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Subcision Using a Spinal Needle Cannula and a Thread for Prominent Nasolabial Fold Correction

  • Lee, Sang-Yeul (Department of Plastic and Reconstructive Surgery, Kangwon National University College of Medicine) ;
  • Sung, Kun-Yong (Department of Plastic and Reconstructive Surgery, Kangwon National University Hospital, Kangwon National University College of Medicine)
  • Received : 2013.01.21
  • Accepted : 2013.02.26
  • Published : 2013.05.15

Abstract

Deepening of the nasolabial crease is an esthetically unpleasing aging phenomenon occurring in the midface. Various treatment modalities have been introduced to improve the appearance of prominent nasolabial folds, all of which have pros and cons. Currently, a minimally invasive technique using synthetic dermal fillers is most commonly used. A simple and easy subcision procedure using a wire scalpel has also been used and reported to be effective for prominent nasolabial fold correction, with minimal complications. As an alternative to the wire scalpel, we used a 20-gauge metal type spinal needle cannula (Hakko Co.) and 4-0 Vicryl suture (Ethicon Inc.) for subcision of nasolabial folds. This technique is less expensive than the use of a wire scalpel and easily available when needed. Therefore, on the basis of favorable results, our modified subcision technique may be considered effective for prominent nasolabial fold correction.

Keywords

References

  1. Guyuron B, Michelow B. The nasolabial fold: a challenge, a solution. Plast Reconstr Surg 1994;93:522-9. https://doi.org/10.1097/00006534-199493030-00011
  2. Lee SY. Prominent nasolabial fold: an overview of treatments. Arch Aesthetic Plast Surg 2011;17:143-52.
  3. Orentreich DS, Orentreich N. Subcutaneous incisionless (subcision) surgery for the correction of depressed scars and wrinkles. Dermatol Surg 1995;21:543-9.
  4. Sasaki GH. Comparison of results of wire subcision performed alone, with fills, and/or with adjacent surgical procedures. Aesthet Surg J 2008;28:619-26. https://doi.org/10.1016/j.asj.2008.10.005
  5. Kotlus BS, Dryden RM. Modification of the nasolabial crease with wire scalpel and autologous fat transfer. Am J Cosmet Surg 2006;23:75-8. https://doi.org/10.1177/074880680602300202
  6. Graivier M. Wire subcision for complete release of depressions, subdermal attachments, and scars. Aesthet Surg J 2006;26:387-94. https://doi.org/10.1016/j.asj.2006.05.004
  7. Sulamanidze MA, Salti G, Mascetti M, et al. Wire scalpel for surgical correction of soft tissue contour defects by subcutaneous dissection. Dermatol Surg 2000;26:146-50. https://doi.org/10.1046/j.1524-4725.2000.99127.x

Cited by

  1. Subcision: An Ancillary Procedure to Face-Lift Operation to Improve Prominent Nasolabial Folds vol.19, pp.2, 2013, https://doi.org/10.14730/aaps.2013.19.2.120
  2. Efficacy and Safety of Porcine Collagen Filler for Nasolabial Fold Correction in Asians: A Prospective Multicenter, 12 Months Follow-up Study vol.29, pp.suppl3, 2013, https://doi.org/10.3346/jkms.2014.29.s3.s217
  3. Evaluation of Subcision for the Correction of the Prominent Nasolabial Folds vol.2015, pp.None, 2013, https://doi.org/10.1155/2015/976153
  4. Blunt cannula subcision is more effective than Nokor needle subcision for acne scars treatment vol.18, pp.1, 2013, https://doi.org/10.1111/jocd.12523