Mini-Temporal and Perilobular Approach to Facelift: Mini-TAPA-Facelift

Castro-Góvea, Yanko; Garza-Pineda, Oscar De La; Salazar-Lozano, Abel

doi:10.1055/s-0033-1347009

Cited by 5 publications

(2 citation statements)

References 31 publications

(41 reference statements)

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“…Eighty-four articles were selected for final analysis. Of these 84 studies, 49 (58%) were from the United States or Canada, 10 (12%) were from Latin America, 13 (15%) from the United Kingdom or Europe, 1 (1%) from Australia, 8 (10%) from Asia, and 3 (4%) from the Middle East, representing a wide variety of journals (Table 1).…”

Section: Resultsmentioning

confidence: 99%

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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Section: Resultsmentioning

confidence: 99%

Advances in Face-lift Techniques, 2013-2018

Floyd

Sukato

Perkins

2019

JAMA Facial Plast Surg

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“…The most important anatomical consideration was the thinness of the soft tissues and their intimate relation with the skull. Similarly, anatomical knowledge of this area and its surgical clinical correlations was of vital importance [ 21 , 22 ]. On the basis of a thorough understanding of this area, we carefully carried out lipoinjection of the fronto-orbital complex, injecting into the deep subcutaneous plane and avoiding intradermal lipoinjection, in order to fill in the depressed area while simultaneously avoiding swelling.…”

Section: Discussionmentioning

confidence: 99%

Volumetric lipoinjection of the fronto-orbital and temporal complex with adipose stem cells for the aesthetic restoration of sequelae of craniosynostosis

2018

Self Cite

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BackgroundNon-syndromic craniosynostosis causes craniofacial asymmetry and may persist after cranioplasty. These postoperative asymmetries are primarily depressions. In some cases, patients may be subjected to pranks and harassment by their peers, affecting their psychosocial development. We propose lipoinjection enriched with adipose stem cells (ASCs) to treat the sequelae of craniosynostosis in the fronto-orbital and temporal complex in cranioplasty patients, with the goal of improving the appearance of the upper third of the face.MethodsTwelve children (four boys and eight girls) between 4 and 8 years of age (mean age, 6 years) in the postoperative period after treatment for plagiocephaly, brachycephaly, and trigonocephaly were included, with a follow-up period of 1 to 18 months. Fat tissue was obtained from the lower abdomen, and ASCs were isolated using the Yoshimura technique. Lipoinjection was performed using several mini-approaches to ensure adequate distribution.ResultsTwo different scales were used to evaluate the aesthetic outcomes. At 6 months, three plastic surgeons independent of the study classified the results using a Likert scale. The patients’ parents categorized the results using a visual analog scale at 6, 9, and 18 months. R esults were favorable on both scales, as the patients’ facial appearance improved and they reported increased happiness and self-esteem due to their remodeled facial appearance.ConclusionsWe suggest that lipoinjection enriched with ASCs is a good alternative for correcting asymmetry of the fronto-orbital and temporal contour in patients with sequelae of craniosynostosis. This treatment will help boost patients’ self-esteem starting at an early age.

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A Systematic Review and Meta-Analysis of Early Relapse After Facelift

Galandarova

Bitik²

2022

Aesth Plast Surg

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Mini-Temporal and Perilobular Approach to Facelift: Mini-TAPA-Facelift

Cited by 5 publications

References 31 publications

Advances in Face-lift Techniques, 2013-2018

Advances in Face-lift Techniques, 2013-2018

Volumetric lipoinjection of the fronto-orbital and temporal complex with adipose stem cells for the aesthetic restoration of sequelae of craniosynostosis

A Systematic Review and Meta-Analysis of Early Relapse After Facelift

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