Recent Advances in Face Lift to Achieve Facial Balance

Ilankovan, V.

doi:10.1007/s12663-016-0981-8

Cited by 4 publications

(2 citation statements)

References 41 publications

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“…Success of aesthetic surgery considerably depends on understanding of mechanisms of each specific deformity formation, skills to evaluate them in planning and making surgical correction as well as rehabilitation measures in postoperative period. 6 - 8…”

Section: Discussionmentioning

confidence: 99%

Ultrasound diagnosis of age-related involutional changes in the lower third of face and neck to determine treatment techniques

et al. 2020

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Objective: To develop a clinical technique for objective estimation of exact location and degree of participation of face and neck soft tissues in age-related deformations for determine effective mini-invasive treatment techniques. Methods: Ultrasound examination was performed in 2017-2019 at 63 patients with age-related face changes. Examination was done in the vertical position for determine the role, exact location and participation degree of different soft tissues of the face and neck in age-related changes. Results: Great diagnostic value of ultrasound examination of involutional changes in soft tissues of lower third of face and neck was noted to determine all causes of contour age-related deformities. These results were used to choose effective minimally invasive methods for correction. Conclusion: Ultrasound examination is a non-invasive, harmless, clinically available, inexpensive examination that allows to determine exact localization and degree of participation of different soft tissues of face and neck in age-related changes. That is very important for planning and use different minimally invasive techniques for facial and neck rejuvenation. doi: https://doi.org/10.12669/pjms.37.1.3034 How to cite this:Sharobaro V, Alimova S, Telnova A, Shamanaeva L. Ultrasound diagnosis of age-related involutional changes in the lower third of face and neck to determine treatment techniques. Pak J Med Sci. 2021;37(1):272-276. doi: https://doi.org/10.12669/pjms.37.1.3034 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Ultrasound diagnosis of age-related involutional changes in the lower third of face and neck to determine treatment techniques

et al. 2020

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“…PDO thread face lifts have been a successful therapy indicated for reverting sagging, lipomatosis, rhytidosis, and deep folds when the degree of aging does not merit surgical treatment. After the thread is inserted, the organism recognizes it and stabilizes it through mechanisms involving lymphocyte infiltration, collagen deposition and a fibrotic reaction surrounding the biomaterial, mediated by myofibroblasts 2,9,10 . Thus, the lifting effect on sagging tissues is due to fibrotic paths organized during the permanence of the thread and the residual path once the suture is reabsorbed.…”

Section: Introductionmentioning

confidence: 99%

In Vitro Degradation of Polydioxanone (Pdo) Lifting Threads in Hyaluronic Acid (Ha).

Suárez

Maldonado²,

Ortíz³

et al. 2019

J Surg Cl Res

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Background: Recently, some clinicians have proposed implanting PDO threads imbibed in hyaluronic acid (HA). However, this is controversial since PDO sutures are hydrophilic and the presence of HA could increase the rate of hydrolysis. Aim: To demonstrate the degradation of PDO lifting threads in HA through ultramicroscopy. Materials and methods: Three, one cm long, segments of 23G PDO threads, where immersed in 1.5 ml non-crosslinked hyaluronic acid in previously labeled, sterile microcentrifuge tubes. These were observed by ultramicroscopy at 4x and 10x after 24, 48 and 72 hours. Results: Microphotographs taken after 24 hours already show structural changes in the fibers, presenting an increase in interlaminar spaces and dilution of violet pigmentation. At 48 hours, degradation continues. PDO hygroscopy is observed as aqueous content between the peripheral layers and the central core of the thread. Some fibers show breakage, and there is an increase in interlaminar and interfibrillar spaces. At 72 hours, as the pigment is released, larger empty spaces are observed in the central column of the thread, and there is disorganization of the peripheral fibrils with fraying all along the fiber. Conclusions: Hyaluronic acid induces rapid biodegradation of the PDO thread by hydrolysis beginning 24 hours after contact of the thread with the biomaterial. We hypothesize that non-crosslinked hyaluronic acid is a powerful catalyzing agent for hydrolytic degradation of the PDO thread, since this thread is highly hydrophilic. Thus, we suggest that clinically embedding PDO threads with HA will only accelerate biodegradation of the suture. Key words: Lifting threads, polydioxanone, hyaluronic acid, biodegradation, PDO hydrolysis

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Surgical Facelift

Ilankovan

Seah²

2021

Oral and Maxillofacial Surgery for the Clinician

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With aging, a combination of gravitational forces, laxity of the skin due to loss of elasticity, decreased dermal thickness and loss of dermal appendages results in ptotic, hanging skin. Face lift or rhytidectomy as its name suggest is a procedure to partially eliminate folds, creases and wrinkles (rhytids) caused by gravity and degeneration. The creation of two large cervicofacial flaps which after suspension and trimming, produces an overall tightening the skin and the fascial envelope of the face and neck results in restored anatomical structure. Treatment of the SMAS layer is important and can be broadly categorized into 3 methods. They are plication, elevation and imbrication and SMASectomy. Platysma elevation and plication can be carried out simultaneously for the neck. Face lift can help to negate some of these gravitational problems and produce some intrinsic improvement. Complications include haematoma, skin ischaemia and necrosis, obvious scarring, sensory disturbances, motor nerve disturbances and ear lobe irregularities.

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Recent Advances in Face Lift to Achieve Facial Balance

Cited by 4 publications

References 41 publications

Ultrasound diagnosis of age-related involutional changes in the lower third of face and neck to determine treatment techniques

Ultrasound diagnosis of age-related involutional changes in the lower third of face and neck to determine treatment techniques

In Vitro Degradation of Polydioxanone (Pdo) Lifting Threads in Hyaluronic Acid (Ha).

Surgical Facelift

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