Evolution of Hypertension Management in Face Lifting in 1089 Patients

Ramanadham, Smita R.; Mapula, Steven; Costa, Christopher R.; Narasimhan, Kailash; Coleman, Jayne E.; Rohrich, Rod J.

doi:10.1097/prs.0000000000001131

Cited by 35 publications

(44 citation statements)

References 10 publications

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“…From January 1992 to March 2018, a period longer than 26 years, the author performed 1,138 face-lifts procedures, a number close to that performed by Rohrich in a 23-year analysis 4,8 . Since August 2013, the author has been working exclusively with facial plastic surgery.…”

Section: Resultsmentioning

confidence: 84%

“…Plást. 2019;34(1): [2][3][4][5][6][7][8][9] perform hemostasis after the systolic BP reaches ≥130 mmHg.…”

Section: Discussionmentioning

confidence: 99%

“…Rohrich et al recommend the use of 0.1-to 0.2mg transdermal clonidine adhesive per day before entering the operating room, with maintenance for up to 7 days in the postoperative period 4,7,8,13,14 . Rohrich justifies this prolonged use on the basis of the observation that hypertensive peaks are more common in the postoperative period than in the intraoperative or immediate postoperative period 8 .…”

Section: Discussionmentioning

confidence: 99%

“…Approximately 100 mL of 0.375% lidocaine solution was infiltrated by hemiface, with adrenaline at 1:600,000. Although some authors avoid such infiltration because of the risk of vasodilation rebound after the use of adrenaline solution 10 , we believe that this approach facilitates detachment and visualization of the appropriate surgical plan, in addition to minimizing intraoperative bleeding and facilitating definitive hemostasis 7,8 .…”

Section: Introductionmentioning

confidence: 96%

“…Despite the ongoing improvement, the most frequent complication of face-lift surgery continues to be hematoma, which when of large proportions, may compromise flap vascularization, for which another urgent surgical approach is required (expansive and/or voluminous case), significantly delaying patient recovery. It can also prolong the time of edema and ecchymoses, with risks of developing necrosis, dyschromia, and irregularities in the skin after healing [6][7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Perioperative systematization for the prevention of hematomas following face-lift procedures: a personal approach based on 1,138 surgical cases

Cló¹,

Júnior²,

Leão³

et al. 2019

Revista Brasileira De Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery

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Section: Resultsmentioning

confidence: 84%

“…Plást. 2019;34(1): [2][3][4][5][6][7][8][9] perform hemostasis after the systolic BP reaches ≥130 mmHg.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Perioperative systematization for the prevention of hematomas following face-lift procedures: a personal approach based on 1,138 surgical cases

Cló¹,

Júnior²,

Leão³

et al. 2019

Revista Brasileira De Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery

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Advances in Face-lift Techniques, 2013-2018

Floyd

Sukato

Perkins

2019

JAMA Facial Plast Surg

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IMPORTANCE Rhytidectomy, or face-lift surgery, is the mainstay of facial rejuvenation and is constantly evolving. There is continuous research to improve outcomes and minimize complications of this surgery.OBJECTIVE To synthesize the updated techniques in rhytidectomy published during the past 5 years, including surgical technique, advances in anesthetic technique, minimally invasive techniques, and adjunctive procedures performed at the time of rhytidectomy.EVIDENCE REVIEW On February 8, 2018, a literature search was performed of the PubMed and Cochrane databases using the search terms, face-lift or rhytidectomy and techniques. Articles published from February 8, 2013, to February 8, 2018, that related to techniques of facial rejuvenation in the lower one-third of the face by lifting and supporting tissue with 5 or more patients were included. Systematic reviews and primary literature were considered; narrative reviews, validation studies, and anatomic studies were eliminated. The initial search resulted in 604 articles after duplicates were removed. This was reduced to 84 articles after dual independent review screening.FINDINGS Of the 84 articles included, 51 (61%) regarding techniques of face-lifting in the past 5 years pertained to soft-tissue techniques; 14 (17%) pertained to implants or adjunctive medications, such as tissue sealants; and 12 (14%) related to adjunctive techniques performed in addition to face-lifting, such as fat grafting, resurfacing, and liposuction. All studies found the techniques reported therein to be effective, with similar or fewer complications compared with the literature. However, according to the Oxford Centre for Evidence-Based Medicine criteria, the level of evidence of the studies was generally poor, because 45 of the studies (54%) were case series (level 4 of evidence).CONCLUSIONS AND RELEVANCE Several new techniques have been explored for rhytidectomy or face-lift in the past 5 years, including soft-tissue techniques, introduction of implants or topical medications such as tissue sealants, and concomitant adjunctive techniques to enhance results. The overall quality of the evidence is poor, with most articles using case series with nonvalidated measures to evaluate outcomes. There is considerable room for improvement in the literature if additional studies using cohort designs and validated outcomes are performed to validate the quality of the techniques introduced during the past 5 years.

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