512 Rhytidectomies: A Retrospective Study

The Male Facelift: An Analysis of 115 Cases

“…The most common complication following facelift sur¬ gery in men and women is hematoma.14 Factors associ¬ ated with hematoma formation following rhytidectomy include the following: (1) poorly controlled hyperten¬ sion perioperatively; (2) occult aspirin or nonsteroidal anti-inflammatory agent use resulting in functional platelet abnormalities; (3) nausea, vomiting, retching, and coughing in those who have development of late hematomas; (4) use of general inhalational anesthesia; and (5) extensive skin undermining. Cigarette smoking and the effects of nicotine have been implicated in the impairment of the microcirculation of skin flaps and as a causative factor in skin flap slough.15 Of the major hematomas in our series, two patients had poorly con- Perioperative myocardial infarction 1 trolled hypertension and one was using aspirin.…”

Prevention of Temporal Alopecia Following Rhytidectomy: The Prophylactic Use of Minoxidil. a Study of 60 Patients

“…In many instances, it is either not considered at all 12,13 or is only given a cursory mention. 14,15 Regardless of the cause, temporal alopecia has been the focus of various innovative surgical attempts at a remedy. 3,4,6,10,16 However, none of these proposed surgical techniques is without drawbacks, which can be either aesthetic or technical in nature.…”

Complications of Rhytidectomy in an Otolaryngology Training Program

“…The expanding hematomas were bilateral, occurred immediately after surgery in the recovery area, and required return to the operating room for evacuation. A search for accepted etiologic factors, 1–6 including preoperative history of hypertension, bleeding abnormality, medication use, intraoperative technical problem, use of propofol, blood loss, postoperative hypertension, coughing, retching, and agitation was carried out. Preoperative hypertension and the use of propofol were identified in this patient and may have contributed to hematoma formation.…”

“…At 9 month's follow‐up there was no residual asymmetry or objectionable scarring. Kamer et al 5 reported 2 of 512 patients who developed wound infections resulting in skin slough (0.39%) and 7 patients (1.36%) who developed inflammatory reactions or suture extrusions. Three of our patients (3.1%) developed similar inflammatory reactions, all of whom responded to removal of the offending foreign body and oral antibiotics.…”