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Postoperative revisits and readmissions after facelift surgery
Linda N Lee1,2, Olivia Quatela1, Neil Bhattacharyya2
1Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, U.S.A.
The Laryngoscope
|September 9, 2018
Summary
The 30-day revisit rate after rhytidectomy surgery is low at 3.6%. Hematoma was the most frequent reason for patients needing further medical attention post-surgery.
Area of Science:
- Plastic Surgery
- Surgical Outcomes
- Patient Safety
Background:
- Rhytidectomy (facelift) is a common procedure for facial aging.
- Understanding postoperative revisit and readmission rates is crucial for optimizing patient care.
- Previous data on 30-day outcomes for rhytidectomy is limited.
Purpose of the Study:
- To determine the 30-day revisit and readmission rates following rhytidectomy.
- To identify the primary reasons for these postoperative revisits and readmissions.
Main Methods:
- Cross-sectional analysis of multistate ambulatory surgery and hospital databases (2010-2011).
- Extraction of 6,089 ambulatory rhytidectomy cases.
- Linking cases to emergency department and inpatient databases for 30-day postoperative follow-up.
Main Results:
- A total of 6,089 rhytidectomy cases were analyzed (87.9% female, mean age 61.1 years).
- The overall 30-day revisit rate was 3.6%.
- Hematoma (17.0%) was the most common reason for revisit, followed by fever/nausea/diarrhea and urinary tract infection (4.1% each).
Conclusions:
- The 30-day revisit rate after rhytidectomy is low.
- Hematoma is the primary driver of postoperative revisits.
- These findings can inform perioperative management to reduce unplanned healthcare utilization.

