Minimally invasive surgery has progressed beyond the practice of minimal incision and now includes the way in which surgery is done deep inside the tissue. Minimally invasive surgery now focuses on minimizing tissue trauma by following a natural tissue plane and preserving nerves. Traditional techniques often violate natural tissue planes. Thus, patients experience pain and prolonged swelling as tissues need to heal from injury. Human tissue is made up of layers of tissues or planes. By taking time during surgery to allow for tissue to naturally open up, the natural tissue plane can be found and opened up. When this natural tissue plane is opened and followed, there is minimal trauma to the tissue. Therefore, the patient does not experience pain during surgery, immediately after surgery, and throughout the entire recovery process. It is only when the tissue planes are violated or ripped that a patient experiences pain. Using an analogy, an airplane will stay within a jet stream during a flight. If the airplane goes in and out of the jet stream, then turbulence (or in this case, trauma) will occur. By utilizing advanced minimally invasive techniques, surgery can be performed without general or intravenous sedation. And because the tissue opens up in a continuous layer without tearing, more effective tissue mobilization occurs. The result is not only the most optimal and effective result, but a smoother appearance after surgery with faster recovery time. This can be seen from a video in our patient testimonial section.
Dr. Kenneth Kim is one of the pioneers in dynamic surgery and the leader in applied minimally invasive, natural tissue plane elevation technique. By combining these advanced surgical techniques with aesthetic sensibility, the most optimal and natural results are produced.
Histology showing the SAJT, the inner layer(red arrow) and outer layer(blue arrow) of the septum, levator aponeurosis(LA) and the tarsus(A). The SAJT lies in between the outer layers of the orbital septum and the LA(B).