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.
Similar content being viewed by others
References
Orentreich DS, Orentreich N (1995) Subcutaneous incisionless (subcision) surgery for the correction of depressed scars and wrinkles. Dermatol Surg 21:543–549
Sulamanidze MA, Salti G, Mascetti M, Sulamanidze GM (2000) Wire scalpel for surgical correction of soft tissue contour defects by subcutaneous dissection. Dermatol Surg 26:146–150
Sasaki GH (2008) Comparison of results of wire subcision performed alone, with fills, and/or with adjacent surgical procedures. Aesthet Surg J 28:619–626
Graivier M (2006) Wire subcision for complete release of depressions, subdermal attachments, and scars. Aesthet Surg J 26:387–394
Lee SY, Sung KY (2013) Subcision using a spinal needle cannula and a thread for prominent nasolabial fold correction. Arch Plast Surg 40:256–258
Lee SY, Sung KY (2013) Subcision: an ancillary procedure to face-lift operation to improve prominent nasolabial folds. Arch Aesthet Plast Surg 19:120–124
Lee SY (2011) Prominent nasolabial fold: an overview of treatments. Arch Aesthet Plast Surg 17(3):141–150
Kotlus BS, Dryden RM (2006) Modification of the nasolabial crease with wire scalpel and autologous fat transfer. Am J Cosmet Surg 23:75–78
Acknowledgments
This study was funded by the 2016 Kangwon National University Research Grant (No. 520150346).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflicts of interest to disclose.
Electronic Supplementary Material
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Lee, SY., Sung, KY. An Alternative to the Wire Scalpel for Nasolabial Fold Subcision: A Preliminary Study Using a Tuohy Epidural Needle and Vicryl Sutures. Aesth Plast Surg 40, 846–849 (2016). https://doi.org/10.1007/s00266-016-0688-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-016-0688-8