A new skin closure system - "Prineo"

Wednesday, October 13, 2010
Everyone is familiar with "Crazy Glue". Strong enough to hold a man suspended in mid-air, right? Well, since the 1970's, people have been tinkering with the formula for medical purposes. These days, we've got some decent second generation tissue adhesives, but they're not perfect. Typically, the glued closure isn't nearly as strong as a sutured skin closure, so it's more prone to pop open. And that's not a good thing.

Enter "Prineo", from Ethicon. Introduced in Europe a few years ago, it combines a high-tech tape dispenser and a cousin of Crazy-Glue. I saw it demonstrated at the ASPS meeting, and compared to current tissue glues, the new combination system is three times stronger than glue alone. With Prineo, the wound strength is about the same as a standard suture closure.

Here's how it works: the surgeon sutures the deep layers of the incision, as usual. Next, the tape-like mesh strip is applied over the incision. The mesh contains activating agents for the glue. Once everything is nicely lined up, the glue is painted over the mesh tape, and it sets (polymerizes) within about 30 seconds. This is a bit like a high-tech version of wall patching, with mesh covered by plaster!

Prineo makes a water-tight and reasonably strong closure. Patients can shower immediately postoperatively. The glue peels off easily in about 3 weeks. Reportedly, the cosmetic result is just as good as a subcuticular sutured closure - the plastic surgeon's usual closure - but we'll have to see about that! More patient information can be found here.

FDA approval is expected shortly.

Impression: I think this new product could be quite useful for our body-lift patients, especially those with thin skin following massive weight loss. Having additional wound closure strength together with a waterproof closure could be quite helpful for brachioplasties, thighlifts, lower body lifts and such.

One drawback: maybe not so good for hairy areas when it comes time for tape removal. Ouch!

Thomas Fiala, MD 10/13/2010


Response to: A new skin closure system - "Prineo"
Sunday, June 23, 2013
Lois Anne says:

A friend had a closure after major abdominal surgery with what she described as "stitches and super glue." No doubt, it was "something" like the system described here. Yesterday (seven days after surgery) there was a problem with the incision and bleeding. Honestly? Nothing could compare to Dr. Fiala's tiny perfect sutures that bring awesome healing.

Add your comments:

Items in bold indicate required information.

Name :
Email :
Comments :

Latest Posts


Plastic Surgery Trends (57)
Cosmetic Injections (27)
New Medical Studies (57)
Plastic Surgery Meetings (3)
New Procedures and Products (51)
Warnings and Fakes (73)
Non-Surgical Procedures (3)
Just Because (60)
News and Facts (148)
Plastic Surgery Statistics (5)





Other Sections:
Blog Google Pinterest facebook twitter Yelp YouTube LinkedIn Subscribe to Blog iTunes Real Self ABMS Maintenance of Certification™ - American Board of Plastic Surgery The American Board of Plastic Surgery The American Society of Aesthetic Plastic Surgeons The American Society of Plastic Surgeons
Facelift & Mini-facelift Eyelid Lift Forehead Lift Chin and Neck Facial fat transfer Laser resurfacing Chemical Peels ThermiTight RF Neck lift
Breast Augmentation Types of breast implants Breast Augmentation with Fat Transfer Breast Lift Combination breast lift with augmentation Breast Implant Revision Capsular contracture Breast Reduction
Tummy Tuck Liposuction Mommy Makeover CoolSculpting Vanquish Fat transfer / Brazilian buttock lift
BOTOX and Dysport Dermal Fillers ThermiSmooth Spa Treatments Non-surgical Skin Tightening Laser Photorejuvenation Laser Skin Treatments Skincare Products HydraFacial
Credentials - Dr. Fiala Certifications - Dr. Fiala Credentials - Dr. Oppenheimer Certifications - Dr. Oppenheimer Choosing a Plastic Surgeon Comparison Checklist
Location and Directions Patient Reviews Our Staff Statement of Values Out-of-town patients Before and After Photo Guide Your Stay Links
Price List Financing Specials Current Clinical Studies