| Abstract | BACKGROUND: Short-scar rhytidectomies offer patients with mild to moderate facial aging an alternative to traditional face-lift surgery. Advantages of decreased recovery time, diminished risk, and decreased cost make this an attractive procedure to add to a cosmetic surgery practice. METHODS: This study is a review of 1,000 consecutive short-scar rhytidectomies performed over 36 months with at least 6 months of follow-up. All patients underwent short-scar rhytidectomy with SMAS suspension. Outcome parameters examined included complications or adverse events and any interventions necessary. RESULTS: The most common complication was suture extrusion, observed in 148 patients (14.8%). Ten patients had hematomas (1%), while postauricular nodules were observed in 8 patients (0.8%). Eight patients (0.8%) required liposuction under local anesthesia to address asymmetry due to under removal of fat in the submental region. Revision rhytidectomy was required in 5 patients (0.5%). Five patients (0.5%) had hypertrophic scarring, while 1 patient (0.1%) developed hyperpigmentation. There were no cases of nerve injury, infection, skin flap necrosis, skin puckering or depression, hair loss, or parotid injury. CONCLUSION: Short-scar rhytidectomy is an excellent procedure for good candidates with mild to moderate aging of the face. It has a very low complication rate and can be done safely in an office environment. |
| Authors | Neil Tanna, William H Lindsey
(Affiliation: Division of Otolaryngology-Head & Neck Surgery, The George Washington University, Washington, DC, USA. ntanna at gwu.edu)
|
| Journal | Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
(Dermatol Surg)
Vol. 34
Issue 2
Pg. 196-202; discussion 202-3
(Feb 2008)
ISSN: 1524-4725 United States |
| PMID | 18093201
(Publication Type: Journal Article)
|
| Topics |
- Adult
- Aged
- Aged, 80 and over
- Cicatrix
(prevention & control)
- Female
- Follow-Up Studies
- Humans
- Male
- Middle Aged
- Patient Satisfaction
- Rejuvenation
- Retrospective Studies
- Rhytidoplasty
(methods)
- Skin Aging
- Surgical Procedures, Minimally Invasive
(methods)
- Suture Techniques
- Time Factors
|
