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Published in: Aesthetic Plastic Surgery 6/2016

01-12-2016 | Innovative Techniques

An Alternative to the Wire Scalpel for Nasolabial Fold Subcision: A Preliminary Study Using a Tuohy Epidural Needle and Vicryl Sutures

Authors: Sang-Yeul Lee, Kun-Yong Sung

Published in: Aesthetic Plastic Surgery | Issue 6/2016

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Abstract

Background

Subcision techniques involving wire scalpels are used to correct prominent nasolabial folds, depressed scars, and wrinkles. However, these instruments are not universally available.

Methods

We devised a substitute device, consisting of a Tuohy epidural needle and Vicryl sutures, which are easily accessible and inexpensive. We used these novel devices to perform nasolabial fold subcisions in six female patients (mean age 43 years, range 28–65 years) The follow-up period ranged from 4 to 11 months (mean 7 months).

Results

Favorable results were obtained for five of six patients, with minimal complications.

Conclusion

Our subcision technique, employing Tuohy epidural needles and vicryl sutures, was an easy and useful substitute for the use of wire scalpels for improving prominent nasolabial folds.

Level of Evidence V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Appendix
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Literature
1.
go back to reference Orentreich DS, Orentreich N (1995) Subcutaneous incisionless (subcision) surgery for the correction of depressed scars and wrinkles. Dermatol Surg 21:543–549PubMed Orentreich DS, Orentreich N (1995) Subcutaneous incisionless (subcision) surgery for the correction of depressed scars and wrinkles. Dermatol Surg 21:543–549PubMed
2.
go back to reference Sulamanidze MA, Salti G, Mascetti M, Sulamanidze GM (2000) Wire scalpel for surgical correction of soft tissue contour defects by subcutaneous dissection. Dermatol Surg 26:146–150CrossRefPubMed Sulamanidze MA, Salti G, Mascetti M, Sulamanidze GM (2000) Wire scalpel for surgical correction of soft tissue contour defects by subcutaneous dissection. Dermatol Surg 26:146–150CrossRefPubMed
3.
go back to reference Sasaki GH (2008) Comparison of results of wire subcision performed alone, with fills, and/or with adjacent surgical procedures. Aesthet Surg J 28:619–626CrossRefPubMed Sasaki GH (2008) Comparison of results of wire subcision performed alone, with fills, and/or with adjacent surgical procedures. Aesthet Surg J 28:619–626CrossRefPubMed
4.
go back to reference Graivier M (2006) Wire subcision for complete release of depressions, subdermal attachments, and scars. Aesthet Surg J 26:387–394CrossRefPubMed Graivier M (2006) Wire subcision for complete release of depressions, subdermal attachments, and scars. Aesthet Surg J 26:387–394CrossRefPubMed
5.
6.
go back to reference Lee SY, Sung KY (2013) Subcision: an ancillary procedure to face-lift operation to improve prominent nasolabial folds. Arch Aesthet Plast Surg 19:120–124CrossRef Lee SY, Sung KY (2013) Subcision: an ancillary procedure to face-lift operation to improve prominent nasolabial folds. Arch Aesthet Plast Surg 19:120–124CrossRef
7.
go back to reference Lee SY (2011) Prominent nasolabial fold: an overview of treatments. Arch Aesthet Plast Surg 17(3):141–150 Lee SY (2011) Prominent nasolabial fold: an overview of treatments. Arch Aesthet Plast Surg 17(3):141–150
8.
go back to reference Kotlus BS, Dryden RM (2006) Modification of the nasolabial crease with wire scalpel and autologous fat transfer. Am J Cosmet Surg 23:75–78 Kotlus BS, Dryden RM (2006) Modification of the nasolabial crease with wire scalpel and autologous fat transfer. Am J Cosmet Surg 23:75–78
Metadata
Title
An Alternative to the Wire Scalpel for Nasolabial Fold Subcision: A Preliminary Study Using a Tuohy Epidural Needle and Vicryl Sutures
Authors
Sang-Yeul Lee
Kun-Yong Sung
Publication date
01-12-2016
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 6/2016
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-016-0688-8

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