Dilson Ferreira da Luz
Plastic Clinic Dilson Luz, Brazil
Title: Progressive tunnelizations in neck face lift detachment: Fat grafts as complement
Biography
Biography: Dilson Ferreira da Luz
Abstract
The author describe 12 years experienced in the application of a new and simple method of facial cutaneous detachment using specially designed bi-faceted rigid steel wands called “Dilson Luz Vascular Dilation Wands®”. These wands considerably reduce the bleeding during face-lift surgery, reducing both postoperative hematomas as well as the risk of facial nerve injury. This technique "PROGRESSIVES TUNNELIZATIONS" involves stretching the blood vessels to the point of rupture by inserting progressively larger “wands.” At the point of rupture, a spontaneous coagulation within the vascular extremities occurs. This is due to a significant blood platelet migration induced by the stimulation from the rupture of the vascular intima. The wands vary in dimension from 1.5 to 20 mm and the larger were used for cutaneous facial complete detachment, and the more fine to perform tunnels. A method which we found to result in minimal bleeding across the detached surface as well as an excellent perfusion of the over lying skin. With this new technique, we have obtained improved cutaneous detachment, reduced postoperative swelling, edema and ecchymosis; prophylaxis of facial nerve damage and/or late postoperative hematoma formation. The fat grafts with active platelets always perform the face lift.