Some general surgical principles as applied to aesthetic surgery

Control of bleeding is a keystone in surgery. Hemostasis usually leaves dead tissue behind. The use of fibrinogen-thrombin-spray may become an alternative to ligation and electrocoagulation. As pressure prevents the proliferation of fibroblasts, tight suturing may delay wound healing. It is proposed that facial injuries often heal with scarcely visible scars because the suturing becomes slack as oedema subsides.