Surgical method for removing wrinkles

Abstract

This is a report on a method for removing wrinkles, under development since 1957. The method involves direct subcutaneous undercutting of the wrinkled skin areas with a long, slender, stilette-like stable scalpel. To avoid hematoma formation, a pressure dressing is applied for 2 to 3 days, and then the skin is abraded. During healing, the skin becomes smooth. We explain this amazing change in appearance and structure of the skin to our patients with the illustration of “drumskin”. After removing the epidermis and mobilizing the dermis, there is probably new growth of cohesive collagenous fibers which, possibly supported by an elasticfibre effect during their muturation time, i.e. including the period of epidermal regeneration, produces the wrinkle-free smoothness of the skin. The follow-up, varying from 6 weeks to 7 years, showed very satisfying results in all of our cases. Except for slight hematoma formation, with subsequent subcutaneous induration for several months, no postoperative or late complication occurred. In a few cases wrinkles reappeared only after many years, but always much fewer than before treatment. If stretching of the facial skin is indicated, we combine this with undercutting. Acne and pockmarked skin and similar scar areas can be treated successfully in the same way. The patient should be warned of the depigmentation of the regenerated skin zones. This may take place after any abrasion treatment and also after “chemical skin peeling”.