Hemostatic Net in Rhytidoplasty: An Efficient and Safe Method for Preventing Hematoma in 405 Consecutive Patients

Auersvald, André; Auersvald, Luiz Augusto

doi:10.1007/s00266-013-0202-5

Cited by 82 publications

(44 citation statements)

References 27 publications

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“…En 2004, Auervald comunicó haber obtenido buenos resultados en la prevención de hematomas en ritidectomía cuando colocaba una red hemostática de transfixión entre el SMAS y la piel (27). En nuestra experiencia, la sutura en red para hemostasia prolonga el tiempo quirúrgico, ya que se necesitan un notable número de suturas separadas entre 0,8 a 1 cm para cubrir toda el área intervenida.…”

Section: Discussionunclassified

Beneficios del adhesivo autólogo de fibrina y PRP en ritidectomía

Hernández

Rossani

Castro-Sierra

2015

Cir. plást. iberolatinoam.

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Our goal is to determine the clinical efficacy of autologous fibrin and PRP adhesive effect in reducing complications in rhytidectomy. Short, medium and long term patient recovery time was followed up. All patients received treatment with the autologous blood fractions on only half of the face, while the other half served as a control. Comparative follow up were observed in their post-op symptoms: frequency in developing hematomas, seromas, epidermolysis, necrosis and echymosis; patients were also requested to complete questionnaires regarding satisfaction with the outcome. We conduct a prospective, double blind, randomized clinical study in phase I, on a sample of 19 patients, over 50 years of age, who underwent surgical facial lifting (rhytidectomy), and were randomly exposed to autologous adhesive fibrin and PRP on half of the face, where received autologous fibrin and PRP by dripping on the whole surgical area including temples, cheeks and neck, before its closure. Treatment was completed with a laminar drainage for 24 hours, and occlusive bandage for 72 hours. The half faces treated with hemoderivatives presented less complications and progressed faster and better than those that were operated without them. Mean recovery time was 48% less than the half face not treated. Hematomas were observed only on the half faces not treated, and ecchymosis was also more evident on this side. Wound healing with epidermolysis of flap edges were present in 10 cases: 2 in a half face treated and 8 in control. The half faces treated progressed faster and with no scarring consequences. Patient satisfaction with results was high. In conclusion, autologous fibrin adhesive effect and PRP in rhytidectomies reduces the occurrence of seromas, ecchymosis, epidermolysis, and the recovery time; it obtains evident safe survival of flap edges and faster healing. Responses to questionnaire showed a high level of patient satisfaction with the results at short and medium point of control; but at longer following: 2 and 6 months, there were not visible differences between treated half faces versus the non-treated ones.

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Section: Discussionunclassified

Beneficios del adhesivo autólogo de fibrina y PRP en ritidectomía

Hernández

Rossani

Castro-Sierra

2015

Cir. plást. iberolatinoam.

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“…40 Minimizing the risk of hematoma formation has been a goal of facial cosmetic surgeons for decades. [41][42][43][44][45][46] The use of fibrin glue in facelift surgery has been studied for decades, and a recent review found data to support that fibrin glue does decrease the risk of hematoma. 43 The utilization of drains has similarly been studied for decades, and there is evidence to support drains decrease the risk of seroma formation.…”

Section: Faceliftmentioning

confidence: 99%

“…42,46 Postoperative hematoma following face lift surgery is such a serious concern, that more aggressive techniques such as the hemostatic net have been proposed. 41 Lastly, a very rare but dramatic complication follow facelift is pyoderma gangrenosum, an idiopathic inflammatory disease beginning with painful skin nodules that progress to ulcerations frequently in areas of trauma or surgery. 47…”

Section: Faceliftmentioning

confidence: 99%

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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“…Remaining identified studies addressed various other adjunctive measures, but in our view presented too few studies and/ or insufficient strength of evidence upon which to form an opinion as to their safety and effectiveness. This group included adjunctive measures directed at hematoma prevention (perioperative atenolol, 43 percutaneous quilting sutures, 44 and PRP 45 ) and those aimed at improving the longevity (GalaFlex 46 ) or cosmetic outcome (Liposuction, 47 barbed threads 48 ) of conventional facelift techniques.…”

Section: Other Adjunctsmentioning

confidence: 99%

The Evidence for Adjunctive Facelift Procedures

2018

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Facelift surgery is a popular treatment but exhibits high variation among practitioners in terms of both core technique and adjunctive measures. This review identified significant evidence addressing the role of pre-infiltration, drains, fat grafting, fibrin tissue adhesives, hilotherapy, and other miscellaneous adjuncts. Based on the authors' assessment of the current literature, there is reasonable supportive evidence for pre-infiltration, fat grafting and laser skin resurfacing, which appear to be safe and effective in appropriately selected patients. Drain use is not mandatory but may confer some benefit. Conversely the evidence for the use of fibrin tissue adhesives and hilotherapy is not compelling.

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Hemostatic Net in Rhytidoplasty: An Efficient and Safe Method for Preventing Hematoma in 405 Consecutive Patients

Cited by 82 publications

References 27 publications

Beneficios del adhesivo autólogo de fibrina y PRP en ritidectomía

Beneficios del adhesivo autólogo de fibrina y PRP en ritidectomía

Complications in Facial Esthetic Surgery

The Evidence for Adjunctive Facelift Procedures

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