Các SEPTA được cắt ngửa của kim, trong khi duy trì lực kéo lưỡi dao chống lại SEPTA, do đó giải phóng sự căng thẳng tác dụng trên da. Kỹ thuật này cắt cho phép cắt giảm chính xác với tối thiểu tổn thương mô, đảm bảo kết quả tốt hơn sau phẫu thuật. Một thử nghiệm pinch nhẹ trên các tổn thương | 256 HEXSEL AND MAZZUCO Figure 6 After antisepsis of the surgical area local anesthesia is performed in the surgical room. Sterile sheets are used to protect the surgical area. the septum. The septa are cut on the backstroke of the needle while maintaining the blade traction against the septa thus releasing the tension exerted on the skin. This cutting technique allows a precise cut with a minimum of tissue damage which ensures better postoperative results. A slight pinch test on the treated lesion is useful because it reveals any areas that remain retracted by septa 3 5 . 5. Compression Following cutting the septa vigorous compression is required in the treated area for 5 to 10 minutes sufficient time for the process of coagulation to begin permitting hemostasis and control of the size of the hematomas. The use of sand bags is recommended they should weigh approximately 5 kg be made from a washable material and be wrapped in sterile fabric 3 . Such bags produce a more uniform and efficacious compression than that achieved manually. 6. Dressings The treated areas are covered with sterile adhesive bandages and given additional compression with dressings and compressive clothing elastic pants or shorts that should be worn for 30 days. The patient receives the following postoperative instructions Use analgesics for the first 48 hours this period can be extended if pain persists. Acetaminophen at a dose of 750 mg every six hours is recommended. Continue use of the antibiotic until the third day. SUBCISION 257 Figure 7 A gentle pinch test is performed to find residual septa pulling the skin surface. Perform physical exercises only after the third week. Use compressive clothing for 30 days. THE POSTOPERATIVE PERIOD The first postoperative evaluation should be made after 72 hours when the dressings are changed and the use of the antibiotic discontinued 3 . Hematomas and hemosiderosis are expected in all patients during this period. The hematomas should follow a normal .
