Three-Dimensional Analysis of Long-Term Midface Volume Change After Vertical Vector Deep-Plane Rhytidectomy

Jacono, Andrew A.; Malone, Melanie H.; Talei, Benjamin

doi:10.1093/asj/sju171

Cited by 51 publications

(31 citation statements)

References 21 publications

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“…Each scale is a five-point photo-numeric scale based on computer-simulated photographs incorporating each of the aspects to be evaluated in a stepwise manner. Other methods have also been proposed as valuable tools in aesthetics, such as the VISIA Complexion Analysis System (Canfield Imaging Systems, Fairfield, NJ) [33] or the Vectra 3D imaging software (Canfield Scientific, Inc. Fairfield, New Jersey) [34]. The Mid-Face Volume Deficit Scale (MVDS) is an Allergan® specific scale that uses a six-point photo-numeric instrument specifically developed as a physician’s assessment tool to evaluate overall degree of the volume deficit of the mid-face, from 0 (none) through to 6 or severe (Fig.…”

Section: Resultsmentioning

confidence: 99%

Preventing the Complications Associated with the Use of Dermal Fillers in Facial Aesthetic Procedures: An Expert Group Consensus Report

Urdiales-Gálvez

Delgado²,

Figueiredo³

et al. 2017

Aesth Plast Surg

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BackgroundThe use of dermal fillers in minimally invasive facial aesthetic procedures has become increasingly popular of late, yet as the indications and the number of procedures performed increase, the number of complications is also likely to increase. Paying special attention to specific patient characteristics and to the technique used can do much to avoid these complications. Indeed, a well-trained physician can also minimize the impact of such problems when they do occur.MethodsA multidisciplinary group of experts in aesthetic treatments reviewed the main factors associated with the complications that arise when using dermal fillers. A search of English, French and Spanish language articles in PubMed was performed using the terms “complications” OR “soft filler complications” OR “injectable complications” AND “dermal fillers”. An initial document was drafted that reflected the complications identified and recommendations as to how they should be handled. This document was then reviewed and modified by the expert panel, until a final text was agreed upon and validated.ResultsThe panel addressed consensus recommendations about the preparation, the procedure and the post-procedural care. The panel considered it crucial to obtain an accurate medical history to prevent potential complications. An additional clinical assessment, including standardized photography, is also crucial to evaluate the outcomes and prevent potential complications. Furthermore, the state of the operating theatre, the patient’s health status and the preparation of the skin are critical to prevent superficial soft tissue infections. Finally, selecting the appropriate technique, based on the physician’s experience, as well as the characteristics of the patient and filler, helps to ensure successful outcomes and limits the complications.ConclusionsThis consensus document provides key elements to help clinicians who are starting to use dermal fillers to employ standard procedures and to understand how best to prevent potential complications of the treatment.Level of Evidence VThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Section: Resultsmentioning

confidence: 99%

Preventing the Complications Associated with the Use of Dermal Fillers in Facial Aesthetic Procedures: An Expert Group Consensus Report

Urdiales-Gálvez

Delgado²,

Figueiredo³

et al. 2017

Aesth Plast Surg

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“…The purse-string technique was first described by Salyan, but was expanded upon in the early 2000s by Tonnard and Verpaele. [9][10][11] Use of such purse-string techniques did not gain in popularity, but with further publications by Tonnard and Verpaele, more surgeons added the MACS-lift to their armamentarium, using such a lift in patients with more limited facial aging changes. The common criticism of the MACS-lift was in questioning its longevity and the fact that, as Tonnard and Verpaele have described their technique, there is very limited neck intervention.…”

Section: Discussionmentioning

confidence: 99%

The Extended Purse-String Rhytidectomy

Obourn

Frodel²

2018

Facial plast Surg

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Facelifts remain a critical part of a facial plastic surgeon's cosmetic practice. Techniques continue to evolve, while at the same time patients demand less invasive procedures with less morbidity. The authors present a facelift plication technique using wide purse-string sutures placed into the superficial musculoaponeurotic system and platysma. This is a retrospective review with a level of evidence 3 set at a medical spa and tertiary referral center designed to assess a purse-string suture technique using an inner followed by an outer purse-string, with refinements being made during the timeframe of the review. One hundred and eighteen patients were reviewed and 95 were included in the study given the inclusion criteria of a minimum of 1-year follow-up. Based on the subjective judgment of the primary surgeon, 37 patients were found to have excellent results, while 43 patients were judged as having good results. The judgment was based on the physical exam improvement of the aging aspects of the patient, and patient satisfaction. Ten patients displayed fair results (the patients were marginally happy), and five patients were noted to have poor results (they were notably unhappy). Complications included eight hematomas, five patients with prominent scars, and one patient with skin loss in the temple region. There were no cases of facial nerve injury. The extended purse-string rhytidectomy is a good alternative to traditional facelift techniques. This offers a plication method that results in the vertical vector that is now considered of paramount importance with all facelifts. The authors feel that it is a valuable tool that can be considered in most patients presenting for aging face surgery.

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“…The surgical technique used in this study was a deep-plane rhytidectomy dissection as described by Hamra,4 but with the modifications of a vertical vector of the composite flap redraping as well as extension of the deep-plane below the angle of the mandible into the neck. 6,[8][9][10] Briefly, after subcutaneous elevation of the facelift skin flap from the auricular incision to a line drawn from the lateral canthus to the angle of the mandible, the deep plane is entered sharply with a 10 blade followed by blunt dissection. In the inferior cheek the skin and SMAS are elevated as a composite unit in the sub-SMAS plane.…”

Section: Methodsmentioning

confidence: 99%

The Effect of Midline Corset Platysmaplasty on Degree of Face-lift Flap Elevation During Concomitant Deep-Plane Face-lift

Jacono

Malone

2016

JAMA Facial Plast Surg

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Three-Dimensional Analysis of Long-Term Midface Volume Change After Vertical Vector Deep-Plane Rhytidectomy

Abstract: 4 Therapeutic.

Cited by 51 publications

References 21 publications

Preventing the Complications Associated with the Use of Dermal Fillers in Facial Aesthetic Procedures: An Expert Group Consensus Report

Preventing the Complications Associated with the Use of Dermal Fillers in Facial Aesthetic Procedures: An Expert Group Consensus Report

The Extended Purse-String Rhytidectomy

The Effect of Midline Corset Platysmaplasty on Degree of Face-lift Flap Elevation During Concomitant Deep-Plane Face-lift

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