Facelift Surgery Following Superficial Parotidectomy: Is it Safe?

Cummins, Andi; Surek, Christopher C.; Charafeddine, Ali H.; Scomação, Isis; Duraes, Eliana

doi:10.1007/s00266-019-01608-x

Cited by 5 publications

(2 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Useful adjuncts for correction include acellular dermal matrix, filler, and autologous tissue. 13 Fat grafting with the inclusion of adipose derived stem cells offers regenerative capabilities to improve tissue quality, tissue vascularity, and to relieve contractures. 3 Some report that graft retention may be reduced in radiated wound beds.…”

Section: Discussionmentioning

confidence: 99%

Optimizing Safety for the Postradiation Face Lift

Boustany

Laikhter

Shiah

et al. 2021

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Background: The growing population of aging patients who have received head or neck radiation has brought attention to the unique considerations for surgical face lifts. Tissue fibrosis and impaired microcirculation can compromise wound healing and increase overall complication rates. Our review of the literature identified few reported cases of postradiation face lifts. Methods: Three patients who underwent postradiation face lift procedures were identified within two senior surgeons’ practices. Patient demographics, medical history, surgical technique, postoperative course, and photographs were obtained. Complications were analyzed, including infections, hematomas, seromas, wound dehiscence, delayed healing, necrosis, nerve injuries, poor scarring, and systemic events. Results: None of the patients experienced immediate or major complications. All patients reported satisfaction with the procedure. One patient required a revision of the earlobe. Conclusions: Our limited series suggests that with a comprehensive approach and a deliberate surgical technique, safe and desirable outcomes may be achieved in the appropriately selected patient. We outline perioperative considerations to assist surgeons in caring for these patients. Additional research is necessary to assess the impact of patient and therapeutic variables.

show abstract

Section: Discussionmentioning

confidence: 99%

Optimizing Safety for the Postradiation Face Lift

Boustany

Laikhter

Shiah

et al. 2021

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

show abstract

“…2 Patients who have undergone parotid surgery may later desire cervicofacial rhytidectomy, in which case it may be difficult to orient the potentially displaced underlying anatomy, such as the facial nerve. 3 Therefore, this case series aims to discuss the possibility of concurrent parotid surgery with asymmetric cervicofacial rhytidectomy by jointly reviewing the limited literature on the topic as well as the authors' collective experience.…”

Section: Introductionmentioning

confidence: 99%

Parotid Surgery With Concurrent Bilateral Rhytidectomy

2022

View full text Add to dashboard Cite

Facial reconstruction after parotid surgery can present an aesthetic challenge. This case series describes an asymmetric cervicofacial rhytidectomy technique at the time of parotid surgery to achieve defect closure as well as volume augmentation of the postablative deformity. While unilateral superficial musculoaponeurotic system (SMAS) flaps after parotid tumor extirpation have been described many times, this is the first reported case series of parotid tumor resection with concurrent bilateral cervicofacial rhytidectomy. This series consists of two adult females with unilateral facial swelling who also desired facial rejuvenation surgery. They separately presented to the University of Texas Southwestern Maxillofacial Surgery team and proceeded to have unilateral parotid tumor removal with concurrent bilateral cervicofacial rhytidectomy. To give context to this case series, the authors also searched the PubMed, Scopus, and Google Scholar databases to look for previously reported similar cases. The authors were able to address the patients’ functional as well as aesthetic concerns with a single surgery in a safe manner. Ipsilateral to the tumor resection, there was a sizeable loss in volume in both cases. Therefore, a vascularized SMAS flap was imbricated to provide volume, while a selective SMAS removal and plication was used on the contralateral side to achieve symmetric volume bilaterally. A comprehensive literature search demonstrated one previous report of concurrent bilateral cervicofacial rhytidectomy with parotid tumor extirpation. Despite the prevalence of utilizing a rhytidectomy incision for parotid surgery, there is a dearth of literature describing concurrent bilateral cervicofacial rhytidectomy with parotid tumor extirpation. Functionally, it has been shown to decrease the incidence of gustatory sweating on the side of reconstruction. Aesthetically, the surgeon is not only re-establishing the volume by augmenting the ablative defect, but also creating a symmetrical postoperative appearance by performing a reductive rhytidectomy on the contralateral side. Utilizing an asymmetric bilateral cervicofacial rhytidectomy at the time of parotid surgery can be an efficient technique for aesthetically reconstructing a patient with a parotid mass. It should be considered in patients with benign parotid disease who have the desire for facial rejuvenation surgery.

show abstract