Page 390 - Read Online

Kim et al. Elasticum suspension

can be calculated as mCA plus 90° minus SSA (cCA = Acknowledgments
mCA + 90° - SSA) [Figure 4]. We thank Miss Seong Kyung Yoo, BS, for her help in
measurement and being object of Figure 4.
In our preoperative and postoperative measurements,
elasticum suspension significantly decreased the CA Financial support and sponsorship
(P < 0.001, -5.5 ± 9.8%). This procedure significantly This study was supported by Inha University (INHA-
decreased the Gn-Li distance (P < 0.001, -18.4 ± Research Grant).
25.5%). The Gn-C/Gn-Li ratio increased significantly
(P < 0.001, 62.8 ± 85.8%), while the C-T/Gn-C ratio Conflicts of interest
decreased significantly (P = 0.007, -7.1 ± 45.2%) There are no conflicts of interest.
[Table 3].
Patient consent
In the 46 patients that were operated on, suspension
was performed with skin excision in 34 patients Informed consent was obtained from paients.
who had skin redundancies, whereas 12 patients
underwent suspension without skin excision. The Ethics approval
purpose of skin excision was not to pull the skin, All procedures performed in studies involving human
but to prevent tissue from getting jammed. Minor participants were in accordance with the ethical
jammed soft tissues were found to have subsided standards of the institutional and/or national research
spontaneously within a few weeks. committee and with the 1964 Helsinki declaration and
its later amendments or comparable ethical standards.
For three parameters (CA, Gn-C, and Gn-Li), no
significant differences were found between the SE REFERENCES
group and SO group. Regarding the Gn-C/Gn-Li ratio, 1. Tonnard P, Verpaele A, Monstrey S, Van Landuyt K, Blondeel
the RCR was significantly higher in the SO group P, Hamdi M, MattonG. Minimal access cranial suspension lift: a
(179.4 ± 69.7%) than the SE group (21.7 ± 41.6%). modified S-lift. Plast Reconstr Surg 2002;109:2074-86.
For the C-T/Gn-C ratio, the RCR was significantly 2. Saylan Z. Liposhifting instead of lipofilling: treatment of
higher in the SE group (3.6 ± 47.4%) than the SO postlipoplasty irregularities. Aesthet Surg J 2001;21:137-41.
group (-37.4 ± 15.2%) [Table 4]. 3. Fulton JE, Saylan Z, Helton P, Rahimi AD, Golshani M. The S-lift
facelift featuring the U-suture and O-suture combined with skin
resurfacing. Dermatol Surg 2001;27:18-22.
The advantages of the elasticum suspension are as 4. Capurro S, Rava C, Berlanda M. Elastic MACS and neck lift in men.
®
follows. First, Elasticum does not cut into the tissues. CRPUB Med Video J [Internet]. 2010. Available from: http://www.
It is composed of a silicone core and surrounding crpub.org/index.php?option=com_k2&view=item&id=52:10-elastic-
braided polyester, and the braided polyester macs-and-neck-lift-in-men&Itemid=114. [Last accessed on 2016 Oct 17]
effectively acts as a nidus for collagen and elastin to 5. Capurro S. Elastic neck lift in elderly patient. CRPUB Med Video
J [Internet]. 2009. Available from: http://www.crpub.org/index.
develop, similarly to a neoligament. [11] Second, it has php?option=com_k2&view=item&id=51:09-elastic-neck-lift-in-
the same consistency as the subcutaneous tissue, elderly-patients&Itemid=114. [Last accessed on 2016 Oct 17]
and is not palpable after placement. Third, the depth 6. Hwang K, Nam YS, Kim DJ, Han SH. Anatomy of tympanoparotid
of the thread can be referenced by the depth mark on fascia relating to neck lift. J Craniofac Surg 2008;19:648-51.
the Jano needle. 7. Ellenbogen R, Karlin JV. Visual criteria for success in restoring the
youthful neck. Plast Reconstr Surg 1980;6:26-37.
8. Kang MS, Shin JS, Nam SM, Park ES. Evaluation of elastic lift for
Based on our results, it appears that the elasticum facial rejuvenation. Arch Aesthetic Plast Surg 2016;22:20-7.
suspension technique may be a satisfactory minimally 9. Kang MS, Kim SH, Nam SM, Park ES. Evaluation of elastic lift for
invasive method for neck lifts. Elasticum suspension neck rejuvenation. Arch Aesthetic Plast Surg 2016;22:68-73.
can be performed together with submental and 10. Stringer MD, Mirjalili SA, Meredith SJ, Muirhead JC. Redefining
superficial jowl liposuction. If necessary, a perioral the surface anatomy of the parotid duct: an in vivo ultrasound study.
Plast Reconstr Surg 2012;130:1032-7.
fat graft could be performed. This technique could be 11. Huggins RJ, Freeman ME, Kerr JB, Mendelson BC. Histologic and
also applied to the lifting the upper lip or breast, as ultrastructural evaluation of sutures used for surgical fixation of the
well as scar revisions. SMAS. Aesthetic Plast Surg 2007;31:719-24.

Plastic and Aesthetic Research ¦ Volume 3 ¦ December 23, 2016 389