fig10

Figure 10. The position of the loops and hence the extension of the subcutaneous dissection is guided by manually simulating correction at the melolabial and mentolabial folds. The platysma is lifted after pinching it through the skin. (a) The face is lifted to undo the melolabial fold. A indicates marking around the thumb; B indicates marking at the mentolabial fold; C indicates where the platysma requires elevation (marked with an "X"). Dissection extends around the markings; (b) A and B indicate placement of the loops that lift the melolabial and mentolabial folds. In this case, the dissection could be minimal; C indicates micro-liposuction; D indicates platysma elevation; E indicates the punctum nervosum