ABSTRACT

In this illustration the common facial vein has been isolated, double-ligated, and the ligatures have been backed up with medium Weck clips. The vein will now be cauterized with the bipolar before it is divided. I have often seen the silk ties work down and break away from the cut facial vein ends, and without a Weck clip backup this could cause pesky bleeding. Similarly, please note the double Weck clip strategy on each end; I have also seen single Weck clips work loose.