Tumescent technique in cervicofacial rhytidectomy

Schoen, Scott A.; Taylor, Clark O.; Owsley, Todd G.

doi:10.1016/0278-2391(94)90434-0

Cited by 35 publications

(10 citation statements)

References 5 publications

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“…(3,4) Tumescent anesthesia and expansion with tumescent fluid have been used for saphenous vein stripping, (5,6) as an adjunct to breast implant removal and capsulectomy, (7) palate surgery, (8) hair micrografting, (9) face lift, (10)(11)(12)(13) ambulatory phlebectomy, (14)(15)(16)(17) abdominoplasty, (18) dermabrasion, (19)(20) facial hemangiomas, (21) and harvesting split-thickness skin grafts. (22) CONCLUSIONS Hydrodissection axillary breast augmentation is superior to and has fewer complications than other techniques (Fig.…”

Section: Discussionmentioning

confidence: 99%

Hydrodissection Breast Augmentation Through the Axillary Approach

Mirrafati¹,

Shiffman²

2002

International Journal of Cosmetic Surgery and Aesthetic Dermato

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Section: Discussionmentioning

confidence: 99%

Hydrodissection Breast Augmentation Through the Axillary Approach

Mirrafati¹,

Shiffman²

2002

International Journal of Cosmetic Surgery and Aesthetic Dermato

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“…Schoen et al [9] suggested a waiting period of approximately 5-10 min after injection before proceeding with surgical dissection in order to achieve a maximal hemostatic effect. Moreover, using xylocaine with adrenaline before skin incision usually makes it possible to have less bleeding from the operative field which means less time for hemostasis, lower total operating time and fewer transfusions, and thus, fewer risks of possible transfusion-associated complications.…”

Section: Discussionmentioning

confidence: 99%

“…The advantages of this technique are prolonged local anesthesia, an essentially bloodless field, an improved dissection plane and rapid postoperative recovery. Many authors suggested the use of the tumescent technique for face lift procedures [7][8][9] .…”

Section: Discussionmentioning

confidence: 99%

Island Vertical Trapezius Myocutaneous Flap Procedure under the Tumescent Technique

et al. 2007

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We describe the application of local anesthesia with intravenous sedation for covering a large defect of the upper back with the use of the island vertical trapezius myocutaneous flap to an 85-year-old male. According to the anesthesiologist, the patient was graded as ASA IV. A 200-ml solution which consisted of 0.75 mg xylocaine, 2 mg adrenaline (1/2,000,000) and 10 mmol/l sodium bicarbonate in a physiologic saline solution was used. The total operating time was about 90 min. During the first postoperative 24 h, the flap pedicle was checked every hour by Doppler. The postoperative course of the patient was uneventful. We believe that in selected cases, when microsurgery is not indicated due to the general medical condition of the patient, the combination of the tumescent technique with sedation and the vertical trapezius myocutaneous flap can be considered a reliable and low-risk procedure.

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“…One of the first reports of the use of tumescent technique for cosmetic (nonliposuction) surgical procedure was a report by Schoen et al, who described using a tumescent infusion in cervicofacial rhitidectomy. 18 The Schoen technique was described using 400 mg of lidocaine, 1 mg of epinephrine, and 10 by 20 mg of kenalog in 500 cc of normal saline. After IV sedation and injection of the incisions with 2% lidocaine with epinephrine, a small stab wound is made and approximately 100 cc of the previously mentioned solution is infused on each side of the face and neck.…”

Section: Procedures Using Tumescent Infusionmentioning

confidence: 99%

Tumescent Techniques in Aesthetic Body Contouring

Abramson¹

2001

Perspectives in Plastic Surgery

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The addition of tumescent infiltration to liposuction has revolutionized the procedure, enabling multiple areas to be performed while limiting blood loss. However, the uses of large volumes of fluid, lidocaine, and epinephrine have introduced new complications not seen with traditional liposuction. The tumescent technique has been found useful in various reconstructive and aesthetic surgeries, not only of the body but the face as well. Through its ability to minimize blood loss and provide significant pain relief, the tumescent technique has allowed combination procedure, including excisional body contouring and liposuction. Additionally, the cooling properties of the tumescent infusion have allowed the development and increasing popularity of ultrasonic liposuction.

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Tumescent technique in cervicofacial rhytidectomy

Cited by 35 publications

References 5 publications

Hydrodissection Breast Augmentation Through the Axillary Approach

Hydrodissection Breast Augmentation Through the Axillary Approach

Island Vertical Trapezius Myocutaneous Flap Procedure under the Tumescent Technique

Tumescent Techniques in Aesthetic Body Contouring

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