How to Prevent and Treat Complications in Facelift Surgery, Part 1: Short-Term Complications

Sinclair, Nicholas; Coombs, Demetrius M.; Kwiecień, Grzegorz

doi:10.1093/asjof/ojab007

Cited by 13 publications

(10 citation statements)

References 75 publications

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“…In addition, intraoperative bleeding can increase the amount of surgical time, as well as result in potential hematomas. 4 As such, interest lies in improving the technique and surgical methods to minimize complications and hematomas. Hematomas, both major and minor, are the most common postoperative complication in facelifts.…”

Section: Discussionmentioning

confidence: 99%

“…Minor hematomas often require frequent aspiration. 12 TXA is a synthetic analog of the amino acid lysine commonly used to minimize blood loss in a variety of procedures. TXA serves as an antifibrinolytic by reversibly binding four to five lysine receptor sites on plasminogen, therefore decreasing the conversion of plasminogen to plasmin.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, intraoperative bleeding can increase the amount of surgical time, as well as result in potential hematomas. 4 …”

Section: Discussionmentioning

confidence: 99%

“…Excessive intraoperative bleeding can increase surgical time, result in potential hematomas, and can impair the surgeon's vision, which increases the risk of potential nerve injuries. 4 To minimize postoperative bleeding, surgeons have resorted to various measures such as tissue or fibrin glues, pressure dressings, drains, wetting solution infiltrate, and tranexamic acid (TXA). 5 Hematomas, both major and minor, have a reported occurrence of 0.2%-8%.…”

Section: Introductionmentioning

confidence: 99%

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Tranexamic Acid in Tumescence for Cervicofacial Rhytidectomies

Trimas,

Frost,

Trimas

2024

Plastic and Reconstructive Surgery - Global Open

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Background: Cervicofacial rhytidectomies are one of the most common procedures in the United States. There are many different methods and techniques involved, but all aim to minimize blood loss and procedure time. In our study, we investigated the addition of tranexamic acid (TXA) to tumescent anesthesia during rhytidectomy procedures. Our objective was to analyze the difference in mean procedure time and estimated blood loss in patients undergoing both general and other anesthesia types, with and without the addition of TXA, while maintaining patient safety. Methods: Seventy-four patients underwent a standard superficial musculoaponeurotic system plication technique rhytidectomy, with 60 patients undergoing general anesthesia and the remaining 14 undergoing other anesthesia types. Forty patients were treated without TXA, whereas the remaining 34 were treated with TXA. Results: Although the difference was not statistically significant, the addition of TXA resulted in a lower procedure time and estimated blood loss. Within anesthesia type, there was also a slight difference that TXA decreased blood loss and procedure time. We did find that general anesthesia type does significantly impact procedure time and estimated blood loss, when compared with other anesthesia types, independent of TXA use. Conclusion: The use of tumescent TXA may allow for a faster procedure with less blood loss, although further studies with a larger sample size are needed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…In addition, intraoperative bleeding can increase the amount of surgical time, as well as result in potential hematomas. 4 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Tranexamic Acid in Tumescence for Cervicofacial Rhytidectomies

Trimas,

Frost,

Trimas

2024

Plastic and Reconstructive Surgery - Global Open

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“…Further protection of this nerve can be accomplished during exposure using an interfascial dissection when raising the scalp and muscle from the skull. While temporary neuropraxia may still occur secondary to traction or surgical manipulation, permanent frontal branch palsy is rare [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

A Unique Case of Frontotemporal Dermoid Cyst Presenting as Orbital Cellulitis

Menousek¹,

Pistone²,

Klugh³

et al. 2023

Cureus

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Dermoid cysts are benign developmental anomalies that can occur anywhere along the neuroaxis or embryonic lines of fusion. While intracranial dermoid cysts at the midline frequently have an associated nasal or subcutaneous sinus tract, it is quite rare to encounter an intracranial dermoid cyst off the midline with a lateral sinus tract. Standard practice for the treatment of dermoid cysts is surgical resection to minimize the risks of meningitis, abscess, mass effect, neurologic deficit, and/or death.A 3-year-old male with a history of DiGeorge syndrome presented with right orbital cellulitis and a rightsided dermal pit. Computed Tomography (CT) imaging demonstrated a dermal sinus tract with an associated lytic bone lesion within the right sphenoid wing and posterolateral orbital wall with intracranial extension. The patient was taken to the operating room in conjunction with plastic surgery for resection of the dermal sinus tract and intraosseous dermoid. This case presents a rare occurrence of a non-midline, frontotemporal dermal sinus tract associated with a dermoid cyst with intracranial extension presenting with pre-and post-septal orbital cellulitis. Important considerations include preservation of the frontal branch of the facial nerve, preservation of orbital structure and volume, complete surgical resection to prevent infectious complications including meningitis, and a multidisciplinary surgical approach with plastic surgery, ophthalmology, and/or otolaryngology.

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Superior oblique paresis after endoscopic brow lift: A case report

Shekarchian,

Motamed Shariati,

Karimi Amir Abadi

2024

Clinical Case Reports

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Key Clinical MessageAlthough a forehead lift is generally a safe surgery, it has well‐known complications. Iatrogenic SO paresis is one of the rare complications following forehead lifting procedures which almost resolves spontaneously.AbstractThis report aims to introduce a woman with superior oblique (SO) muscle paresis following the brow and forehead lift procedure. A 30‐year‐old woman with a history of brow and forehead lift surgery was referred to the ophthalmic emergency department complaining of vertical diplopia. A right eye hypertropia was obvious at the left gaze. A Park's three‐step test showed right eye superior oblique paresis. Other ophthalmic examinations including slit‐lamp examination, tonometry, and dilated fundoscopy were unremarkable for both eyes. After a 3‐month follow‐up period, she had no diplopia. No sign of SO paresis was apparent in her ocular motility examinations. Iatrogenic SO paresis is one of the rare complications following forehead lifting procedures which almost resolves spontaneously.

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How to Prevent and Treat Complications in Facelift Surgery, Part 1: Short-Term Complications

Cited by 13 publications

References 75 publications

Tranexamic Acid in Tumescence for Cervicofacial Rhytidectomies

Tranexamic Acid in Tumescence for Cervicofacial Rhytidectomies

A Unique Case of Frontotemporal Dermoid Cyst Presenting as Orbital Cellulitis

Superior oblique paresis after endoscopic brow lift: A case report

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