Face-lift: The Importance of Redefining Facial Contours Through Facial Liposuction

Daher, Jos Carlos; Cosac, Ognev Meireles; Domingues, Samuel

doi:10.1097/00000637-198807000-00001

Cited by 17 publications

(3 citation statements)

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“…All regions within the demarcation are infiltrated and then tunnelized with a “shark head”-type cannula (Fig. 2), with or without concomitant liposuction (depending on the presence of fat deposit areas) [8, 14] (Figs. 3, 4a and b).…”

Section: Methodsmentioning

confidence: 99%

The eutrophic rhytidoplasty

Daher

Muñiz

2012

Eur J Plast Surg

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BackgroundPatients submitted to rhytidectomy usually relay their desire for briefer surgical procedures and a shorter post-operative period with faster recovery. In view of this, a technique in which the skin of the cervico-mandibular region is not undermined but only detached by blunt dissection was developed.MethodsA retrospective study of the senior author’s experience in eutrophic rhytidoplasty (EUR), the technique proposed herein, for facial rejuvenation was conducted. Patients submitted to EUR over a 10-year period were included in this study. A total of 224 interventions were performed. The procedure consists of using subdermal tunneling, performed with a cannula along the neck region and the midface area (combined or not with liposuction in certain areas, as needed), thus preserving nervous and vascular connections. The conventional skin undermining is minimal, just 4 cm around the auricular pavilion. Data were collected from the patients’ medical records at Interclínica—Centroplástica Clinic in Rio de Janeiro, Brazil.ResultsDue to the skin eutrophic conditions, the operated patients, using the EUR technique, presented promising esthetical results. The mean rate of complications associated with the proposed technique was 1.7 %. The author found that this technique offers very promising results, a fact evidenced by the lower rate of complications among patients submitted to it.ConclusionsThe EUR is a reliable option for facial rejuvenation due to the fact that it is less invasive, with a low morbidity and rate of complications. Its surgical time is reduced by 50 %, it has a shorter down-time, and yields natural results.Level of Evidence: Level IV, therapeutic study.

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Section: Methodsmentioning

confidence: 99%

The eutrophic rhytidoplasty

Daher

Muñiz

2012

Eur J Plast Surg

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“…In light of these developments, some authors feel that liposuction has revolutionized aesthetic surgery. 7,8,9,10,11 The use of smaller cannulas, tumescence of adipose tissue, and the application of ultrasound, laser, and radiofrequency (RF)-assisted techniques are some of the advances that have been seen in this field. 12…”

Section: This Description Was Followed By Fischer and Fischer's 3 Andmentioning

confidence: 99%

“…25 These are a distinct inferior mandibular border from mentum to angle with no jowl overhang, a subtle subhyoid depression, a visible thyroid cartilage bulge, visible anterior border of the sternocleidomastoid (SCM) muscle in its course from mastoid to sternum (which he relatively precise reduction in fat cell mass coupled with a low complication rate as compared with direct lipectomy. 3,9 Specifically, the tunneling technique of liposuction allows for many of the neurovascular bundles to the skin to be preserved, resulting in a lower risk of hematoma formation, and a return of skin sensation in 3 to 8 weeks. 12 Recontouring then takes place as healing progresses, with contraction of the subcutaneous tunnel network created by the liposuction technique.…”

Section: General Principlesmentioning

confidence: 99%