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Hematoma formation in deep plane rhytidectomy
Archives of Facial Plastic Surgery
|November 14, 2000
Summary
Hematoma formation after deep plane rhytidectomy is a significant concern. This study found a 2.2% major and 6.65% minor hematoma rate in deep plane rhytidectomies, all occurring in the subcutaneous plane.
Area of Science:
- Plastic Surgery
- Facial Reconstructive Surgery
Background:
- Hematoma is a common and serious complication following rhytidectomy.
- Previous studies have focused on hematoma rates with superficial musculoaponeurotic system-platysma techniques.
Purpose of the Study:
- To determine the incidence of hematoma formation specifically after deep plane rhytidectomies.
- To analyze the characteristics and location of hematomas in deep plane rhytidectomy patients.
Main Methods:
- Retrospective review of medical records and surgical worksheets.
- Analysis of 451 consecutive deep plane rhytidectomies performed by a single surgeon.
- Categorization of hematomas into major and minor, and documentation of dissection plane.
Main Results:
- The incidence of major hematoma was 2.2% (10/451).
- The incidence of minor hematoma was 6.65% (30/451).
- All hematomas occurred in the subcutaneous plane of dissection; no facial hematomas were reported.
Conclusions:
- Deep plane rhytidectomy has a defined incidence of hematoma formation.
- Understanding hematoma occurrence in deep plane rhytidectomies aids in risk assessment and patient counseling.
- The subcutaneous plane is the primary site for hematoma development in this procedure.
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