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. |