Comparison of results of wire subcision performed alone, with fills, and/or with adjacent surgical procedures

Early human evidence such as case series or small samples is exploring possible benefits.

• Level A · Stronger Clinical Evidence
• Level B · Emerging clinical evidence with positive signals
• Level C · Early human research exploring benefits
• Level D · Scientific groundwork from lab and animal studies
• Emerging · Emerging topic under active research

Abstract (original English)

Background Because of the fixed attachments (or muscle-superficial musculoaponeurotic system [SMAS] insertions) to the undersurface of wrinkles, folds, and retracted scars, the use of fills alone has resulted in unpredictable and unsatisfactory improvements. Objective To demonstrate that use of a wire dissector to completely release these attachments, accompanied by an immediate fill and/or an adjacent aesthetic surgical procedure, may optimize final results, improving deep wrinkles, folds, and scars. Methods The subcision wire was positioned under various wrinkles, folds, and scars in a triangulated outline and then zigzagged to uniformly release any subdermal attachments. Patients were divided into 4 categories based on the treatment received: group 1, wire subcision only; group 2, wire subcision plus immediate fill with a strip of autogenous filler or xenograft material; group 3, wire subcision without fill but with an adjacent aesthetic surgical procedure; and group 4, wire subcision, fill, and an adjacent surgical procedure. Results were rated with a photographic wrinkle/fold assessment scale (mean +/- standard deviation) by 2 blinded evaluators after at least 6 months. Assessment was based on a quartile grading scale that indicated improvement (0= 75% improvement). Results Eighty-five patients experienced 338 wire subcisions at 8 facial, 1 posterior neck, and 4 thigh (cel

Evidence level

Early human evidence such as case series or small samples is exploring possible benefits.

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