Unfavourable results in facial rejuvenation surgery: How to avoid them

Davalbhakta, A.

doi:10.4103/0970-0358.118614

Cited by 5 publications

(8 citation statements)

References 9 publications

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“…Ocular events are not often described, but it possesses great clinical relevance, as it has been already demonstrated in the past . In most cases, the lack of ability of the physician is the main trigger to those events . They could be avoided when professionals have the knowledge of potential risks, ensure an adequate protection, such as safety goggles, trained procedures, experienced technique, and professional judgment, preventing an irreversible effect.…”

Section: Introductionmentioning

confidence: 99%

Ocular adverse effects after facial cosmetic procedures: a review of case reports

Ricci

Navajas

Carneiro

et al. 2015

J of Cosmetic Dermatology

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To review indexed literature concerning adverse ocular effects of the most common aesthetic facial procedures (light-emitting therapy, dermal fillers injection, and botulinum toxin). Literature search using three online databases - PubMed, SciELO, and Capes - selecting case reports, series of cases and reviews, with no language restriction, published in a period of the last twenty years (1995-2015). After reviewing 48 case reports and most recent reviews, the authors found the most common ocular adverse effects of dermal fillers were related to vascular occlusion; light-emitting therapy was associated with pigmented tissue damage leading to anterior uveitis and iris atrophy, and ptosis presented the higher relative risk associated with botulinum toxin. Even though ocular adverse effects are not very frequent, some of them can lead to permanent ocular dysfunction and visual impairment. Professionals involved in cosmetic procedures should be aware of the risks.

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Section: Introductionmentioning

confidence: 99%

Ocular adverse effects after facial cosmetic procedures: a review of case reports

Ricci

Navajas

Carneiro

et al. 2015

J of Cosmetic Dermatology

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“…This combined technique helped us overcome the limitations, such as lower eyelid mispositioning, ptosis, and nerve injuries, of traditional rhytidectomy and blepharoplasty. 30,31 This procedure had the advantage of protecting the midlevel structures while simultaneously reducing lower eyelid flinch and dislocation. It also offered patients a natural looking face without a wind-blown appearance.…”

Section: Discussionmentioning

confidence: 99%

Safety and Efficacy of a Trans-Eyelid Facial Rejuvenation Surgery Combining Partial Repositioning of Orbital Fat and Midface Lift in Chinese Patients: A Prospective Case Series

Yin

Xiao

Zhao

et al. 2019

Ann Otol Rhinol Laryngol

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Objective: To describe the combined technique of midface lift and partial release of orbital fat for facial rejuvenation and evaluate the safety and aesthetic results. Methods: This was a single-center study that included patients who underwent facial rejuvenation from January 2010 to December 2016. The orbital fat was partially removed, and the cheek fat pads were repositioned to exfoliate the myocutaneous flaps of the lower eyelids and midface through a sub-ciliary incision. The cheek soft tissue pads and orbital fat were restored and sutured to the periorbital membranes and orbital margins. Postoperatively, the patients were examined at 6 and 18 months for changes in the shapes of cheeks, eyelid joints, sunken eyepit, and nasolabial sulcus along with procedural complications. Results: A total of 179 (177 women; 2 men) eligible patients with a mean age of 47.17 years underwent the procedure. The shapes of cheeks and eyelid joints of all patients improved, along with shallowing of the sunken eyepit and nasolabial sulcus at 6- and 18-month follow-up. The surgical procedure involved minor trauma without facial scarring, lower eyelid flinch, and dislocation. None of the patients reported complications of nerve injuries, long-term chemosis conjunctiva, periocular swelling, or dislocation of the lower eyelids. Only 2 patients who underwent subsequent pouch surgeries had slight ectropion, which was restored within 4 months of surgery. Conclusion: To conclude, the combined partial orbital fat repositioning and midface lift via sub-ciliary approach is a successful treatment option for facial rejuvenation with no major complications.

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“…Facial implants followed for the purpose of facial contouring. However successful the surgery may have appeared to be, patients had to endure the penalty of relatively high risk-high complication procedures [5].…”

Section: Introductionmentioning

confidence: 99%

Adjuvant Botulinum Toxin Harmonisation in Minimally Invasive Facial Aesthetic Surgery

Bouzouaya¹,

Feiner²

2018

Botulinum Toxin

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Botulinum toxin (BT) has been utilised as a non-invasive injectable treatment for aesthetic facial enhancement since 1992 after Carruthers JDA and Carruthers JA published their study observing that BT improved glabellar lines. Numerous aesthetic indications were steadily devised, enabling aesthetic medical practitioners to utilise BT as a stand-alone treatment strategy. However, while effective stand-alone BT treatments are functionally limited to targeted attenuation of muscular hyperactivity. Furthermore, BT treatment outcomes are of relatively short duration, requiring repeated treatments at approximately 12-16-week intervals to maintain effectiveness. Minimally invasive treatment strategies such as volumising filler injections, thread lifting, injectable/photo-thermal biomodulation and blepharoplasty are relatively durable aesthetic treatments that can be enhanced by adjuvant BT treatments. Accordingly, rather than relying on the commonly isolated utilisation of BT, the authors suggest a more comprehensive treatment model, whereby the synergistic interplay between minimally invasive treatments and adjuvant BT is demonstrated to advance and harmonise aesthetic outcomes.

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Unfavourable results in facial rejuvenation surgery: How to avoid them

Cited by 5 publications

References 9 publications

Ocular adverse effects after facial cosmetic procedures: a review of case reports

Ocular adverse effects after facial cosmetic procedures: a review of case reports

Safety and Efficacy of a Trans-Eyelid Facial Rejuvenation Surgery Combining Partial Repositioning of Orbital Fat and Midface Lift in Chinese Patients: A Prospective Case Series

Adjuvant Botulinum Toxin Harmonisation in Minimally Invasive Facial Aesthetic Surgery

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