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NECK TECHNIQUE

GENERAL RECOMMENDATIONS​

  • The thread must end 1 cm beyond the area you want to lift

  • Adapt the depth of the thread to the tissues

  • Always make a slight over-correction

  • Smooth the skin folds as much as possible that may appear when stretching the threads

  • No massage or any friction for a week

  • In case of over-tension, you can unhook some cogs during the first week (before fibrosis)

NON SURGICAL LAYING SCHEME

  • Place 2 or 3 threads on each side

  • Each thread enters behind the ear

  • One half goes up, one half goes down

  • The threads are crossed (about 1 cm between them) under the middle part of the neck

STEPS TO FOLLOW

STEP 1: DRAWING

With the patient upright, modelize with Micropore the lifting effect desired on the neck.
Draw the path of the thread and its points of entry and exit.
Precision: The entry points are situated behind the ears, see Scheme.

STEP 2: PREPARATION

With the patient reclining, disinfect the skin with Povidone iodine (Betadine), Chlorhexidine or equivalent.
Local anesthesia along the thread’s path, at its entry and exit points.
Redraw the path if necessary.
Place a sterile drape on the work surface, a second on the cranea of the patient, a third one on the chest.
Always follow the Protocol for Infection Prophylaxis

STEP 3: ENTRY POINTS

Perform small punctures with a Nokor needle for each thread’s entry points. Perform 1 incision per thread, spaced around 5mm apart.

STEP 4: THREAD IMPLANTATION

  • Introduce the needle perfectly perpendicular to the skin, penetrate 2 to 3 mm and then turn to be in the subcutaneous fat layer

  • If you are in the right layer, the needle will move freely within it

  • If you feel resistance, you are pushing too superficial or deeply

  • If you can see the needle, you are too superficial

  • Bring out the needle after about 10 cm, pushing and without the need for incision and then slowly pull the thread. Arch the needle if necessary.

  • Pass the second strand of the thread in the desired direction. Arch the needle if necessary.

  • Pass the other threads the same way

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Note: Bending the needle slightly can help to navigate the needle closer to the natural contours of the cranium and neck which means the needle can exit slightly further on than it would do so otherwise.

STEP 5: SETTINGS

  1. Upper part: Pull up each upper side strand until you see the traction appear at the entry point.

  2. Lower part: To adjust the lower part, due to the elasticity, it is necessary to pull each strand with one hand and push the tissue with the other hand. This adjustment is made on the patient when reclined then checked when seated.

  3. Finally, slightly pull the end of each strand (2 or 3 of cogs distance) and cut the excess end. The strand then settles naturally under the skin due to its elasticity.

  4. Due to the flexibility of the silicone you can easily unhook by massage an over lifted part.

POST OPERATIVE CARE

Anti-inflammatories (Ibuprofen) if necessary.
Prescribe oral AB 500 mg Ciprofloxacin BD for 5-10 days. Give the first dose 1 hour before procedure.

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Note: Review the Patient within one week. As oedema has disappeared, if necessary, in cases of over correction, you can unhook some cogs before fibrosis is established.

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