Progressive Tunnelizations in Neck Face Lift Detachment

The author describes 13 years of experience in the application of a new and simple method of facial cutaneous detachment using specially designed bifaceted rigid steel wands called Dilson Luz Vascular Dilation Wands. This technique, termed progressive tunnelizations, involves stretching the blood vessels to the point of rupture by inserting progressively larger wands. At the point of rupture, a spontaneous coagulation within the vascular extremities occurs. With this new technique, the author has obtained improved cutaneous detachment; reduced postoperative swelling, edema, and ecchymosis; prophylaxis of facial nerve damage; and/or late postoperative hematoma formation.