Ramirez Type Endoscopic Forehead

What is the Ramirez Type Endoscopic Forehead "T" Dissector?

The Ramirez Type "T" Dissector is a precise instrument, primarily used in the endoscopic forehead lift and brow lift. It is named after the original pioneer of sub-periosteal facial lift, Dr Oscar Ramirez. This dissector has been specifically designed to guide the intricate structure of the temporal area.

Its unique design permits surgeons to safely elevate the periosteum, as well as the superior temporal fascia along the superior temporal line. At this important junction, the different layers of tissue meet.

Key Features & Technical Specifications

The Ramirez Dissector is engineered to give the leverage required for "blind" or endoscopic dissection while preserving the sensitivity of the touch.

Feature Specification

Material High-Grade Medical Stainless Steel

Overall Length 9-7/8" (25.3 cm)

Speciality Plastic, Reconstructive, and Maxillofacial Surgery

Tip Configuration Specialised "T" Pattern for temporal line elevation

Handle Type Ergonomic, weighted handle for superior control

Finish Satin/Matte finishes to lessen the reflection of light sources in endoscopic procedures.

Sterilisation Fully Autoclavable

Clinical Applications in Facial Surgery

The "T" Dissector is indispensable for creating natural, long-lasting lifting within the upper part of the face.

1. Superior Temporal Line Elevation

The device is intended for use to "break" the tight adhesions along the temporal line, which allows for the transition from the sub-periosteal line (on the forehead) to the temporal fascia plane.

2. Separation of the Zygomatic Arch

It is a source of strength and angle required to create the proper separation of tissues along the zygomatic arches (cheekbone), which is crucial for the mobilisation of the lateral and mid-face.

3. Periosteal Elevation

This broad but slightly curled "T" tip allows for the smooth elevation of periosteum and avoids damaging the delicate tissue, which can lead to speedier healing and less postoperative swelling.

Why Use the Ramirez Pattern Dissector?

• Anatomical Precision. It is particularly contoured and designed to be in line with the curvature of the human skull, which reduces the chance of nerve damage (particularly that of the face nerve's frontal branch).
• Improved Leverage. Its 25.3 cm length offers the best reach and leverage, which allows surgeons to perform extensive dissections by making small, tucked-away cuts in the hairline.
• Stability and Durability Built from solid stainless steel, it withstands stretching and retains its edge, even when battling the hard connective tissues along the line of the temporal.

Care and Maintenance Protocols

Since this instrument is utilised for deep compartments of the face, ensuring the structural integrity of this instrument is essential:

1. Examine the Tip. Always check the edges of the "T" dissector for nicks or burrs. A clean edge is essential to stop "shredding" the fascia.
2. Cleansing: Make use of a pH-neutral detergent. Make sure that any residual tissue is eliminated from the transition point between the shaft and the point.
3. Storage : Keep it in a designated tray, or use tip protectors to keep the specially-designed "T" head from coming into contact with other tools.
4. Sterilisation Autoclaves that are standard suffice, but make sure that the device is dried thoroughly to avoid "pitting" of the stainless steel.