Complicações de ritidoplastia em um serviço de residência médica em otorrinolaringologia

Patrocı́nio, José Antônio; Patrocı́nio, Lucas Gomes; Aguiar, Alexandre Soares Fogaça de

doi:10.1590/s0034-72992002000300008

Cited by 8 publications

(11 citation statements)

References 12 publications

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“…We have empirically noticed that this region is the one that benefits the least from this technique. Therefore, when there is marked jaw line ptosis, a conventional rhytidoplasty is the approach of choice, together with SMAS and platysma treatment 2 .…”

Section: Resultsmentioning

confidence: 99%

“…Gravity together with sun light exposure and the loss of skin elasticity because of the natural human aging process result in different levels of wrinkles on the face. Many procedures have been proposed in order to correct facial wrinkles, and today it is agreed that the best surgical option to correct such problem is rhytidoplasty 1,2 .…”

Section: Introductionmentioning

confidence: 99%

“…Deep plane rhytidoplasty allows for a deep SMAS dissection. However, its use is being increasingly abandoned because of the risk of damaging facial nerve branches 2,4 .…”

Section: Introductionmentioning

confidence: 99%

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Ritidoplastia subperiosteal: cinco anos de experiência

Patrocı́nio

Couto

et al. 2006

Rev. Bras. Otorrinolaringol.

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Na ritidoplastia clássica, o centro médio da face melhora pouco. A correção estética da ptose da proeminência malar, do acentuado sulco nasolabial e da linha do jaw, em grande parte dos casos, requer um acesso diferente, adotando a técnica de ritidoplastia subperiosteal. OBJETIVO: Demonstrar a casuística e avaliar os resultados e complicações com a técnica de ritidoplastia subperiosteal no nosso serviço. PACIENTES E MÉTODOS: De janeiro de 2001 a dezembro de 2005, 25 pacientes, entre 44 e 60 anos de idade, 24 do sexo feminino, foram submetidos à ritidoplastia subperiosteal. Retrospectivamente foram avaliados resultados e complicações. RESULTADOS: Destes, 20 apresentaram resultados satisfatórios, 4 apresentaram déficit estético notado tanto pelo paciente quanto pelo cirurgião e 1 apresentou déficit estético necessitando cirurgia revisional. Todos os pacientes apresentaram melhora do sulco nasolabial, eminência malar e melhor definição da linha do jaw. A cirurgia revisional foi necessária em um paciente que referia pouca melhora. Quatro pacientes apresentaram uma retração de pele na região malar em decorrência das suturas de suspensão. Um paciente apresentou paralisia transitória do ramo frontal do nervo facial. CONCLUSÃO: A ritidoplastia subperiosteal com acesso temporal se mostrou uma técnica que produz resultados satisfatórios na grande maioria dos casos.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ritidoplastia subperiosteal: cinco anos de experiência

Patrocı́nio

Couto

et al. 2006

Rev. Bras. Otorrinolaringol.

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“…A submental incision of 2 to 3 cm is required for anterior neck procedures. 9 The surgical procedure begins with neck liposuction. Pretunneling is then performed followed by infiltration with 150-mL Klein's solution, in a fan pattern, in the subcutaneous plane to separate the skin from the platysma muscle.…”

Section: Face/neck Liftmentioning

confidence: 99%

The Facelift in South American Patients

2020

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South America is a vast territory; its people were made from all parts of the world. The miscegenation made a unique population comprised of Indian, Asian, Caucasian, African, Mestizo, Mulatto, and Zambo. The South American patients tend to have a wider face with a skin-soft tissue envelope (S-STE) that is thicker, heavier, and has less elasticity than the Caucasian patient. Upper eyelids may hood easily. In the same way, malar eminences and round face look are more prominent. The chin can be a little retracted. With aging, the S-STE tends to sag more, making nasolabial folds and jowl area more prominent, and redundant neck skin will appear loose and heavy. Facelift is popular in South American patients. They have peculiar characteristics like heavy dark sebaceous skin which lead to peculiarities in face lifting. It is usually a procedure designed to rejuvenate all thirds of the face. In the forehead, skin excision in temporal incisions is usually necessary. Midface subperiosteal lift is a possibility for heavy skin patients who need great improvement in the center of the face. The neck lift is almost indispensable to the rejuvenation of the lower third. Extended superficial muscular aponeurotic system or deep plane dissection is commonly performed so the soft tissues of the midface, the jowls, and the neck can be lifted to reestablish their youthful relationship with the underlying skeleton.

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“…Small hematomas and seromas can be either observed, needle aspirated, or rolled through openings in the incision. 19 Long-lasting edema, sometimes lasting more than 3 months, may occur and is due to the extensive undermining, especially at the zygomatic arch. It is advocated to avoid dissection over the whole zygomatic arch.…”

Section: Pitfalls and Complicationsmentioning

confidence: 99%

Subperiosteal Midface-Lift

2013

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The subperiosteal midface-lift has benefited from significant technological advances in medicine. The endoscope now allows extensive subperiosteal undermining of facial soft tissue through minimal access incisions. Improved understanding of facial anatomy and the facial aging process now allow repositioning and remodeling of the soft tissue envelope with excellent aesthetic results. The subperiosteal midface-lift by a temporal approach is a procedure designed to rejuvenate the middle third of the face. After subperiosteal detachment, the soft tissues of the cheek, jowls, lateral canthus, and inferior orbital rim can be lifted to reestablish their youthful relationship with the underlying skeleton. It is a technique that produces satisfactory cosmetic results in most cases, causing malar augmentation, nasolabial fold improvement, and mild jowl improvement. We describe our preferred technique in detail and discuss its indications, complications, advantages, and limitations.

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Complicações de ritidoplastia em um serviço de residência médica em otorrinolaringologia

Cited by 8 publications

References 12 publications

Ritidoplastia subperiosteal: cinco anos de experiência

Ritidoplastia subperiosteal: cinco anos de experiência

The Facelift in South American Patients

Subperiosteal Midface-Lift

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