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Cervicofacial rhytidoplasty: more does not mean better
Lázaro Cárdenas-Camarena1, Joel Encinas-Brambila, Maria Teresa Guerrero
1Centro Médico Puerta de Hierro, Boulevard Puerta De Hierro 5150, Edificio C Int. 403, Zapopan, Jalisco, Mexico. drlazaro@drlazaocardenas.com
Aesthetic Plastic Surgery
|February 9, 2011
Summary
This study on cervicofacial rhytidoplasty found that limiting tissue undermining and using fewer plication techniques, while incorporating additional procedures, significantly reduced complication rates and recovery time. Patient satisfaction remained high with the refined surgical approach.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation Techniques
- Aesthetic Surgery Outcomes
Background:
- Cervicofacial rhytidoplasty techniques have evolved, focusing on dissection extent and depth.
- This study evaluates a shift in surgical approach for cervicofacial flaccidity over a 15-year period.
- The evolution aimed to optimize results and patient satisfaction in facial rejuvenation.
Observation:
- The initial 6-year period involved extensive supra-SMAS undermining with up to six plication types.
- The subsequent 9-year period significantly limited undermining, utilizing only three plication types and additional procedures.
- Patient demographics included 576 patients (34-78 years old, 498 female, 78 male).
Findings:
- The first period (extensive undermining) had higher complication rates: 2.2% hematomas, 2.7% superficial necrosis, 0.45% deep necrosis, and 25% prolonged edema/ecchymosis.
- The second period (limited undermining) showed reduced complications: 0.84% hematomas, 0.56% superficial necrosis, 0% deep necrosis, and 12% prolonged edema/ecchymosis.
- Despite procedural changes, patient satisfaction remained high in both periods (93% vs. 92%).
Implications:
- Limiting undermining in cervicofacial rhytidoplasty can decrease complication rates and expedite recovery.
- Incorporating additional surgical procedures alongside limited undermining achieves comparable patient satisfaction.
- This refined approach offers a safer and faster recovery for patients seeking facial rejuvenation.
