Short flap rhytidectomy and fractional <scp>CO</scp>2 laser rejuvenation of the aging face

Taghizadeh, Farhan; Leibowitz, Alicia; Ellison, T.; Griego, Michael S.; Traylor-Knowles, Mimi; Ramirez, Patrick

doi:10.1111/jocd.12018

Cited by 7 publications

(4 citation statements)

References 19 publications

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“…He found this combination was a safe procedure with minimal complications and high patient satisfaction. 35 In our experience of combining a rhytidectomy with full facial laser resurfacing, no adverse complications occurred. Due to the preserved vascularity of the skin flaps using the ablative fractional laser, an increased esthetic result was obtained without any skin flap loss compared to rhytidectomy alone.…”

Section: Discussionmentioning

confidence: 93%

Facelift combined with simultaneous fractional laser resurfacing: Outcomes and complications

Wright

Struck²

2015

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Section: Discussionmentioning

confidence: 93%

Facelift combined with simultaneous fractional laser resurfacing: Outcomes and complications

Wright

Struck²

2015

Journal of Plastic, Reconstructive & Aesthetic Surgery

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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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“…Although there are various treatment options for scar management, the treatment of atrophic scars remains challenging for dermatologists. Fractional CO 2 lasers are among the most effective medical devices developed to date for the treatment of scars, photodamage, and aging skin . This is based on the theory of fractional photothermolysis, which involves the creation of small three‐dimensional zones of thermal damage known as microscopic treatment zones (MTZs), skin tightening and smoothening through ablation and re‐epithelialization, and elevation of the floor of depressed scars through collagen remodeling .…”

Section: Discussionmentioning

confidence: 99%

A novel technique for treating atrophic facial scars in Asians using ultra‐pulse CO₂ laser

Jin

et al. 2020

J of Cosmetic Dermatology

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Background and Aims Fractional lasers have become increasingly popular for treating atrophic scars, but their effectiveness is limited for deeper scars. We developed a novel technique (manual fractional thermal contraction technology, MFTCT) using an ultra‐pulse CO2 laser and evaluated its efficacy and safety for treating atrophic facial scars. Methods A total of 44 patients with atrophic facial scars were treated with MFTCT every 8 weeks for 1‐4 times. Overall scar improvement was assessed by photographs taken at baseline and 3 months after the last treatment according to the 4‐point global assessment scale (GAS) and ECCA grading scale. Improvements in color, distortion, and texture were assessed by the modified Manchester Scar Scale and scored individually from 1 to 4. Pain degrees and adverse reactions during and after treatment were recorded. Results A total of 44 patients completed the treatment and follow‐ups; of them, 89% reported at least 50% overall improvement after the last treatment. The mean ECCA scores fell from 67.50 ± 23.98 to 45.68 ± 18.57 (a 32% improvement), and the change was significant (P = .000). The average score for overall improvement was 3.48. The average scores for color, distortion, and texture were 3.07 ± 0.62, 3.27 ± 0.50, and 3.52 ± 0.51, respectively. Mean pain degree score was 4.27 ± 1.04, and mean erythema duration was 28.43 ± 6.58 days. Some patients developed pigmentation for a few months that resolved with topical treatment. Conclusion Manual fractional thermal contraction technology has definite clinical efficacy in the treatment of atrophic facial scars with fewer adverse reactions and is worth using in the clinical setting.

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Short flap rhytidectomy and fractional CO2 laser rejuvenation of the aging face

Abstract: Combination fractional laser resurfacing with short flap, high-Superficial muscular aponeurotic system rhytidectomy is a safe procedure with excellent patient satisfaction and clinical outcomes.

Cited by 7 publications

References 19 publications

Facelift combined with simultaneous fractional laser resurfacing: Outcomes and complications

Facelift combined with simultaneous fractional laser resurfacing: Outcomes and complications

Advances in Face-lift Techniques, 2013-2018

A novel technique for treating atrophic facial scars in Asians using ultra‐pulse CO₂ laser

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Short flap rhytidectomy and fractional CO2 laser rejuvenation of the aging face

Abstract: Combination fractional laser resurfacing with short flap, high-Superficial muscular aponeurotic system rhytidectomy is a safe procedure with excellent patient satisfaction and clinical outcomes.

Cited by 7 publications

References 19 publications

Facelift combined with simultaneous fractional laser resurfacing: Outcomes and complications

Facelift combined with simultaneous fractional laser resurfacing: Outcomes and complications

Advances in Face-lift Techniques, 2013-2018

A novel technique for treating atrophic facial scars in Asians using ultra‐pulse CO2 laser

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Product

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A novel technique for treating atrophic facial scars in Asians using ultra‐pulse CO₂ laser