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Hematoma formation in deep plane rhytidectomy.

F M Kamer¹, A U Song

¹Lasky Clinic, Beverly Hills, California, USA.

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.

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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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