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Elevation of the Malar Fat Pad With a Percutaneous Technique（3）
While the surgeon is marking and injecting the patient, the assistant or scrub nurse is fashioning the double strand of sutures with a small polytef bolster. One end of a 4-0 polypropylene (Prolene) suture is passed through the eye of a Keith needle and stabilized with a hemostat. The suture is then passed through both ends of a 2 × 2-mm polytef bolster and passed through the eye of a second Keith needle and stabilized with a hemostat. Both ends of a 3-0 polyglactin 910 (Vicryl) or polyglycolic acid (Dexon) suture are then placed parallel to the 4-0 polypropylene sutures through the Keith needles and stabilized by the same hemostats (Figure 3).
Figure 3.
Needle passage.
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