The Use of the Hemostatic Net in Asian Population: Hyperpigmentation and the Duration Required for Hemostatic Net Marking to Disappear

• Published in: Aesthetic plastic surgery 2024-12
• Main Authors: Wongkietkachorn, Apinut, Wongkietkachorn, Nuttapone
• Format: Article
• Language: English
• ISSN: 0364-216X; 1432-5241; 1432-5241
• DOI: 10.1007/s00266-024-04561-6

There are major concerns about using the hemostatic net in Asian populations due to potential hyperpigmentation and the extended duration required for the markings to disappear. This study is the first to describe its use in this demographic and aims to determine the occurrence of hyperpigmentation from the hemostatic net and the time required for the markings to fade. A retrospective review was conducted in patients who had a hemostatic net applied during facial surgery between July 2022 and April 2024 at Qprime Surgical Center in Bangkok, Thailand. The hemostatic net was applied using 5-0 nonabsorbable materials with needle sizes of 16 mm or 19 mm. A total of 300 patients were included in this study. No persistent hyperpigmentation from the hemostatic net was observed. The disappearance rates of the hemostatic net markings were as follows: 33.3% at 2 weeks, 10.0% at 3 weeks, 46.7% at 4 weeks, 3.3% at 6 weeks, and 6.7% at 8 weeks. Overall, 90.0% of the hemostatic net markings subsided within 1 month. The use of the hemostatic net in the Asian population studied resulted in remarkable prevention of hematomas after facelifts and no persistent hyperpigmentation, with the majority of the markings disappearing within one month, thereby reinforcing the efficacy and safety of this technique. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .