Background: For treating the aging face, a facelift is the surgical standard. A variety of techniques have been described. The purpose of the current study is to evaluate the safety of the sub-SMAS facelift compared to the subcutaneous facelift with or without SMAS plication.
Methods: A retrospective chart review was conducted on all patients who underwent facelift surgery between 2003 and 2011. Patients included in the study were seeking elective improvement of facial appearance. All charts were reviewed to identify the presence of hematoma, seroma, deep venous thrombosis, skin loss, unfavorable scar, wound infection, or motor and sensory deficit following the operation. The primary outcome was overall complication rate.
Results: A total of 229 facelifts were included; 143 patients underwent a subcutaneous facelift with or without SMAS plication and 86 underwent a sub-SMAS facelift. For the subcutaneous facelifts, 88% of the patients were female with a mean age of 62 years. For the sub-SMAS dissections, 88% of the patients were female with a mean age of 59 years. The overall complication rate was 29.4% (n = 42) for patients who underwent a subcutaneous facelift compared to 24.4% (n = 21) for patients with a sub-SMAS facelift (p = 0.4123). Analysis of each individual complication failed to yield any statistically significant difference between the two groups.
Conclusions: In the present study, sub-SMAS facelift complication rates were not statistically different compared to those of subcutaneous facelift with or without SMAS plication. These data suggest that sub-SMAS dissection can be performed with similar safety compared to the traditional subcutaneous facelift, with the potential additional advantage of the SMAS flap elevation.
Level Of Evidence Iv: This 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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http://dx.doi.org/10.1007/s00266-015-0558-9 | DOI Listing |
Cureus
November 2024
Department of Community Medicine, Al-Rayan National College of Medicine, Madinah, SAU.
Plast Reconstr Surg Glob Open
December 2024
From the Plastic and Reconstructive Surgery Department, Tanta University, Tanta, Egypt.
Background: Enhancing neck contour is a primary goal for individuals seeking facial and neck rejuvenation. However, the literature on deep neck sculpture and its potential complications is scarce.
Methods: The records of 641 patients with deep plane neck lift and deep tissue sculpture were reviewed retrospectively between 2014 and 2023.
Aesthetic Plast Surg
December 2024
Hôpital Privé Sainte Marie, 4 Allée de Saint Jean des Vignes, 71100, Chalon sur Saône, France.
Background: Most facelift techniques have limited effect on the nasolabial fold and the more medial part of the face. The facial rejuvenation enhancing cheek (FRENCH) lift can treat both jowl sagging and midface deflation by a monobloc vertical and oblique displacement of the anterior column of the face through an extended subcutaneous dissection.
Objectives: To explain the surgical technique and to show its efficacy on the nasolabial fold, jawline and infraorbital rim.
Dermatol Surg
December 2024
UnionDerm, New York, New York.
Background: Plastic surgery colleagues have expressed unconfirmed concerns regarding the deleterious implications of noninvasive energy-based therapies for skin laxity, such as microfocused ultrasound with visualization (MFU-V), on preexisting facial fat or subsequent surgical facelifts.
Objective: The authors conducted a systematic review to summarize treatment-related adverse events (TRAEs) following MFU-V and elucidate their impact on future rhytidectomies.
Materials And Methods: The authors performed a PubMed/MEDLINE search using the keywords "MFU-V," "fat loss," "adverse events," "facelift," and their derivatives.
Ann Chir Plast Esthet
November 2024
Service de chirurgie plastique, reconstructrice et esthétique, hôpital de la Croix-Rousse, hospices civils de Lyon, 103, Grande rue de la Croix-Rousse, 69004 Lyon, France; Faculté de médecine Lyon Est, université Claude-Bernard Lyon 1, 8, avenue Rockefeller, 69003 Lyon, France.
The aesthetics of the periorbital region are significantly influenced by the position of the eyebrows, forehead wrinkles, and upper eyelid ptosis, with aging-related eyebrow ptosis playing a major role. Brow lift surgery has seen a marked increase in popularity, driven by a variety of techniques tailored to individual patient needs. The 'gliding brow lift' technique, which employs a minimally invasive subcutaneous approach using a hemostatic net, represents a recent advancement in eyebrow rejuvenation.
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