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Kim et al. Elasticum suspension

A B A B

Figure 5: Preoperative (A) and postoperative 3 years (B) Figure 6: Preoperative (A) and postoperative 2 years (B)
photographs of a 64-year-old woman who had elastic face lift and photographs of a 52-year-old woman who had elastic face lift and
neck lift with skin excision neck lift with skin excision
A B Case 3
A 80-year-old woman had elastic neck lift with skin
excision. At 3 years postoperatively, mental angle
(from 86.3° to 73.7°), and cervical angle (from 144.7°
to 123.7°) decreased. The Gn-C (from 29.2% to
48.3% of ear length), Gn-Li (from 51.6% to 63.8%
of ear length) increased. The C-T decreased (from
37.9% to 27.1% of ear length) [Figure 7].

DISCUSSION

Recently, Kang et al. [8,9] performed an elastic lift using
®
Elasticum (Korpo SRL) and a two-tipped long needle
(Jano needle). He evaluated its efficacy by rating
skin laxity (6 grades of sagging and laxity) using a
Figure 7: Preoperative (A) and postoperative 3 years (B) skin scanner. For the facelifts, the preoperative and
photographs of an 80-year-old woman who had elastic neck lift with
skin excision 3-month postoperative median skin laxity scores
were 5 (3-6) and 3 (2-4) respectively. For the neck
Case 1 lifts, the median skin laxity grade score was 5 (4-5)
A 64-year-old woman had elastic face lift and neck lift preoperatively and 3 at 3 months postoperatively.
with skin excision. At 3 years postoperatively, mental [10]
angle (from 89.3° to 83.5°), and cervical angle (from Also, Stringer et al. assessed the surface anatomy
of 98 parotid ducts using ultrasonography. In most
114.4° to 112.3°) decreased. The Gn-C (from 55.5% individuals, the duct is better represented as lying
to 69.8% of ear length), Gn-Li (from 55.9% to 59.3% within 1.5 cm of the middle half of a line between the
of ear length), and C-T (from 42.3% to 45.9% of ear lower border of the tragus and the angle of the mouth.
length) increased [Figure 5]. Thereafter, we designed the lowermost point of
elasticum suspension superior to the line from below
Case 2 the earlobe to the lower part of the alar nasi to avoid
A 52-year-old woman had elastic face lift and neck lift the parotid duct injury.
with skin excision. At 2 years postoperatively, mental
angle (from 107.3° to 77.6°) and cervical angle (from We tried to standardize the pre and postoperative
154.1° to 99.0°) decreased. The Gn-C (from 31.2% pictures, however, neck flexion cannot be same. Since
to 64.0% of ear length), Gn-Li (from 46.3% to 66.4% neck flexion might influence the cervical angle, mCA
of ear length), and C-T (from 29.9% to 33.4% of ear was converted to cCA by fixing the SSA at 90° as
length) increased [Figure 6]. Ellanbogen and Karlen suggested. Thereafter, cCA
[7]

388 Plastic and Aesthetic Research ¦ Volume 3 ¦ December 23, 2016