Face Treatment Using Nonsurgical Mini-Invasive Techniques as Postsurgical Procedure for Traumatic Injury

Abstract

Background Facial trauma can cause major psychological damage and compromise a patient’s quality of life. Unfortunately, surgery cannot always solve this problem or provide an acceptable result. Objectives Treatment with injectables may provide a solution that is minimally invasive and better accepted by patients as a means to improve poor outcomes after facial trauma. Methods This retrospective study involved 50 patients (29 men, 21 women) who underwent primary surgery to treat facial trauma between January 2015 and January 2017. Based on the facial area affected by poor outcomes (upper face, midface, and lower face), patients underwent ≥1 aesthetic medicine treatments with hyaluronic acid dermal fillers and botulinum toxin injections. To evaluate patient satisfaction and the effect of the treatment on quality of life, patients were asked to complete 2 questionnaires, POSAS and FACE-Q, prior to treatment and 90 days after the last treatment session. Results Questionnaire scores indicated improvements in aesthetic and psychological metrics, perceived both by the patient and the observer. Conclusions Minimally invasive aesthetic treatments represent a valuable adjunct to surgical procedures for improving facial aesthetics after injury and consequently the quality of life of patients affected by facial trauma. Level of Evidence: 4

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Puzzle Facelift: A Nonsurgical, Whole Treatment for Facial Modeling and Rejuvenation

“…1,3,5 Nonsurgical procedures have a reduced impact on facial morbidity as compared with surgery and, eventually, can improve skin quality and texture with a negligible risk to the patient, cost-effectiveness, and quick recovery for any treated individual who is expecting to turn back soon to their usual habits and social life. [6][7][8] Despite these undisputable advantages, nonsurgical whole facial treatments are rarely recommended or even suggested, due to their modest affordability, as their practice split over multiple sessions, and, furthermore, the need for an accurate facial analysis alongside a high level of clinical experience to obtain an optimal outcome. Although several surgeons, physicians, and patients concentrate their own efforts and requests on limited facial areas, it is evident that obtaining a harmonious and genuine result should consider the overall outcome of the face itself.…”