Common Complications in Rhytidectomy

Cristel, Robert T.; Irvine, Leslie E.

doi:10.1016/j.fsc.2019.07.008

Cited by 21 publications

(29 citation statements)

References 21 publications

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“…29,36 Injury to the greater auricular nerve is the most common nerve injury, and injury to the marginal mandibular nerve is the most common motor nerve injury. 33,34,37 Infections and deep vein thrombosis are both rare in face lift surgery, but are serious problems when encountered. 37,38 The data are not clear on what techniques are associated with worse safety profiles, but it does appear that certain techniques are associated with particular complications.…”

Section: Faceliftmentioning

confidence: 99%

“…33,34,37 Infections and deep vein thrombosis are both rare in face lift surgery, but are serious problems when encountered. 37,38 The data are not clear on what techniques are associated with worse safety profiles, but it does appear that certain techniques are associated with particular complications. 39,40 In a systematic review high lateral SMAS and composite techniques were found to have a 1.85 and 1.52 rate of temporary facial nerve injury, respectively, which was significantly greater than the 0.69% rate of temporary facial nerve injury in SMAS plication techniques.…”

Section: Faceliftmentioning

confidence: 99%

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Complications in Facial Esthetic Surgery

et al. 2020

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Esthetic surgery continues to become increasingly popular both in the United States and globally. Facial esthetic procedures in particular account for a large proportion of procedures performed. This increase in popularity will inevitably result in the number of potential complications associated with these procedures. In this review, the authors describe common complications encountered with frequently performed cosmetic facial procedures and their associated management. This article is meant as a general overview and introduction to potential complications surgeons may encounter, interested readers are encouraged to further review comprehensive subspecialty literature for more detailed discussion.

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Section: Faceliftmentioning

confidence: 99%

Section: Faceliftmentioning

confidence: 99%

Complications in Facial Esthetic Surgery

et al. 2020

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“…According to the American Society of Aesthetic Plastic Surgery (ASAPS), traditional surgical cosmetic procedures such as rhytidectomy, are still quite popular. However, surgical plastic surgery is rather aggressive, with long postoperative recovery time, there are also common complications such as scars, skin flap necrosis, infection, hematoma, seroma, greater auricular nerve injury and facial nerve injury, ear deformity, parotid duct injury, hair loss, poor aesthetic outcome, infection and deep vein thrombosis, as well as the risks associated with general anesthesia and even conscious sedation [5,6].…”

Section: Introductionmentioning

confidence: 99%

The Outlook of the Development of Innovative Products from Biocompatible Natural Spider Silk in the Beauty Thread-Lifting Industry

Chen

Xue

et al. 2021

Nat. Prod. Bioprospect.

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Embedding thread lift rhytidectomy, also known as “thread lifting” in China, with the natures of simple operation, less trauma and quick recovery, is progressively used in clinical practice as a new technology of face lifting. Herewith, a brief introduction of the previous advances of thread lifting techniques and materials in the facial beauty industry, combined with the discussion on various types of sutures, common complications, and the site of actions were provided. The main limitations of present thread lifting material include: (1) the use of non-absorbable sutures is liable to cause allergies and a series of complications; (2) the absorbable sutures are easily degradation, and people need to reshape in a relatively short period. Therefore, the high biocompatible spider silk was proposed as a novel material of thread lifting suture and related devices, the advantages and preliminary achievements on spider silk were also addressed. Graphic Abstract

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“…Known complications of facelift include hematoma formation, cobra neck deformity, seroma, skin necrosis, pixie ear deformity, injury to the facial or great auricular nerves, and dissatisfaction with the aesthetic outcome. 5-8 When SMAS imbrication is performed, complications may occur secondary to inadvertent injury to the parotid gland parenchyma or duct, to include sialocele, ductal stenosis, or even fistula. 9,10 Along those lines, one could conceive that postoperative complications more specific to parotid surgery could overlap with the complications observed in rhytidectomy, given the intimate anatomic relation of the parotid gland to the overlying SMAS.…”

Section: Introductionmentioning

confidence: 99%

First Bite Syndrome Following Rhytidectomy: A Case Report

Gunter

Llewellyn

Perez

et al. 2020

Ann Otol Rhinol Laryngol

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Background: First bite syndrome (FBS) is a known complication of parotid gland resection, parapharyngeal space dissection, and cervical sympathetic chain injury. It can be described as severe cramping or spasms in the parotid region triggered by the first bite of a meal, with the pain lessening during each subsequent bite. Although dissection for a rhytidectomy is in the vicinity of the parotid parenchyma, face-lift is not typically characterized as a procedure that can lead to FBS. Case description: A 53-year-old female underwent a deep plane face-lift to address her goals of improving jowls, nasolabial folds, and cervicomental angle. Intraoperatively, the dissection proceeded without any complications. Initially, her postoperative course was uneventful; 3 weeks after surgery, she noticed pain at the start of mastication that would improve throughout the course of a meal. She elected to proceed with observation. At 6 months after surgery, she began to experience improvement in her symptoms, and shortly thereafter had complete resolution. Discussion: First bite syndrome is a complication associated with deep lobe parotid resection, first described in 1998. The innervation of the parotid gland is complex and includes contributions from the auriculotemporal nerve, the great auricular nerve, and the cervical sympathetic chain. During rhytidectomy, dissection occurs along the parotidomasseteric fascia in order to elevate a flap of the superficial musculoaponeurotic system. Inadvertent injury to the parotid parenchyma can lead to damage to the postganglionic sympathetic fibers innervating the myoepithelial cells. Ultimately, expectant management is the mainstay of treatment and symptoms typically resolve within 6 months to 1 year. Conclusion: First bite syndrome is a complication that can be seen with a variety of facial surgeries. In the case of rhytidectomy, FBS should be considered a potential risk, as dissection into the parenchyma of the parotid gland can result in postoperative autonomic dysfunction.

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Common Complications in Rhytidectomy

Cited by 21 publications

References 21 publications

Complications in Facial Esthetic Surgery

Complications in Facial Esthetic Surgery

The Outlook of the Development of Innovative Products from Biocompatible Natural Spider Silk in the Beauty Thread-Lifting Industry

First Bite Syndrome Following Rhytidectomy: A Case Report

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