Elasticum® face-lifting of the eyebrows by means of
Elasticum® suturing
Used in conjunction with the two-tipped atraumatic
needle (Jano needle®), the Elasticum® thread is able to
lift the eyebrows and the outer corner of the eye in a
physiological manner. The operation requires only two 3
mm incisions, which are hidden by the hair.
L'Elasticum® suture is able to lift the eyebrows
In 30 minutes, Elasticum® suturing is able to improve
the patient’s look, without blunt dissection of the
tissues, without visible medication and with minimal
trauma. It is an ambulatory procedure and requires only
local anaesthesia.
Elasticum® face-lifting
The result of Elasticum® face-lifting without blunt
dissection, after 6 months. Eight threads (4 Elasticum®
sutures, produced by Korpo® S.R.L. Genoa, Italy) have
been implanted. Left: before; right: after.
Elasticum® face lift, 8 threads in the right
Asymmetry of the eyebrows due to neurinoma or other
pathologies
Elasticum® suturing can correct asymmetry of the
eyebrows caused by neurological pathologies.
A drooping eyebrow caused by a neuroma has been
lifted by means of Elasticum® suturing. After three weeks,
once stabilisation has been achieved, a skin excision in
the medial portion of the eyebrow has been performed.
Face-lifting of the forehead by means of a 1 cm
incision and Timedsurgical lesion of the corrugator
A simple surgical technique can be used to achieve
forehead lifting. Performed under local anaesthesia, the
operation involves blunt dissection of the frontal
region and coagulation of the corrugator muscle at 27 W
by means of a partially insulated hook-shaped electrode
connected to the Timed® apparatus. This technique was
designed by the Mexican plastic surgeon
Dr. Porfirio
Castillo Campos.
Otoplasty to correct protruding ears
Protruding ears can be corrected by means of an
ambulatory procedure, which may be performed even at
pre-school age.
Protruding ear before
Protruding ear after
Congenital malformations of the ears
Some congenital malformations of the ears can be
corrected within a few days of birth.
Reduction otoplasty
Excessively large ears can also be reduced in size.
Damaged ear-lobes
The lobes of the ears may be damaged by injury or
stretched by heavy ear-rings. This sort of damage can be
remedied by means of a cutaneous plastic procedure.
Upper blepharoplasty
Blepharoplasty is performed by using the Timed®
apparatus in the rapid pulsed timedsurgical mode. This
innovative technique ensures extreme precision, an
almost bloodless operating field and extraordinary
visibility. Unlike the laser, the Timed® apparatus
creates an incision that does not burn at the edges;
moreover, stitches can be removed after three days, as
against the ten days needed following laser therapy.
Removal of the adipose pouches from the upper eyelid
allows the eyes to be opened wider; the eyes tire less
easily and appear larger.
Upper blepharoplasty performed with the Timed®
apparatus. Rapid pulsed timedsurgical cutting enables
the tissues to be sectioned precisely, without
distorting the surface of the skin. Timedsurgical
cutting exerts a pressure of 5 g, while a normal
surgical scalpel exerts a pressure of 1.5 kg.
Timedsurgical cutting reduces bleeding, which is further
reduced by the
bloodless surgery technique designed by the
Capurro
Research Group.
Transconjunctival blepharoplasty by means of Timedsurgery™
Pouches on the eyelids are eliminated through two
small incisions in the conjunctiva. This approach does
not leave scars on the skin, does not require suturing
and does not cause lesions of the orbicular muscle. In
the rare event of an excess of residual skin, this is
removed. All procedures performed on the eyelids utilise
the
bloodless surgery technique designed by the
Capurro
Research Group.
Upper and transconjunctival blepharoplasty in a
patient suffering from exophthalmos of the right eye. In
transconjunctival blepharoplasty the adipose pouches are
removed through two small incisions in the conjunctiva
by means of rapid pulsed timedsurgical cutting, without
incising the skin.
After transconjunctival blepharoplasty
If the surface of the eyelid remains rough after
transconjunctival blepharoplasty, mixed peeling can be
performed. This dermatological procedure smoothes the
surface of the skin and reduces “crow’s feet”. To
complete the rejuvenating effect, two Elasticum® stitches
can be inserted and adipofilling® carried out.
Timedsurgical mixed peeling enables the skin of the
eyelids to be rejuvenated and “crow’s feet” to be
reduced. Elasticum® suturing lifts the eyebrows and the
outer corner of the eye. Adipofilling® restores volume.
Eliminating neoformations from the rim of the eyelid by means of electroshaving
Neoformations on the rim of the eyelid are excised
with extreme precision by means of timed® or slow pulsed
timedsurgical cutting. The slight residual tissue loss
is left to heal spontaneously in this region, which
displays an excellent healing capacity.
Neoformations on the rims of the upper and lower lips
excised by means of slow pulsed cutting with the Timed®
TD 50 micropulse apparatus. In these procedures
haemostasis is achieved by resurfacing, which does not
scorch the tissues. The advantage of timedsurgical
electroshaving is that it does not cause detectable
lesions in the residual tissues; reconstruction can
therefore be initiated without first having to eliminate
coagulated tissue (as is the case when laser cutting is
performed).
Adipofilling® in the temporo-palpebral region
The volume of the supra-external portion of the upper
eyelid and the temporal region can be enhanced by using
the patient’s own adipose tissue. In adipofilling®
procedures, we utilise serum factor XIII and intrinsic
and extrinsic coagulation factors to increase the
survival of the adipose cells and to avoid ecchymoses
and haematomas.
Revitalisation of the palpebral area
Aged skin of the lower eyelid and “crow’s feet” can
be revitalised from within by injecting a biological
solution.
Upper blepharoplasty in the Asian eye
Blepharoplasty reconstructs the palpebral fold and
eliminates a small amount of fat.
Removing neoformations from the eyelid and eyelid
rim by means of timed® and slow pulsed timedsurgical
cutting
All neoformations of the eyelid and of the eyelid rim
can easily be excised by the Timed® apparatus. Tissue
loss can either be sutured or left to heal spontaneously.
On the eyelid rim, electroshaving is always carried out
without suturing, by exploiting the regenerative
capacity of this region. Electroshaving enables maximum
integrity of the eyelashes to be preserved and yields a
good aesthetic result.
Rhinoplasty
Rhinoplasty can correct various components of the
nose.
Profile correction
Correction of the nose is sometimes not sufficient to
restore harmony to the facial features; in such cases,
the chin and lower jaw also have to be corrected.
Refining rhinoplasty
After rhinoplasty, once the scarring process is
complete, slight adjustments may sometimes be
recommended in order to improve the result further.
Adipofilling® and the injection of a revitalising
solution can also improve the surface of the nose,
making the nose look more natural.
Revisiting rhinoplasty
Cartilage grafts taken from the nasal septum or ear
can be used to correct and/or improve the result of
previous rhinoplasty or a congenital malformation of the
nose. If the deformity involves the tip of the nose, we
perform “open” rhinoplasty.
Open-nose rhinoplasty has been carried out and, in
the lip, adipofilling® has been performed to enhance
the volume and improve the scar. A septal graft has been
used to fill out the maxillary deficit.
Adipofilling® of the cheeks and malar region
A thin face can be rejuvenated through volume
enhancement; this is achieved by grafting the patient’s
own adipose tissue, which is specially treated to
improve its survival. Autologous serum is added to the
graft tissue. Volume enhancement through the use of the
patient’s own biological material is permanent and “natural”,
yielding results that are superior to those of any
artificial filler.
Adipofilling® also enables superficial volumes to be
restored and gives an aged face a youthful look.
A new concept of facial rejuvenation
Aggressive intervention on the face is almost no
longer justifiable, for several reasons: it is not
necessary; healing times are long; it causes
considerable biological damage, and the results are
often modest. For instance, blunt dissection of the skin
and subcutaneous tissues severs blood vessels and nerves,
causing the skin to age; it is justified only in very
elderly patients with a large excess of skin, and should
be kept to a minimum even in these cases. Our innovative
approach is based on the principle that the integrity of
biological structures should be preserved as far as
possible; the aim is to rejuvenate the face
efficaciously through the implementation of
non-aggressive procedures that allow patients to resume
their normal activities within a short time. Correction
is undertaken where correction is necessary.
Gravitational ptosis of the face is corrected by means
of the new Elasticum® thread, which supports the features
in a natural manner, gives the face a youthful look,
raises drooping cheeks, corrects the nasolabial sulci,
restores volume to the cheek and malar region and
enhances the angle of the jaw. This procedure, which is
also preventive, does not require blunt dissection and
is carried out through a few 3 mm incisions, which are
hidden in the hair. The second step towards rejuvenating
the face involves restoring the subcutaneous volumes
lost over the years as a result of gravitational ptosis.
Today, this can easily be achieved by means of a new
procedure: adipofilling®. Adipofilling® is able to replace
lost tissue, bring symmetry to asymmetrical halves of
the face, and enhance the lips (vermilion border) in a
natural manner. Moreover, it is able to rejuvenate the
entire facial skin. Intervention on the skin is the last
stage of the rejuvenation process. It can be undertaken
either from the outside, through the diligent
application of suitable non-aggressive chemical products
(after an electroporo-cosmesis), or from the inside,
through powerful biological revitalisation. We therefore
avoid face-lifting with ample blunt dissection (except
in rare cases), endoscopic lifting procedures (superseded
by the less traumatic Elasticum®® suspension), and laser
resurfacing techniques (which cause deep skin lesions).
In this regard it should be borne in mind that a light
beam will always damage the skin; as it travels in a
straight line at a speed of 300,000 Km per second, in
addition to causing a superficial lesion, it also causes
damage where it should not. Finally, we avoid
dermo-abrasion, preferring, where necessary, the use of
scrubs and timedsurgical resurfacing or very superficial
electroporo-cosmesis.
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Immobilisation of the forehead muscles by means of botulin
Injecting a small amount of botulin every six months will
eliminate forehead wrinkles.
Adipofilling® of the frontal, glabellar and temporal region
Volume enhancement by means of adipofillingimproves the
appearance of the temporal, glabellar and frontal region.
Adipofilling® is a technique developed by Dr. Sergio Capurro
(
www.capurroplasticsurgery.eu)
AIncreasing the volume of the lips (vermilion border)
Volume enhancement of the lips can be achieved by using
either hyaluronic acid or the patient’s own adipose tissue (adipofilling®).
In the latter case, the procedure is longer, but the result
is superior, being natural and permanent.
Lip enhancement by means of adipofilling® is natural and
permanent. Adipofilling® is the most natural and
physiological permanent filler.
Surgical reduction of the lips (vermilion border)
Lips that have been injected with excessive amounts of
non-re-absorbable fillers can be reduced by means of
surgical excision. It is, however, always preferable to use
re-absorbable fillers or adipofilling®.
Reducing the height of the upper lip (white portion of the lip)
One of the gravitational effects of ageing is to stretch
the upper lip. The height of the upper lip can be reduced by
removing a portion of skin at the base of the nostrils. The
shape drawn on the skin before the operation can be cut out
with extreme precision by the Timed® apparatus (slow
timedsurgical pulsed cutting).
Elastic suspension of the upper lip by means of the Elasticum® thread
The height of the upper lip can be reduced by means of
Elasticum® suturing. In this case, no incision is made at the
base of the nostrils and no tissue is removed. This is a new
technique.
Rhinophyma
Rhinophyma is a hyperplasia of the sebaceous glands of
the skin of the nose. A high-grade rhinophyma must first be
transformed into a low-grade rhinophyma, which will then be
levelled a month later. Both of these ambulatory procedures
are performed with the Timed® apparatus under local
anaesthesia.
During the first ambulatory operation a quadrangular skin
flap of about 6 mm in thickness is sculpted and the
hyperplastic tissue is removed down to the nasal cartilages.
Reducing the length of the flap enables the nose to be
shortened.
 
A month later, the surface of the skin is levelled by
means of timedsurgical cutting. The Timed® apparatus is
programmed at 20 W using an EM10 Yellow electromaniple (the
tip of which is bent into the shape of a hockey stick).
Healing is rapid as re-epithelialisation takes place from
the most superficial skin, which is rich in adnexa and well
vascularised. The photographs show a high-grade rhinophyma
before and after treatment.
Treating submucosal angiomas
Subcutaneous and submucosal angiomas tend not to regress
spontaneously and may sometimes constitute a complex
therapeutic problem. If they are not very large, they can be
injected with a sclerosing solution; we use 6%, 8% and 10%
sodium salicylate in a buffered hydroglycerin vehicle,
followed by 3% polydecanol. The concentration of the
solution is increased as the volume of the angioma is
reduced.
Eliminating small cavernous angiomas from the facial skin
Small neonatal skin angiomas tend normally to regress.
Angiomas of the face and body that pose a risk of bleeding
or ulceration, however, need to be treated. The very rapid
procedure that we use is performed by means of Timedsurgery™.
Two fine bipolar electrodes are inserted into the portion
of the neoformation that is raised above the plane of the
skin. A series of bipolar programmed coagulations at 99
hundredths of a second, at 14 or 20 W, partially coagulate
the neoformation, prompting its regression. Radical
intervention is to be avoided as the subsequent healing
process must exploit the regenerative capacity of the
residual angiomatous tissue.
 
Eliminating naevi flammei
Naevus flammeus of the face under treatment with
timedsurgical resurfacing. This Timedsurgery™ technique
utilises a specially-designed micro-arc that is able to
vaporise the surface of the skin without heating the deep
dermal tissues. The treatment is highly efficacious and
healing is excellent. In a few sessions, timedsurgical
resurfacing eliminates skin angiomas, even those that the
laser cannot treat efficaciously, without ruining the skin.
The current that generates the micro-arc returns to the
Timed® apparatus by flowing across the surface of the skin.
By contrast, the laser uses a straight beam of light, which
penetrates the deep dermal tissues and, at high power,
always damages the structures beneath the angioma.
Naevus flammeus of the face. Result after only four
sessions. The lip, where the angioma was very deep, has been
reconstructed by using skin from the cheek, in which the
angioma was previously present. A further session of
timedsurgical resurfacing is required in order to complete
vaporisation of the angioma.
Chin enhancement
A receding chin can be corrected by inserting a
prosthesis. Biological material taken from the same patient
(adipofilling®) can also be injected in order to enhance the
chin and adjust the jaw.
Jaw enhancement
A prosthesis can also be used to enhance the jaw. If the
chin is corrected, the nose will seem smaller.
Reducing the chin
The chin can be slightly reduced by removing the lower
edge of the mandible.
Liposuzione sottomentoniera
DA TRADURRE!!!!
Facial reconstruction following accidents or tumours
Plastic reconstruction is able to restore function and
aesthetic appearance to the face. In complex cases or those
already treated, more than one operation is normally needed.
Full-thickness reconstruction of the upper lip following
carcinoma
Eliminating traumatic tattoos by means of timedsurgical resurfacing
Traumatic tattoos are eliminated by means of
timedsurgical resurfacing and tissue micro-excision. The
micro-arc used in timedsurgical resurfacing has many
advantages over the laser beam, the most obvious being that
it does not damage the deep dermal tissues, as laser beams
do.
The traumatic tattoo is treated by means of timedsurgical
resurfacing. The areas of scarring where the pigment is very
deep will be excised. The advantages of timedsurgical
resurfacing stem from the fact that it does not heat the
deep dermal tissues, unlike the laser beam (which
necessarily does so, as it travels in a straight line)
Excision of large facial scars, using Elasticum®
suturing (Elasticum® + Jano needle®)
Large facial scars can be removed without blunt
dissection of the tissues by using the innovative Elasticum®
thread; as this does not apply traction to the edges of the
wound, a high-quality result is achieved.
Using the Jano needle® and the Elasticum® thread, without
blunt dissection of the skin, enables the tension on the
edges of the wound to be reduced. The arrows indicate the
exit points of the two-tipped needle invented by us in 1983
and re-patented (PCT) as the two-tipped atraumatic needle in
2002. Removing large scars caused by injury or burns without
blunt dissection maintains the integrity of the tissues,
nerves and blood vessels, thereby avoiding an unnecessary
and harmful scarring process.
Removal of cutaneous neoformations, followed by suturing
Removal of benign neoformations, followed by suturing, is
undertaken for large lesions and those situated in the
facial areas most amenable to this type of treatment. In all
cases of malignant neoformations (carcinomas, melanomas,
etc.), ample removal is undertaken, followed by plastic
reconstruction.
Removing skin lesions without suturing (timedsurgical
electroshaving)
Electroshaving (slow pulsed timedsurgical cutting) is a
method of removing small benign neoformations from the face
(lips, cheeks, chin) without suturing. A highly aesthetic
result is obtained. The technique is based on the concept
that the timedsurgical incision does not burn the tissues
and removal of the neoformation leaves integral tissue that
can immediately begin reconstruction by exploiting the great
reparative capacity of the skin. If bleeding from a
capillary or a venule occurs, haemostasis is performed by
means of timedsurgical resurfacing at 50 W in the “Coag”
mode. Resurfacing utilises the most delicate form of energy
to coagulate the vessels, and leaves the tissue practically
unscorched.
Excising very small neoformations
Slow pulsed timedsurgical cutting enables micro-excisions
of 1 mm to be performed. Small skin neoformations can be
removed by using this specific cutting mode of the Timed®
apparatus. None of the timed® or pulsed incisions made by the
Timed® apparatus burns the edges of the wound, which can be
sutured and heals rapidly.
Excision of palpebral syringomas by means of slow pulsed
timedsurgical cutting. Small tissue losses are sutured.
Elasticum® face-lifting of the eyebrows, malar region,
cheeks and angle of the jaw by means of the Elasticum® thread,
without blunt dissection of the tissues
Elasticum® face-lifting offers a real face-lift through
the insertion of 8 or 10 Elasticum® threads, without blunt
dissection of the tissues; the threads are inserted through
6 small incisions hidden in the hair. The procedure uses the
Jano needle® (the two-tipped needle designed by Dr. Capurro)
and takes about an hour. Anaesthesia is local and no visible
medication is needed. This ambulatory procedure
revolutionises face-lifting, creating a natural elastic
suspension of the facial volumes.
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