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Rhytidectomy

  • Aaron S. Farberg
  • Daniel Bernstein
  • Gian Vinelli
  • Hooman KhorasaniEmail author
Chapter

Abstract

The goal of the facelift , or rhytidectomy, is to restore the anatomical changes which occur through the natural process of aging. There are a variety of surgical techniques the cosmetic surgeon can utilize to accomplish this restoration. These rejuvenating procedures can be performed in the ambulatory, office-based setting with local anesthesia and optional sedation.

Keywords

Rhytidectomy Facelift Suspension suture SMAS Indications Technique Safety Efficacy 

References

  1. 1.
    Duffy MJ, Friedland JA. The superficial-plane rhytidectomy revisited. Plast Reconstr Surg. 1994;93:1392–403. discussion 1404–1405.CrossRefPubMedGoogle Scholar
  2. 2.
    Robbins LB, Brothers DB, Marshall DM. Anterior SMAS plication for the treatment of prominent nasomandibular folds and restoration of normal cheek contour. Plast Reconstr Surg. 1995;96:1279–87.CrossRefPubMedGoogle Scholar
  3. 3.
    Baker DC. Lateral SMASectomy. Plast Reconstr Surg. 1997;100:509–13.CrossRefPubMedGoogle Scholar
  4. 4.
    Barton FE Jr, Hunt J. The high-superficial musculoaponeurotic system technique in facial rejuvenation: an update. Plast Reconstr Surg. 2003;112:1910–7.CrossRefPubMedGoogle Scholar
  5. 5.
    Fulton JE, Saylan Z, Helton P, Rahimi AD, Golshani M. The S-lift facelift featuring the U-suture and O-suture combined with skin resurfacing. Dermatol Surg. 2001;27:18–22.PubMedGoogle Scholar
  6. 6.
    Tonnard P, et al. Minimal access cranial suspension lift: a modified S-lift. Plast Reconstr Surg. 2002;109:2074–86.CrossRefPubMedGoogle Scholar
  7. 7.
    Gupta V, Winocour J, Shi H, Shack RB, Grotting JC, Higdon KK. Preoperative risk factors and complication rates in facelift: analysis of 11,300 patients. Aesthet Surg J. 2016;36(1):1–13.CrossRefPubMedGoogle Scholar
  8. 8.
    Martén E, Langevin CJ, Kaswan S, Zins JE. The safety of rhytidectomy in the elderly. Plast Reconstr Surg. 2011;127:2455–63.CrossRefPubMedGoogle Scholar
  9. 9.
    Becker F, Castellano RD. Safety of face-lifts in the older patient. Arch Facial Plast Surg. 2004;6:311–4.CrossRefPubMedGoogle Scholar
  10. 10.
    Abboushi N, Yezhelyev M, Symbas J, Nahai F. Facelift complications and the risk of venous thromboembolism: a single center’s experience. Aesthet Surg J. 2012;32:413–20.CrossRefPubMedGoogle Scholar
  11. 11.
    Rees TD, Liverett DM, Guy CL. The effect of cigarette smoking on skin-flap survival in the face lift patient. Plast Reconstr Surg. 1984;73:911–5.CrossRefPubMedGoogle Scholar
  12. 12.
    Riefkohl R, Wolfe JA, Cox EB, McCarty KS. Association between cutaneous occlusive vascular disease, cigarette smoking, and skin slough after rhytidectomy. Plast Reconstr Surg. 1986;77:592–5.CrossRefPubMedGoogle Scholar
  13. 13.
    Grover R, Jones BM, Waterhouse N. The prevention of haematoma following rhytidectomy: a review of 1078 consecutive facelifts. Br J Plast Surg. 2001;54:481–6.CrossRefPubMedGoogle Scholar
  14. 14.
    Baker D, Stefani W, Chiu E. Reducing the incidence of hematoma requiring surgical evacuation following male rhytidectomy: a 30-year review of 985 cases. Plast Reconstr Surg. 2005;116:1973–85.CrossRefPubMedGoogle Scholar
  15. 15.
    Abboushi N, Yezhelyev M, Symbas J, Nahai F. Facelift complications and the risk of venous thromboembolism: a single center’s experience. Aesthet Surg J. 2012;32:413–20.CrossRefPubMedGoogle Scholar
  16. 16.
    Dauwe PB, Pulikkottil BJ, Scheuer JF, Stuzin JM, Rohrich RJ. Infection in face-lift surgery: an evidenced-based approach to infection prevention. Plast Reconstr Surg. 2015;135(58e):58e–66e.CrossRefPubMedGoogle Scholar
  17. 17.
    Mustoe T, Park E. Evidence-based medicine: face lift. Plast Reconstr Surg. 2014;133:1206–13.CrossRefPubMedGoogle Scholar
  18. 18.
    Tanna N, Lindsey WH. Review of 1,000 consecutive short-scar rhytidectomies. Dermatol Surg. 2008;34:196–202. discussion 202–3.CrossRefPubMedGoogle Scholar
  19. 19.
    LeRoy JL Jr, Rees TD, Nolan WB III. Infections requiring hospital readmission following face lift surgery: incidence, treatment, and sequelae. Plast Reconstr Surg. 1994;93:533–6.CrossRefPubMedGoogle Scholar
  20. 20.
    Rees TD, Barone CM, Valauri FA, Ginsberg GD, Nolan WB III. Hematomas requiring surgical evacuation following face lift surgery. Plast Reconstr Surg. 1994;93:1185–90.CrossRefPubMedGoogle Scholar
  21. 21.
    Chang S, Pusic A, Rohrich RJ. A systematic review of comparison of efficacy and complication rates among face-lift techniques. Plast Reconstr Surg. 2011;127:423–33.CrossRefPubMedGoogle Scholar
  22. 22.
    Ivy EJ, Lorenc ZP, Aston SJ. Is there a difference? A prospective study comparing lateral and standard SMAS face lifts with extended SMAS and composite rhytidectomies. Plast Reconstr Surg. 1996;98:1135–43. discussion 1144–7.CrossRefPubMedGoogle Scholar
  23. 23.
    Prado A, Andrades P, Danilla S, Castillo P, Leniz P. A clinical retrospective study comparing two short-scar face lifts: minimal access cranial suspension versus lateral SMASectomy. Plast Reconstr Surg. 2006;117:1413–25. discussion 1426–7.CrossRefPubMedGoogle Scholar
  24. 24.
    Kamer FM, Frankel AS. SMAS rhytidectomy versus deep plane rhytidectomy: an objective comparison. Plast Reconstr Surg. 1998;102:878–81.CrossRefPubMedGoogle Scholar
  25. 25.
    Eremia S, Umar SH, Li CY. Prevention of temporal alopecia following rhytidectomy: the prophylactic use of minoxidil. A study of 60 patients. Dermatol Surg. 2002;28:66–74.PubMedGoogle Scholar
  26. 26.
    Leist FD, Masson JK, Erich JB. A review of 324 rhytidectomies, emphasizing complications and patient dissatisfaction. Plast Reconstr Surg. 1977;59:525–9.CrossRefPubMedGoogle Scholar
  27. 27.
    Zoumalan R, Rizk SS. Hematoma rates in drainless deep-plane face-lift surgery with and without the use of fibrin glue. Arch Facial Plast Surg. 2008;10:103–7.PubMedGoogle Scholar
  28. 28.
    Por YC, Shi L, Samuel M, Song C, Yeow VK. Use of tissue sealants in face-lifts: a meta-analysis. Aesthet Plast Surg. 2009;33:336–9.CrossRefGoogle Scholar
  29. 29.
    Jones BM, Grover R, Hamilton S. The efficacy of surgical drainage in cervicofacial rhytidectomy: a prospective, randomized, controlled trial. Plast Reconstr Surg. 2007;120:263–70.CrossRefPubMedGoogle Scholar
  30. 30.
    Owsley JQ, Weibel TJ, Adams WA. Does steroid medication reduce facial edema following face lift surgery? A prospective, randomized study of 30 consecutive patients. Plast Reconstr Surg. 1996;98:1–6.CrossRefPubMedGoogle Scholar
  31. 31.
    Moyer JS. Complications of facelifts and ancillary facial cosmetic procedures. In: Nouri K, editor. Complications in dermatologic surgery. Philadelphia: Mosby Elsevier; 2008. Print.Google Scholar
  32. 32.
    Daane SP, Owsley JQ. Incidence of cervical branch injury with “marginal mandibular nerve pseudo-paralysis” in patients undergoing face lift. Plast Reconstr Surg. 2003;111(7):2414–8.CrossRefPubMedGoogle Scholar
  33. 33.
    Villa MT, White LE, Alam M, Yoo SS, Walton RL. Barbed sutures: a review of the literature. Plast Reconstr Surg. 2008;121(3):102–8.CrossRefGoogle Scholar
  34. 34.
    Kaminer MS, Bogart M, Choi C, Wee SA. Long-term efficacy of anchored barbed sutures in the face and neck. Dermatol Surg. 2008;34:1041–7.PubMedGoogle Scholar
  35. 35.
    Sulamanidze M, Sulamanidze G, Vozdvizhensky I, Sulamanidze C. Avoiding complications with aptos sutures. Aesthet Surg J. 2011;31(8):863–73.CrossRefPubMedGoogle Scholar
  36. 36.
    Bisaccia E, Kadry R, Saap L, Rogachefsky A, Scarborough D. A novel specialized suture and inserting device for the resuspension of ptotic facial tissues: early results. Dermatol Surg. 2009;35:645–50.CrossRefPubMedGoogle Scholar
  37. 37.
    Eremia S, Willoughby MA. Novel face-lift suspension suture and inserting instrument: use of large anchors knotted into a suture with attached needle and inserting device allowing for single entry point placement of suspension suture. Preliminary report of 20 cases with 6-to 12-month follow-up. Dermatol Surg. 2006;32:335–45.PubMedGoogle Scholar
  38. 38.
    Garvey PB, Ricciardelli EJ, Gampper T. Outcomes in threadlift for facial rejuvenation. Ann Plast Surg. 2009;62:482–5.CrossRefPubMedGoogle Scholar
  39. 39.
    Khawaja HA, Hernandez-Perez E. Transcutaneous face-lift. Dermatol Surg. 2005;31:453–7.CrossRefPubMedGoogle Scholar
  40. 40.
    Bisaccia E, Khan AJ, Scarborough DA. Anterior face- lift for correction of middle face aging utilizing a minimally invasive technique. Dermatol Surg. 2004;30:769–76.PubMedGoogle Scholar
  41. 41.
    Niamtu J III. The subcutaneous brow- and forehead- lift: a face-lift for the forehead and brow. Dermatol Surg. 2008;34:1350–61. discussion 1362.PubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Aaron S. Farberg
    • 1
  • Daniel Bernstein
    • 1
  • Gian Vinelli
    • 1
  • Hooman Khorasani
    • 2
    Email author
  1. 1.Icahn School of Medicine at Mount SinaiNew YorkUSA
  2. 2.Division of Dermatologic and Cosmetic SurgeryMount Sinai Health SystemNew YorkUSA

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