The Evidence for Adjunctive Facelift Procedures

Urso-Baiarda, Fulvio; Edmondson, Sarah‐Jayne; Grover, Rajiv

doi:10.1055/s-0038-1675750

Cited by 4 publications

(5 citation statements)

References 48 publications

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“…Full-text review yielded 48 unique articles for final inclusion in the study. 10–69 All included studies were reached by consensus, with no disputes. Thirteen articles discussed the use of perioperative medications, which include anesthetics ( n = 4), antihypertensives ( n = 5), and miscellaneous medications ( n = 4) (Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…Thirteen articles discussed the use of perioperative medications, which include anesthetics ( n = 4), antihypertensives ( n = 5), and miscellaneous medications ( n = 4) (Table 2). 10–69 Twenty-two articles discussed the use of intraoperative interventions: preinfiltration ( n = 6); drains ( n = 5); hemostatic agents such as tranexamic acid ( n = 3), platelet-rich plasma ( n = 2), and desmopressin ( n = 1); and other intraoperative maneuvers such as quilting sutures and the second-look technique ( n = 5) (Table 3). Lastly, 15 studies focused on the use of fibrin tissue sealants (Table 4).…”

Section: Resultsmentioning

confidence: 99%

“…The rationale for the use of fibrin tissue sealants is to eliminate dead space and provide a direct hemostatic effect. 33 Among the 15 articles identified in our review, there were four prospective, randomized, controlled trials and three meta-analyses. Only one randomized controlled trial, by Mustoe et al, reported a significant reduction in postoperative hematoma with the use of tissue sealants (treated, 4.2 percent; control, 14.2 percent) ( Level of Evidence: II ).…”

Section: Discussionmentioning

confidence: 99%

“…Their potential benefits should be weighed in the context of their added expense and risk of allergic reactions or viral transmission. 33,47…”

Section: Discussionmentioning

confidence: 99%

“…Their potential benefits should be weighed in the context of their added expense and risk of allergic reactions or viral transmission. 33,47 The Second-Look Technique and Trendelenburg Positioning Are Low-Risk Maneuvers That Help Ensure Meticulous Hemostasis…”

Section: Fibrin Tissue Sealants Decrease Postoperative Drainage But A...mentioning

confidence: 99%

See 4 more Smart Citations

Perioperative Approach to Reducing Hematoma during Rhytidectomy: What Does the Evidence Show?

Cason

Avashia

Shammas

et al. 2021

Plastic &Amp; Reconstructive Surgery

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Hematoma remains the most common complication in rhytidectomy, with reported rates as high as 15.6 percent. 1,2 Postoperative hematomas can threaten tissue viability, increase the risk for infection, require a return to the operating room, and compromise the final aesthetic result. The risk factors for developing a postoperative hematoma have been well defined to include male sex, perioperative hypertension, and aspirin use. [3][4][5] In addition, a thorough preoperative evaluation should identify any coagulopathies, medications, or herbal supplements that may predispose the patient to bleeding complications. 4,6

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Their potential benefits should be weighed in the context of their added expense and risk of allergic reactions or viral transmission. 33,47…”

Section: Discussionmentioning

confidence: 99%

Section: Fibrin Tissue Sealants Decrease Postoperative Drainage But A...mentioning

confidence: 99%

See 3 more Smart Citations

Perioperative Approach to Reducing Hematoma during Rhytidectomy: What Does the Evidence Show?

Cason

Avashia

Shammas

et al. 2021

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

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Facelift Surgery Turns Back the Clock: Artificial Intelligence and Patient Satisfaction Quantitate Value of Procedure Type and Specific Techniques

Gibstein

Chen

Nakfoor

et al. 2020

Aesthetic Surgery Journal

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Background Patients desire facelifting procedures to look younger, refreshed, and attractive. Unfortunately, there are few objective studies assessing the success of types of facelift procedures and ancillary techniques. Objectives The authors sought to utilize convolutional neural network algorithms alongside patient-reported FACE-Q outcomes to evaluate perceived age reduction and patient satisfaction following various facelift techniques. Methods Standardized preoperative and postoperative (1-year) images of patients who underwent facelift procedures were analyzed by 4 neural networks to estimate age reduction after surgery (n = 105). FACE-Q surveys were employed to measure patient-reported facial aesthetic outcome. We compared (1) facelift procedure type: skin-only vs superficial musculoaponeurotic system (SMAS)-plication, vs SMAS-ectomy; and (2) ancillary techniques: fat grafting (malar) vs no fat grafting. Outcomes were based on complications, estimated age-reduction, and patient satisfaction. Results The neural network preoperative age accuracy score demonstrated that all neural networks were accurate in identifying our patients’ ages (mean score = 100.4). SMAS-ectomy and SMAS-plication had significantly greater age-reduction (5.85 and 5.35 years, respectively) compared with skin-only (2.95 years, P < 0.05). Fat grafting compared to no fat grafting demonstrated 2.1 more years of age reduction. Facelift procedure type did not affect FACE-Q scores; however, patients who underwent fat grafting had a higher satisfaction with outcome (78.1 ± 8 vs 69 ± 6, P < 0.05) and decision to have the procedure (83.0 ± 6 vs 72 ± 9, P < 0.05). Conclusions Artificial intelligence algorithms can reliably estimate the reduction in apparent age after facelift surgery. Facelift technique, like SMAS-ectomy or SMAS-plication, and specific technique, like fat grafting, were found to enhance facelifting outcomes and patient satisfaction.

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Minilifting technique for treatments of the lower third of the face and anterior cervical neck with tumescent anesthesia

Borges

Loureiro

2019

J of Cosmetic Dermatology

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The face minilifting technique aims to correct ptosis of the SMAS and improve facial contours. Additionally, creation of the surgical flap at the pretragus results in the removal of excess facial and anterior cervical area skin as it is pulled back, thus minimizing the appearance of aging. | MATERIAL AND ME THODSThe minilifting technique described herein conformed to the guidelines outlined by the 1975 Declaration of Helsinki. Informed consent was granted by all patients. | Patient preparationPatients are asked to shower with 2% chlorhexidine before the procedure, taking special attention to cleanse the scalp. Antibiotic prophylaxis is performed with 2 g cefazoline administered intravenously during the procedure, and the hair of the patients is tied back with rubber bands. | Surgical markingSurgical marking is performed with a line beginning at the edge of the platysma and ending 1 cm from the external corner of the eye.Three anchorage points (cervical, mandibular, and malar) for the SMAS are drawn parallel to each other (Figure 1). AbstractBackground: Minimally invasive surgical techniques with a low rate of complications and rapid return to daily activities are in high demand for dermatological procedures and include lasers, microfocused ultrasound, botulinum toxin, suture strings, and filling techniques with hyaluronic acid. The facelift, on the other hand, has been criticized for complications such as bruising, relatively slow recovery rates (lasting up to a month), facial nerve lesions, and flap necrosis. Earliest descriptions of the facelift technique described a procedure associated with skin traction and detachment. However, authors did not describe a method for SMAS plication, which is still somewhat controversial.Aims: Describe a surgical technique that reduce the signs of aging on the lower third of the face and neck with low rate of complications.Methods: The minilifting technique described herein is capable of repositioning the superficial muscular aponeurotic system (SMAS) and removing excess skin from the neck and lower third of the face with minimal detachment, local tumescent anesthesia, a few complications, and a relatively fast return to daily activities (15 days). Conclusion:Performance of a deep dissection and excision of part of the SMAS with posterior sutures is believed to be an optimal approach, whereas authors believe that a superficial dissection is safer and provides similar outcomes compared to deep dissection. This procedure produces extremely natural and long-lasting results. K E Y W O R D Sdermatologic surgery, minilifting, tumescent anesthesia

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The Evidence for Adjunctive Facelift Procedures

Cited by 4 publications

References 48 publications

Perioperative Approach to Reducing Hematoma during Rhytidectomy: What Does the Evidence Show?

Perioperative Approach to Reducing Hematoma during Rhytidectomy: What Does the Evidence Show?

Facelift Surgery Turns Back the Clock: Artificial Intelligence and Patient Satisfaction Quantitate Value of Procedure Type and Specific Techniques

Minilifting technique for treatments of the lower third of the face and anterior cervical neck with tumescent anesthesia

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