Facelift in Patients with Massive Weight Loss
This article describes the surgical and medical modifications that need to be considered in the MWL facelift to ensure a successful outcome.
Numerous incisions around the ear have been described and many are used in oral and maxillofacial surgery for procedures involving the temporomandibular joint (TMJ), condylar neck and the parotid, as well as for rhytidectomy.[1-5] Although the traditional pre-auricular and endaural incisions frequently provide an excellent outcome, they do heal with a visible scar.[1,4] The incision we describe aims to refine the incision to further improve this aesthetic outcome. Additionally, surgical procedures around the ear often result in the unpleasant and inconvenient collection of blood or surgical skin preparation in the ear canal.
CLINICS IN PLASTIC SURGERY
The facelift procedure remains the cornerstone for surgical correction of the aging face. Without it, correction of facial aging cannot be complete. Mastery of the facelift operation, or more precisely delivering a consistent result, is clearly the surgeon ’s goal. However, the wide variety of techniques employed and the subjective and short-term nature of many of the results often depicted can leave the surgeon questioning which procedure is best for which patient.
Complications of rhytidectomy are well known, yet often preventable. A thorough preoperative history and physical along with realistic patient expectations provide the surgeon and patient with insight into potential complications and postoperative management. Understanding of surgical pitfalls and avoidance are crucial in beginning to manage facelift complications. Possible complications of facelift techniques should not discourage surgeons from pursuing a particular technique as the majority of complications are temporary. Though, a strong patient-physician relationship is critical when complications occur. Complications ...
This article seeks to explore the evolution of this surgical procedure, focusing on the advances of the most recent 40 years. From minimal intervention to aggressive techniques and back to the minimally invasive again, the authors follow the journey of surgical intervention for facial rejuvenation and discuss some thoughts for the future. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text
Learning Objectives: After studying this article, the participant should be able to: 1. Classify the commonly performed types of face-lift procedures based on the extent of skin incision and face and neck dissection, and superficial musculoaponeurotic system treatment and perform the appropriate amount of skin undermining in variations of superficial musculoaponeurotic system techniques. 2. Select the optimal placement of skin incisions and list the danger zones encountered in face-lift dissection and their relationship to the fat compartments and retaining ligaments. 3. Use fat grafting as an adjunctive procedure to fac...
ConclusionsThe facial mask ages three dimensionally. MMA should be offered to patients who have insufficient skeletal projection and are considering improving their facial appearance beyond just correcting a malocclusion problem. The reverse facelift provides more soft-tissue support, resulting in mid- and lower-face rejuvenation.
Pachydermoperiostosis or primary hypertrophic osteoarthropathy is a rare, genetic syndrome with familial and idiopathic forms characterized by progressive joint effusion associated with pachydermia, periostosal proliferation of the long bones, and finger clubbing. This condition presents with distinctive thickening and furrowing of the skin of the scalp, forehead, and cheeks, enlargement of the distal parts of the extremities, excessive sweating, and severe seborrhea of the scalp and face. This is a case of a 27-year-old man with a 10-year history of acne, seborrhea, joint pains, enlargement of the wrists, fingers, knees, ...
3D printing and digital modeling improve face transplantation for people affected by facial trauma unrepairable by traditional reconstructive surgery.
In this article, the authors set out to lay a foundation for successful perioperative management of the face-lift patient. They describe the changes of normal facial aging in an attempt to help one recognize the universal way the face is affected by aging. Having a clear understanding of these factors may help to guide the physician with procedures necessary to offer the patient for a desired outcome. Also, the authors emphasize the preoperative assessment and postoperative care necessary to ensure a successful, low-risk operation with minimal downtime and beautiful results, meeting the patient ’s expectations.