The Male Rhytidectomy

Incidence and Risk Factors for Major Hematomas in Aesthetic Surgery: Analysis of 129,007 Patients

“…Specifically, several studies have demonstrated an association between male gender and hematoma formation in patients undergoing facelift surgery and body contouring procedures. 6,10,12,14,[26][27][28] These results are consistent with the findings from the present study, as male gender was found to be the strongest risk factor for hematoma formation with a RR of 1.98 (P < 0.01). Prior investigators have attempted to explain this association in patients undergoing facelift surgery by evaluating the facial skin perfusion of both genders using a laser Doppler flow probe.…”

“…[16][17][18][19] Likewise, the incidence of hematoma after facelift surgery ranges from 0.2% to 12.9% in the literature, but our analysis showed an incidence of 1%. [6][7][8][9][10][11][12][13][14][15] Although prior studies on body contouring procedures showed hematoma rates ranging from 3% to 15%, our study showed lower rates after abdominoplasty at 1.1%, thigh lifts at 2%, and lower body lifts at 4%. [3][4][5] The most likely reason for the lower hematoma rates observed in our cohort is that the database captured only major hematomas requiring emergency room visit, hospital admission, or reoperation, and did not capture minor hematomas that are treated in the outpatient setting.…”

“…2 One such complication that is encountered following aesthetic surgery is hematoma formation. Reported rates for hematomas vary depending on the procedure performed and the patient population, ranging from 3% to 15% in body contouring surgery, [3][4][5] 0.2% to 12.9% in facelift and facial rejuvenation procedures, [6][7][8][9][10][11][12][13][14][15] and 0.6% to 5.7% in breast augmentation surgery. [16][17][18][19] Several risk factors predisposing towards postoperative bleeding and hematoma formation have been previously identified, including demographic factors such as gender and smoking status, medical co-morbidities such as hypertension and malignancy, anticoagulant medications, operative and anesthetic techniques, as well as postoperative management.…”

The Male Facelift: An Analysis of 115 Cases

“…The typ¬ ical male patient is no longer an actor or an entertainer, but is more commonly a businessman or professional. Some facial plastic surgeons have reported men to ac¬ count for 15% to 20% of their facelifts.1 However, review of several large series, including those of Kamer et al2 and Baker et al, 3,4 indicates that men generally constitute 4% to 5% of all facelifts currently being performed. This is consistent with the ratio found in one of our practices (W.L.).…”

Facelift

“…Postoperative bruising following an anatomically composite facelift does not occur under the composite flap, it occurs only in the posterior subcutaneous dissection part. 37,[52][53][54][55] In general, there is much less bleeding with sub-SMAS dissection compared to subcutaneous dissection and the haematoma rate is considerably less. A complete composite facelift is the absolute opposite of the MACS lift, which requires the use of an extended subcutaneous flap.…”