Preoperative Risk Factors and Complication Rates in Facelift: Analysis of 11,300 Patients

Gupta, Varun; Winocour, Julian; Shi, Hanyuan; Shack, R. Bruce; Grotting, James C.; Higdon, Kent

doi:10.1093/asj/sjv162

Cited by 98 publications

(47 citation statements)

References 43 publications

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“…Além disso, o acompanhamento minucioso pós-operatório do paciente continua sendo a melhor conduta para evitar desdobramentos desfavoráveis. das cirurgias estéticas mais realizadas em todo o mundo 5 , principalmente em pacientes com mais de 65 anos de idade 1 . Embora apresente baixas taxas de complicações graves, quando estas ocorrem, podem levar a aumento expressivo da morbidade e resultados estéticos devastadores 1 .…”

Section: Conclusãounclassified

“…Na literatura, os hematomas ocorridos após a ritidoplastia ou cirurgia do rejuvenescimento facial são vistos como a complicação mais comum deste procedimento (1% a 15%) 1,2 . Ocorrem, geralmente, nas primeiras 24 horas [1][2][3] e podem causar consequências significativas como comprometimento da vascularização dos retalhos cutâneos, prolongamento da convalescença cirúrgica, até comprometimento respiratório 1 . Eventualmente, podem se apresentar de forma tardia, podendo ocorrer dias após manipulação cirúrgica 2,4 .…”

Section: Introductionunclassified

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Hematoma expansivo tardio após ritidoplastia

Motta¹,

Versiani²,

Jamil³

et al. 2019

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

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A ritidoplastia, ou cirurgia do rejuvenescimento facial, tem se tornado uma das cirurgias plásticas estéticas mais procuradas em todo o mundo e, como qualquer outra cirurgia, apresenta riscos de complicações. O hematoma pós-operatorio, a complicação mais comum, tende a se apresentar precocemente, mas em alguns casos ocorrem dias após o procedimento. Podem ocorrer de forma leve, com pequenas coleções, ou podem se desenvolver com sangramentos ativos volumosos, classificados como hematomas expansivos. Apresentamos o caso de uma paciente submetida à ritidoplastia completa, evoluindo tardiamente com hematoma cervicofacial levando a instabilidade hemodinâmica e comprometimento de via aérea.

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Section: Conclusãounclassified

Section: Introductionunclassified

Hematoma expansivo tardio após ritidoplastia

Motta¹,

Versiani²,

Jamil³

et al. 2019

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

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“…Some of the complications of facelift surgery are hematoma (the most common complication), pre-and postauricular scar hypertrophy, facial telangiectasia, stitch abscess, neck hyperpigmentation, pre-and postauricular skin necrosis, nerve damage, temporal alopecia cutaneous sloughing or necrosis, seroma, wound dehiscence, hypertrophic scarring, contour irregularities, dimpling, and infection [35][36][37][38][39][40][41][42].…”

Section: Complications Of the Facelift Proceduresmentioning

confidence: 99%

“…The most dangerous complications include hematoma (rates 1.0-15%), infection (0.05-0.18%), nerve injury (0.07-2.5%), skin sloughing (1.0-1.85%), and systemic vascular complications like venous thromboembolism (VTE 0.1%) [37,41,43,44]. It has been reported that the complication rate in patients with a high body mass index (BMI) over 25 was 9.5%, compared to 4.7% in normal weight patients undergoing a facelift [43].…”

Section: Complications Of the Facelift Proceduresmentioning

confidence: 99%

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Facelift: Current Concepts, Techniques, and Principles

Pourdanesh¹,

Esmaeelinejad²,

Jafari³

et al. 2016

A Textbook of Advanced Oral and Maxillofacial Surgery Volume 3

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The effects of aging on skin, including thinning and loss of muscle tone, result in a flabby or drooping appearance of the face. The demands of an attractive appearance and smooth skin are wanted all around the world. There are a lot of factors which influence the choice of rejuvenation techniques, including anatomy of the facial skeleton, the severity of aging changes, social and economic status of the patient, and structure of the skin. Facelifting is a facial rejuvenation procedure in which by dissection of subcutaneous layers and different suturing techniques we are able to stretch the skin and make the patient look younger. This chapter presents the technique, current concepts, complications, and indications of facelift surgery.

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Analysis of Factors Associated With Rhytidectomy Malpractice Litigation Cases

Kandinov

Mutchnick

Nangia

et al. 2017

JAMA Facial Plast Surg

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IMPORTANCE This study investigates the financial burden of medical malpractice litigation associated with rhytidectomies, as well as factors that contribute to litigation and poor defendant outcomes, which can help guide physician practices.OBJECTIVE To comprehensively evaluate rhytidectomy malpractice litigation.DATA SOURCES AND STUDY SELECTION Jury verdict and settlement reports related to rhytidectomy malpractice litigations were obtained using the Westlaw Next database. Use of medical malpractice in conjunction with several terms for rhytidectomy, to account for the various procedure names associated with the procedure, yielded 155 court cases. Duplicate and nonrelevant cases were removed, and 89 cases were included in the analysis and reviewed for outcomes, defendant specialty, payments, and other allegations raised in proceedings.

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Preoperative Risk Factors and Complication Rates in Facelift: Analysis of 11,300 Patients

Abstract: Rhytidectomy is a very safe procedure in the hands of board-certified plastic surgeons. Hematoma and infection are the most common major complications. Male gender, BMI ≥ 25, and combined procedures are independent risk factors. LEVEL OF EVIDENCE 2: Risk.

Cited by 98 publications

References 43 publications

Hematoma expansivo tardio após ritidoplastia

Hematoma expansivo tardio após ritidoplastia

Facelift: Current Concepts, Techniques, and Principles

Analysis of Factors Associated With Rhytidectomy Malpractice Litigation Cases

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