HATE Tebbets Skin Hook v4 – Fine Double Skin Hook

The HATE tebbets fine double skin hook (Tebbets Skin Hook v4) is a German-made self-retaining skin hook with two fine, closely spaced, sharp prongs, a long, slim tapered shaft and an ergonomic knurled handle. It gives the surgeon precise, gentle traction on skin and soft tissue in rhinoplasty, facial plastic surgery and other delicate procedures.

What Is a Tebbets Fine Double Skin Hook?

Tebbets skin hooks (also spelled Tebbetts) are named after the American plastic surgeon Dr. John B. Tebbetts, known for his work in rhinoplasty and aesthetic surgery. Their main feature is the handle: it has a flat, angled slot that lets the surgical team secure the hook to the drapes with a suture or a towel clamp. Once fixed, the tebbets fine double skin hook holds the tissue open by itself, so it works as a self-retaining skin hook and frees the assistant’s hands.

The series includes single and double hooks with different prong spacings for each task. This model, the tebbets fine double skin hook, has two fine, closely spaced, sharp prongs. Two fine prongs placed close together hold delicate tissue more steadily than a single hook, without the bulk of a wide double hook.

You can read more about the procedure itself on MedlinePlus: Rhinoplasty.

Features of the HATE Tebbets Fine Double Skin Hook

• Fine double hook: two fine, closely spaced, sharp prongs for secure, atraumatic traction.
• Self-retaining design: the angled slot in the handle lets you fix the hook to the drapes.
• Long tapered shaft: keeps the hand away from the field and gives a clear view of the tissue.
• Knurled grip zones: secure, non-slip control, even with wet gloves.
• Made in Germany: manufactured by HATE from German surgical stainless steel.
• Reusable: can be cleaned and autoclaved between procedures.

Clinical Uses of the Tebbets Fine Double Skin Hook

The tebbets fine double skin hook is suitable for:

• Delicate retraction of the alar rim and nostril margin.
• Holding the columellar skin during open rhinoplasty.
• Fine traction on small flaps and wound edges.
• Precise work in eyelid and facial surgery.

Why Choose a Self-Retaining Skin Hook?

In rhinoplasty and facial surgery, the surgeon often needs constant, steady traction on a small area of skin for a long time. A hand-held hook depends on the assistant, and even small movements change the exposure. A self-retaining skin hook that is fixed to the drapes keeps the same tension throughout the step. This gives a stable view, reduces trauma to the skin edges and lets the assistant help with other tasks. The sharp prongs of the tebbets fine double skin hook engage the tissue with minimal pressure, which helps protect thin skin and delicate flaps.

How to Use the Tebbets Fine Double Skin Hook

1. Place the hook under the skin edge or flap with the point facing up.
2. Apply gentle traction in the direction needed for exposure.
3. If self-retaining traction is needed, pass a suture or towel clamp through the slot in the handle and secure it to the drapes.
4. Check the tension regularly and release the hook carefully at the end of the step.

Care and Sterilization

Rinse the hook immediately after use to remove blood and tissue. Clean it with a soft brush or in an ultrasonic cleaner, paying attention to the knurled grip and the slot, then dry it completely. Sterilize it in an autoclave according to your facility’s validated protocol. Protect the fine points during storage and inspect the hook before every use; a bent or blunt point should be repaired or replaced.

Specifications

• Brand: HATE (Germany)
• Model: Tebbets Skin Hook v4
• Hook: Double hook, narrow spacing, approx. 2 mm
• Overall length: 15 cm
• Handle: knurled grip with angled slot for drape fixation
• Material: German surgical stainless steel
• Reusable: yes, autoclavable

Tebbets Fine Double Skin Hook FAQ

What is the slot in the handle for?

It lets you secure the hook to the drapes with a suture or a towel clamp, so it holds the tissue open without an assistant.

Is the hook sharp?

Yes. The points are sharp to engage the skin with minimal pressure. Handle with care.

Which Tebbets hook should I choose?

Single and fine double hooks suit small, delicate areas such as the nostril rim. Medium and wide double hooks suit larger flaps. Many surgeons keep several sizes on the rhinoplasty tray.

Is it supplied sterile?

No. Clean and sterilize the tebbets fine double skin hook before first use.

Browse all HATE instruments and rhinoplasty instruments in the Surgronic shop.