It just takes a little time.
Skin removal from in front of the lower part of the ear, behind the ear and above the hairline is avoided by elastic MACS lifting. This spares the patient from the scars which sometimes accompany surgical artefacts.
In lifting of the temporal region and eyebrows, the excess skin will, if necessary, be distributed by means of another elastic thread. The temporal fossa will be filled with adipose and stromal cells; alternatively, needling or Electroporo-Cosmesis will be performed with a saturated solution of resorcin, in order to accelerate retraction of the skin.