Facelift combined with simultaneous fractional laser resurfacing: Outcomes and complications

Wright, Eric J.; Struck, Steve

doi:10.1016/j.bjps.2015.06.001

Cited by 16 publications

(10 citation statements)

References 31 publications

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“…15,16 In a 2015 study by Wright and Struck reviewing 86 patients undergoing simultaneous facelifting with fractioned CO 2 laser, all patients experienced complete re-epithelialization of their skin by 1 week after the procedure. 22 Four patients reported acne break outs, four reported prolonged (> 2 weeks) erythema all resolving after 1 month, but most importantly, no patient reported delayed healing or skin flap loss. The facelift technique employed in the study was an extended supraplatysmal dissection with SMAS plication, indicating a less thick and robust treated flap than with a sub-SMAS skin-SMAS flap.…”

Section: Fractional Ablative Lasersmentioning

confidence: 88%

“…Fractional lasers apply around 15 to 50% of thermal energy capacity of the particular laser (whether CO 2 or Er:YAG) to the treated areas of skin, thereby creating microscopic thermal zones of treated skin areas, separated by untreated, healthy skin areas. 22 This format of thermal energy delivery allows for more precise photocoagulation of dermal areas with a determined depth and width. Fractional laser treatments also offer a faster skin recovery time than continuous laser treatment due to the persistence of surrounding areas of normal skin after fractional treatment.…”

Section: Fractional Ablative Lasersmentioning

confidence: 99%

“…23 Numerous studies demonstrate the effectiveness of fractional CO 2 lasers in treating a variety of conditions such as scars, rhytids, decrease in pore size, pigmentary changes, and photodamage. 22 The ablative effect of a fractioned laser may permit deeper penetration into the dermis, with a decreased risk of complications secondary to good blood supply by the adjacent, untreated normal skin. Also, in theory, deeper penetration would induce collagen remodeling and skin tightening months after treatment.…”

Section: Fractional Ablative Lasersmentioning

confidence: 99%

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Combining Laser Resurfacing and Facial Rejuvenation Surgery

Hessler

Trujillo

2021

Facial Plast Surg

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Facial aging is a multifactorial process involving skin laxity, volume loss, facial rhytids and solar elastosis. Surgical interventions can address the laxity of the skin and restore volume loss but do not fully correct the texture of the skin. Historically, there were concerns over the safety of combining laser resurfacing with facelifting procedures, but now there is much evidence to support the safe use of this combination treatment. When done appropriately, the combination of laser resurfacing with facial rejuvenation surgery can provide a synergistic effect for optimal clinical results. Here, we review the many laser options available and how they may be combined safely with surgical facial rejuvenation. We also review clinical contexts and candidate selection to provide safe, reliable results and minimize complications.

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Section: Fractional Ablative Lasersmentioning

confidence: 88%

Section: Fractional Ablative Lasersmentioning

confidence: 99%

Section: Fractional Ablative Lasersmentioning

confidence: 99%

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Combining Laser Resurfacing and Facial Rejuvenation Surgery

Hessler

Trujillo

2021

Facial Plast Surg

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“…With ablative and nonablative laser resurfacing rising in popularity and becoming more accessible, surgeons have considered whether it is appropriate to use this augmenting technique pre, post, or perioperatively to achieve the greatest benefit with the highest safety profile. 3 , 4 However, there is a paucity in studies that compare outcomes of laser treatment alone to laser treatment perioperatively with facial plastic surgery. The senior author aims to deliver the most comprehensive treatment to patients, and, as such, has taken steps to combine laser and facial plastic surgery safely and with efficacy in his practice.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Laser Resurfacing and Facial Plastic Surgery Using Age, Glogau, and Fitzpatrick Rating

Barrera

Adame

Lospinoso³

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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Background:To assess clinical outcomes based on established rating scales in patients who underwent treatment for rhytids using laser resurfacing with and without facial plastic surgery.Methods:Retrospective case review of 48 patients treated by the senior author (J.E.B) between 2009 and 2016. Three reviewers assigned ratings to a total of 48 patients using estimated age and Fitzpatrick, Modified Fitzpatrick, and Glogau scales. Reviewers were blinded to patient demographics and before and after photographs. Patients elected to receive laser-only treatment or combination laser plus facial plastic surgery. Participants included forty-eight patients were selected on the basis that they had either laser treatment alone or laser plus facial plastic surgery and pre- and postoperative photographs.Results:Patients with higher Fitzpatrick scores had a greater reduction in Glogau score (ß = 1.66; SE = 0.59; P < 0.01). With respect to modified Fitzpatrick scores after surgery, patients with higher Glogau scores of 3 or 4 before surgery (P < 0.01) had higher scores after surgery ((ß = 0.07; SE = 0.02; P < 0.01). For estimated age, the average change was -1.7 years after laser resurfacing (P = 0.038; 95% CI, 2.96–3.06 years) and -2.07 years when combined with surgery (P = 0.01; 95% CI, 2.89–3.19 years).Conclusions:Patients with Fitzpatrick scores of 3, 4, 5, younger patients, and those with less rhytids before surgery tended to have lower Glogau scores after surgery. These findings provide insight on an approach to treating ethnic skin and aging face concerns.

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“…Flap necrosis, scarring, and cicatricial ectropion have all been reported with CO 2 laser resurfacing and phenol peels. 4,5 Newer technologies such as fractional resurfacing have shown a faster recovery and reduced risk of complications, 6 although the results are also less dramatic than deeper options. 7 Ablative fractional lasers nonetheless can produce excellent results with an improvement in dyschromias and fine lines.…”

mentioning

confidence: 99%

Optimizing Results of Facial Surgery and Patient Satisfaction with Simultaneous Chemical Peels

Winslow

2019

Facial plast Surg

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Facial antiaging surgery is widely regarded as safe and effective. Current techniques allow us to achieve a balance of restoring youth while minimizing stigmata of surgery to effect a refreshed, natural look. An important component of achieving this goal is to improve the appearance of fine lines and dyschromias which continue to add to the apparent age. Several options exist to improve the appearance of the skin, each with a separate set of indications, advantages, and disadvantages. A medium-depth 35% trichloroacetic acid peel can be safely combined with rejuvenating surgery to enhance patient satisfaction and results with the same downtime and low cost.

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Facelift combined with simultaneous fractional laser resurfacing: Outcomes and complications

Cited by 16 publications

References 31 publications

Combining Laser Resurfacing and Facial Rejuvenation Surgery

Combining Laser Resurfacing and Facial Rejuvenation Surgery

Efficacy of Laser Resurfacing and Facial Plastic Surgery Using Age, Glogau, and Fitzpatrick Rating

Optimizing Results of Facial Surgery and Patient Satisfaction with Simultaneous Chemical Peels

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