1. Clinical and health assessment of the patient;
2. Assessment of local anatomical structures;
3. Adequate local surgical planning;
4. Draw the patient’s face with the intended drawing plan;
5. Anesthetic button in the incision region;
6. Incision with a 2 mm blade 11;
7. Introduction of the 1.25 mm multi-hole cannula in the superficial region of the fat pad from which fat will be removed, and this is done under local anesthesia, using Klein’s Solution, according to Jeffrey Klein 1987 [8].
8. Anesthesia is performed in the face region and performed with a technique developed by the author of the present work, using a substance called Klein’s solution. In the face region, the technique is called Localized Moisturizing Anesthesia (own authorship);
9. Klein’s solution is placed in the region to be liposuctioned;
10. Anesthesia is performed by placing the solution only to hydrate without even making the volume in the region and in this hydrated region the Liposculpture process begins with the 1.25 mm multi-hole cannula with a syringe and attached lock, the vacuum is performed and the Liposculpture process begins. On the face, it is simply a movement of the fat over the cannula, there is no movement of the cannula inside the fat, but the fat comes to the cannula working as if it were a fat shredder, drawing and making the desired sculpture.
11. For each region, a specific technique is used in the middle third of the face where the blush area is to be highlighted, a technique is used to create a link in the region marking an area in the malar region.
12. In the temporal and in the malar, a flattening drawing is made, decreasing the surface volume.
13. In the region of the posterior malar fat pad, a 2.5 mm cannula is used to remove fat from the surface of the entire pad, including the angle of the mandible.
14. The entire angle is redrawn, showing the patient’s bone structure with complete safety, making a physiological redesign.
15. Once one side has been executed within the required sculpting standards, the opposite side will be executed by executing the same drawings, taking into account the operated side as the model.
16. All surgery is performed on the opposite side and one side is compared with the patient standing or sitting in the chair so that you can visualize the drawing equivalent to sculpture from one side to the other.
17. Drainage is performed in the entire region, which consists of pressing the skin against the SMAS, so that all liquid, all the fat that may have remained on the inside is drained. Space needs to be ready for skin repair adhering to the deeper region.
18 Suturing was performed in the narrow paths using 5.0 nylon thread. single point.
19 The photos are taken both pre, trans, and postoperative to protect and visualize the before and after of the patient a surgical comparison of the technique.
20. After this surgical procedure, we move on to the technique of bandaging the face using the tape, a tape created in 1973 by Professor Kenzo Kase who created an elastic tape made of cotton and polyamide with the adhesive, which is placed in regions to promote compression and drainage for example.
21. This tape is placed, promoting a specific design of the operated region, making the contour of the operated region. It is cut in octopus or fan format.
22. On-site, it has the function of pressing the tissues to facilitate an adequate repair and also to promote lymphatic drainage immediately in the postoperative period.
23. 07:13 - 07:34: Emphatic to face specific pressure-specific stresses.
24. LipoTaping, as the name of the protocol was given, has specific rules that are very scientifically and clinically consolidated. On the face, 50% tension is used and 100% lateral and the base of the mandible. This process provides the initial stability of the tissues, facilitating the repair process, and also provides the beginning of lymphatic drainage, leaving the region without accumulation of liquid residues below the skin, thus having a powder without edema and hematoma;
25. This bandage is made from the face to the patient’s cervical region, thus preventing the accumulation of fluids and the patient’s feeling of edema.
26. After LipoTaping has been performed, a compressive splint is placed to promote greater local pressure, preventing tissue movement and facilitating the formation of the fibrin network that occurs in the first 72 hours.
27. LipoTaping should be maintained for 72 hours and after starting the process of manual lymphatic drainage and functional tissue release.
27. In 10 days, the suture is removed and the evolution of local tissues is monitored.
28. Compression bandages should be used for 15 to 30 days.