Plastic and cosmetic surgery

by Frederick Strange Kolle

Fig. 43.—Needle with Suture Carrier.

Holders with cup jaws serrated at different angles are of no value, unless other needles are used with them, as they invariably break the flat ones.

To overcome the necessity of rethreading or the use of many needles, the very ingenious holder with ligature carrier can be used, especially where the surgeon does not care to sew with a long, free thread. The silk can be sterilized on the metal spool separately and inserted within the handle of the holder, as shown in [Fig. 43].

METHODS IN PLASTIC OPERATIONS

There are five distinctive methods employed in performing plastic operations:

I. Stretching of the margins of the skin.

II. Sliding flaps of adjacent skin.

III. Twisting pedunculated flaps.