fig2

Figure 2. Operative technique. (A) After anchoring to the deep temporal fascia, two-tipped atraumatic needle (Jano needle) travels through the deep subcutaneous tissue. The needle must not be extracted completely. Once it has been pulled halfway out, the thread is pulled through. Depth marks on the shaft of the needle indicate how much of the tip remains in the tissue (about 1 cm or 1/2 cm from the surface of the skin). (B) The posterior tip of needle now become anterior and travels back toward the temporal region through the deep subcutaneous tissue until it reaches the point where the thread enters the deep temporal fascia. The elastic thread is then knotted under traction