Fig. 6.

The cutting edges of the device are kept parallel to the skin’s surface, keeping the index fingertip in contact with the formation detected on the device (A). The device is inserted 5 mm from the lateral margin of the dimpling (B) at an angle of about 60°. The movement continues as far as the hypodermis (C), which is perceived when there is no more resistance to the movement itself. The operator makes circular movements—clockwise and counterclockwise—parallel to the surface of the skin, moving laterally and forward. The physician will easily perceive the cutting of the hypertrophic septa.