Rhytidectomy Employing a Two‐Layered Closure: Improved Results with Hidden Scars

Matsunaga, Ronald S.

doi:10.1177/019459988108900326

Cited by 13 publications

(3 citation statements)

References 32 publications

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“…The initial search returned 3479 articles, which was reduced to 229 articles after review of title and abstract for relevant context. Full-text review yielded 65 relevant articles 3–7,11,21–27,29–35,37,41–87 (Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

An Evidence-Based and Case-Based Comparison of Modern Facelift Techniques

Avashia

Stuzin

Cason

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Background: Facial aging is a multifactorial process that affects each component of facial anatomy. The two general groups of face lift techniques are superficial musculoaponeurotic system (SMAS) elevation and SMAS manipulation. The purpose of this article is to describe and compare the advantages, disadvantages, and limitations of face lift techniques. Methods: A systematic review was performed to describe current outcomes evidence for face lift techniques. A subcohort of articles was selected for case-based analysis based on designated facial assessment criteria. Analysis was performed to determine the advantages, disadvantages, and limitations of each respective technique. Results: A total of 65 articles were selected for systematic review, of which 15 met criteria for case-based review. Patient satisfaction was found to be equivocal for various face lift techniques. Specific advantages and disadvantages for each face lift technique were dependent on the techniques’ approach to skin shift vector along with its degree of mobilizing superficial facial fat. Facial fat grafting was universally applicable for restoration of deep malar volume. Facial fat grafting was also used differently depending on the SMAS technique to address its specific limitations. Conclusions: The authors’ review confirms that there are many methods to obtain excellent outcomes in facial rejuvenation. Experienced surgeons are able to obtain consistent results through a variety of techniques based on understanding the aesthetic needs of the individual patient, the quality of the soft tissues being manipulated, and how to vary a specific technique to reach desired aesthetic end points.

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Section: Resultsmentioning

confidence: 99%

An Evidence-Based and Case-Based Comparison of Modern Facelift Techniques

Avashia

Stuzin

Cason

et al. 2022

Plastic &Amp; Reconstructive Surgery

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“…Expanding hematoma is a feared complication of rhytidectomy and occurs in 0% to 3.8% of SMAS rhytidectomies 1–12 . Unilateral swelling, bruising, or excessive pain should alert the clinician to this diagnosis and needs to be addressed immediately.…”

Section: Discussionmentioning

confidence: 99%

“…In SMAS rhytidectomy permanent facial nerve injury occurs in about 0.1% of patients 12 . Temporary injury occurs in 0% to 4.6% of cases 5,7–12 . Temporary facial nerve palsy has been reported in 1.8% of SMAS rhytidectomy cases performed by residents 13 .…”

Section: Discussionmentioning

confidence: 99%

Complications of Rhytidectomy in an Otolaryngology Training Program

et al. 1999

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Hematoma Rates in Drainless Deep-Plane Face-lift Surgery With and Without the Use of Fibrin Glue

Zoumalan

Rizk

2008

Archives of Facial Plastic Surgery

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To determine the rate of hematoma formation in drainless deep-plane rhytidectomy and compare it with the rate using the same technique with the use of fibrin glue. Methods: This is a retrospective review of 605 patients (78 male and 527 female) who, over a 6-year period, underwent deep-plane face-lift surgery (n = 544) or lateral superficial musculoaponeurotic system (SMAS)ectomy (n=61) by the senior author (S.S.R.) without the use of surgical drains. One hundred forty-six consecutive patients underwent rhytidectomy without fibrin tissue glue, and the following 459 consecutive patients were sprayed with fibrin glue under the flap prior to flap closure. Pressure dressings were used on all patients for 24 hours. Results: None of the patients in either group had major or expanding hematomas requiring operative intervention. In the group of patients treated without fibrin glue (n = 146), there were 5 minor, nonexpanding hematomas, all managed by needle aspiration. This is a minor hematoma rate of 3.4%. In the fibrin glue group (n = 459), there were 2 hematomas, for a rate of 0.4%. Using a Fisher exact test, we found a statistically significant decrease in the hematoma rate from 3.4% to 0.4% (P=.01). Male patients had a higher hematoma rate than female patients, and only men had significantly fewer hematomas when fibrin glue was applied (P=.01). All 7 hematomas were recognized in the first 24 hours after surgery. Of the 7 patients with hematomas, 2 (29%) had emesis in the recovery room despite medication. Conclusions: The use of fibrin glue demonstrates a significant decrease in the rate of hematoma formation. Fibrin glue may benefit male more than female patients. If meticulous hemostasis and pressure dressings are used, drains are not necessary. The prevention and prompt treatment of postoperative nausea may also help prevent hematoma formation.

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Rhytidectomy Employing a Two‐Layered Closure: Improved Results with Hidden Scars

Cited by 13 publications

References 32 publications

An Evidence-Based and Case-Based Comparison of Modern Facelift Techniques

An Evidence-Based and Case-Based Comparison of Modern Facelift Techniques

Complications of Rhytidectomy in an Otolaryngology Training Program

Hematoma Rates in Drainless Deep-Plane Face-lift Surgery With and Without the Use of Fibrin Glue

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