24. Permanent de-pigmentation with timedsurgical mixed peeling of normal facial skin in vitiligo universalis

In vitiligo universalis it is common to remain some areas of pigmented skin on the cheeks, which require de-pigmentation. For this purpose, we use Timedsurgical mixed peeling with de-epithelialization, one of the standardized techniques made possible by the Timed apparatus (Patent US). No other methods of permanent de-pigmentation can be compared with this extraordinary technique.

25. Treatment of a superficial skin angioma of the face with Electroporo Cosmesis

This patient's congenital superficial angioma is similar to lateral erythrosis of the neck, in which hyperpigmentation and ectatic vessels coexist. The treatment is identical. Electroporo Cosmesis is one of the three mixed peeling techniques of Timedsurgery. Resorcin is the chemical compound most frequently used in mixed peeling. It is able to firm up the skin, eliminate wrinkles, and reduce or eliminate the hyperpigmentations and superficial dilated vessels with which it comes into contact. Resorcin can also be used to de-pigment the skin.

26. Rapid pulsed timedsurgical cutting to remodel lip deformities due to over-injection of silicone oil

A vermilion border that has been enlarged and deformed by injections of silicone oil can be reduced and corrected. This is done by means of rapid pulsed timedsurgical cutting, which leaves practically invisible scars.
The availability of a cutting modality that does not leave visible scars is very useful in this procedure, as subsequent small corrections may be required. The operator can carry these out without having to worry about scarring.
After completing the excision, the operator inserts a stitch into the exact center of the vermilion. Double-spiral suturing with a 5-0 or 6-0 thread is then carried out.

27. Upper blepharoplasty by means of the Timed apparatus (the technique)

Upper blepharoplasty is the first anti-aging procedure requested by patients. It is not a simple procedure, as many surgeons believe. However, it becomes simple if we know how to perform it and what result we want to obtain.
First of all, the skin flap that is to be removed must be drawn out precisely; designs that are fanciful or which do not take into account the removal of the aged palpebral skin must be avoided. Most patients want to rejuvenate their eyelids. This video demonstrates how the Timed apparatus can be used to perform the procedure.

12. Elastic “round block” and Adipofilling of "hollowed out" breasts, without skin excision

Breasts that have a "hollowed out" appearance can be improved by means of elastic conization and simultaneous Adipofilling. The patients who request this procedure want their breasts to have a natural look, but do not want to undergo additive mastoplasty.
A circle is drawn around the areola at a distance of 4-6 cm from the nipple. An 8 mm incision is made at the areolar margin and a tunnel is created at a depth of 1 cm. Conization shapes the breast and broadens its base, making it more stable and more compact. Shaping of the breasts enables Adipofilling to be carried out wherever it is needed. Breast conization always precedes the grafting of fat.

54. Percutaneous correction of the diastasis of the rectus abdominis muscles with the Elasticum suture and the two-pointed needle

The Elasticum EP4 elastic thread mounted on the two-tipped Jano needle can be used to correct moderate diastases of the rectus muscles, without leaving scars. This Elastic Plastic Surgery procedure enables the muscles to be drawn back together in a stable manner, without tissue dissection and without leaving scars. Patient selection is important.
Palpation and echography are used to identify the diastasis of the abdominal rectus muscles accurately. It is useful to draw the pathway of the thread.
Local anesthesia is achieved by means of a modified Klein solution.