The Importance of Facial Retaining Ligaments’ Preservation During the Subcision

Araghi, Farnaz; Dadkhahfar, Sahar; Pourani, Mohammad Reza; Gheisari, Mehdi

doi:10.1093/asj/sjab332

Cited by 7 publications

(15 citation statements)

References 5 publications

(7 reference statements)

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“…Sharp dissection increases the risk of injury to the underlying neurovasculature especially in the temporal, marginal mandibular, and periauricular areas. 12,13…”

Section: Discussionmentioning

confidence: 99%

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Surgical Subcision for Acne Scars: A Review of Instrumentation

Lobo

Lim

2023

Dermatol Surg

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BACKGROUND Subcision is a surgical technique for managing atrophic acne scars. Over time, new instruments have emerged to increase the efficiency, efficacy, and safety of the subcision procedure, including sharp, blunt, and energyassisted devices. OBJECTIVE To review the instrumentation used for the subcision of acne scars and to provide clinicians with practical information regarding the selection of instrumentation, with a focus on advantages and disadvantages. METHODS A search of PubMed, MEDLINE, and Google Scholar was conducted for articles from January 2000 to June 2022 describing the use of subcision alone for the management of acne scarring. Demographic and clinical data were collected from the included articles. RESULTS A total of 417 patients from 17 articles were included; 155 patients underwent sharp subcision, 235 patients underwent blunt subcision, and 27 patients underwent energy-assisted subcision. The main indication for subcision was atrophic facial acne scars. Subcision using sharp, blunt, and energy-assisted instruments were all effective in treating atrophic acne scars. Adverse effects common to all subcision methods included erythema and edema. CONCLUSION Subcision is a safe and effective modality for the revision of selected acne scars and is a valuable skill set for dermatologists who perform scar revision to master.

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“…Sharp dissection increases the risk of injury to the underlying neurovasculature especially in the temporal, marginal mandibular, and periauricular areas. 12,13…”

Section: Discussionmentioning

confidence: 99%

“…11 Sharp dissection increases the risk of injury to the underlying neurovasculature especially in the temporal, marginal mandibular, and periauricular areas. 12,13 ✰✰ subcision 19 . Table 5 shows the advantages and disadvantages of microvitreoretinal cataract blades.…”

Section: Microvitreoretinal Cataract Bladesmentioning

confidence: 99%

Surgical Subcision for Acne Scars: A Review of Instrumentation

Lobo

Lim

2023

Dermatol Surg

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“…Diferentemente dos ligamentos e septos temporais, que também apresentam proximidade com a região orbital, os ligamentos retentores orbiculares (LRO) (Figura 3) diferenciam-se por terem origem no periósteo da borda orbital e se inserirem no tecido cutâneo de transição da pálpebra para a bochecha (Alghoul & Codner, 2013;Araghi et al, 2022). O LRO traspassa o músculo orbicular, projeta-se lateralmente até à borda orbital lateral, em uma área fibrosa e densa, denominada de espessamento orbital lateral.…”

Section: Ligamentos Da áRea Periorbitalunclassified

Considerações clínicas dos ligamentos de retenção da face: revisão de literatura

Silva¹,

Hering²,

Pedrosa³

et al. 2022

RSD

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Com o avanço das técnicas e tecnologias utilizadas em procedimentos que visam o rejuvenescimento, diversas estruturas da face merecem destaque para que se obtenha êxito clínico, dentre elas, os ligamentos retentores da face (LRF). Sabe-se que as características clássicas da face envelhecida implicam, sobretudo, nos LRF, posto que a íntima relação dos ligamentos com os cutâneos pode ser modificada a partir de mudanças estruturais e, consequentemente, funcionais. Neste sentido, a compreensão dos LRF deve ser considerada, pelo profissional, alvos de ação clínica, como maneira de aumentar a eficácia, naturalidade dos resultados e satisfação do paciente. Com objetivo compreender importância clínica dos ligamentos de retenção da face, 29 artigos foram utilizados nesta pesquisa, como forma de revisão literária. De acordo com os resultados encontrados, a compreensão das modificações fisiológicas ao longo do tempo e sua repercussão clínica demonstram que os ligamentos de retenção da face são de fundamental importância para decisão da técnica e protocolo a serem adotados em procedimentos rejuvenescedores.

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“…4 However, the authors argue that fibrous tissues commonly referred to as retaining ligaments in the face do not uniformly succumb to aging but instead maintain their form and strength, contributing to differential effects on various facial regions. 5 Hence, it is crucial to consider the varying strength of these retaining ligaments, as this disparity can lead to differences in skin and tissue sagging across facial areas. 5 Understanding these differences is essential to efficiently enhance skin and tissue sagging.…”

Section: Introductionmentioning

confidence: 99%

“…5 Hence, it is crucial to consider the varying strength of these retaining ligaments, as this disparity can lead to differences in skin and tissue sagging across facial areas. 5 Understanding these differences is essential to efficiently enhance skin and tissue sagging. It involves determining the appropriate plane for inserting threads, utilizing resilient tissues, and identifying lax tissues to address facial aging mechanisms effectively.…”

Section: Introductionmentioning

confidence: 99%

Basic concepts in facial and neck thread lifting procedures

Hong,

Kim,

Park

et al. 2024

Skin Research and Technology

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In this review article, our objective is to elucidate fundamental principles and offer practical illustrations concerning the procedures involved in facial and neck thread lifting. Moreover, we aim to explore associated concepts such as the fixing point, hanging point, and anchoring point terminologies, along with the elucidation of vectors. Additionally, we will provide anatomically oriented explanations of the lifting process required for each facial region using thread lifting methods like V, U, and I techniques using floating type threads (Secrete line, Hyundai Meditech., Inc., Wonjusi, Republic of Korea). Furthermore, our intention is to delve deeply into the concepts of tensile strength, anchoring strength, and holding strength, contextualizing their practical applications within this specific field.

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The Importance of Facial Retaining Ligaments’ Preservation During the Subcision

Cited by 7 publications

References 5 publications

Surgical Subcision for Acne Scars: A Review of Instrumentation

Surgical Subcision for Acne Scars: A Review of Instrumentation

Considerações clínicas dos ligamentos de retenção da face: revisão de literatura

Basic concepts in facial and neck thread lifting procedures

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