Fig. 10. A. The leg is bent at the knee to put the fascia lata on stretch. B. The lateral thigh is marked and a 2-in. incision is made 2.5 in. above the knee and carried down through skin, subcutaneous fat, and tissue to the glistening fascia. Skin rakes are used for exposure. C. Dissection is carried out towards the hip along the fascial plane. D. Two vertical cuts are made parallel to the fascial fibers, and a perpendicular incision is made at the distal end of the fascia to be obtained. A 4-0 silk suture is placed at the distal end of the fascia. E. A Crawford stripper is directed from the head of the fibula or lateral tibial condyle to the iliac crest. F. The Crawford stripper is passed along the tendon cutting the fascia with its sharp edges splitting it along its parallel fibers. G. The fascia is excised and the remaining fat and tissue are trimmed from the graft. H. Approximately 20 to 25 mm of fascia is obtained for the frontalis suspension. |