Operative Instruments

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miring the precision and care put into the honing of these instruments to the highest degree of perfection.

My preferred company is Medicon, which has a spe- cialized department for plastic surgery and a cata- logue with set suggestions for different cosmetic sur- geries.

The instruments in Figs. 24.2–24.10 are just a per- sonal suggestion of mine, without claim to general ac- ceptance. This is a sample of what could be recom- mended. During main meetings many booths are rented by instrument manufacturers and plastic surgeons frequently visit them and try the handling of new tools.

Bibliography

Please see the general bibliography at the end of this book.

Every surgeon is used to using certain instruments which he/she learned to work with during his/her training. Worldwide there are very competent manufacturers of surgical instruments, and facial plastic surgery is constantly developing. New ideas are grow- ing and arising with every new generation of plastic surgeons.

For each surgery a fundamental set of instruments should be packed into special containers and very common instruments are separately packed as single packages to be available if needed for replacement as well as such instruments which we do not use rou- tinely.

Tuttlingen in southern Germany has several firms specializing in the manufacture of special instruments and equipment for medical purposes. In the past, the ironsmiths used to go to Paris to learn the high art of ironwork and then returned to Tuttlingen.

When visiting these factories one just cannot help ad-

Operative Instruments

Dimitrije E. Panfilov

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109 24 Operative Instruments Fig. 24.1. a Set of instruments for routine facelift used by the author. b Preferred scissors:

Stevens, Castañares, Metzen- baum, Gorney, Gorney–Long, Rees

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Fig. 24.2. Instruments for facelift

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111 24 Operative Instruments

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Fig. 24.5. Instruments for rhinoplasty

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Fig. 24.6. Instruments for rhinoplasty

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Fig. 24.7. Instruments for blepharoplasty

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Fig. 24.8. Instruments for otoplasty

Fig. 24.9. a Author’s antihelix file. b Author’s file in action

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Fig. 24.10. Instruments for autologous fat transfer