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International interdisciplinary rhytidectomy survey
D Heath Stacey1, Jeremy P Warner, Anil Duggal
1Division of Plastic and Reconstructive Surgery, University of Wisconsin Hospitals and Clinics, Madison, WI, USA. dheathstacey@gmail.com
Annals of Plastic Surgery
|March 13, 2010
Summary
Facelift surgery techniques vary globally among plastic surgeons (PS) and facial plastic surgeons (FPS). International surgeons favor suture imbrication for the submuscular aponeurotic system more than US or Canadian peers.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation Surgery
Background:
- Facial rhytidectomy (facelift) techniques differ significantly among practitioners.
- Understanding international trends is crucial for standardizing practices and improving patient outcomes.
Purpose of the Study:
- To elucidate current international trends in facelift surgery.
- To identify variations in patient selection, operative techniques, and postoperative care.
- To compare practices between plastic surgeons (PS) and facial plastic surgeons (FPS), and across geographical regions.
Main Methods:
- A 43-item electronic questionnaire was distributed to 7247 members of major surgical societies.
- The survey targeted background information, intraoperative techniques, and postoperative care.
- Response rate was 11.4%, with a majority of respondents from the US.
Main Results:
- Significant differences were observed in the use of minimally invasive adjuvant treatments between PS and FPS, and among US, Canadian, and international surgeons.
- Suture imbrication for the submuscular aponeurotic system was more common among international surgeons (49.6%) than US/Canadian surgeons (37.7%).
- Variations were noted in managing smoking patients and in postoperative care protocols.
Conclusions:
- Differences persist in facelift techniques and perioperative management between FPS and PS, and across US, Canadian, and international surgeons.
- Addressing these variations is essential for outcome measurement and establishing best practice patterns.
- This data serves as a valuable resource for surgeons, particularly those early in their careers.
