AI Article Synopsis
- The study aimed to identify the optimal face-lift technique by comparing results from monozygotic twins who underwent different incision methods.
- The research involved four sets of identical twins and one set of triplets, with facelifts randomized between a full-incision and a short-scar technique, evaluated by experienced plastic surgeons over time.
- While both approaches showed similar results in the short term, the full-incision technique was found to provide better long-term outcomes specifically in the neck area.
Article Abstract
Background: Choosing the ideal face-lift technique for a patient presents an added challenge for the plastic surgeon. With the multitude of well-established variations of this procedure, it would be beneficial to define which facioplasty technique produces the optimal result. By comparing the postoperative results from two of the most popularized face-lift incision techniques in monozygotic twins, it is hypothesized that the "best" technique may be determined.
Methods: Four sets of identical twins and one set of identical triplets underwent face-lift surgery performed by the senior author (D.E.A.). Incision technique selection was randomized, with the first-born twin undergoing the full-incision operation. Short- and long-term postoperative photographs were taken at approximately 1 and 5 years and subsequently graded by eight board-certified plastic surgeons with over 100 years of combined experience.
Results: Data obtained from this study suggest that no difference between these incisions exists at the shorter term follow-up. However, analysis of the long-term follow-up revealed a significant difference between the average scores assigned to the neck region, with the full-incision technique receiving a higher score.
Conclusions: These findings suggest that at the short-term follow-up, both the short-scar and full-incision techniques yield comparable results. However, at the longer term follow-up, a significant difference appears between the two procedures exclusively in the neck region. Although a shorter incision is appealing to the patient and surgeon, this study suggests that the full incision may offer a superior long-term result in the neck.
Clinical Question/level Of Evidence: Therapeutic, II.
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| http://dx.doi.org/10.1097/PRS.0000000000002229 | DOI Listing |
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