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This review examines facelift surgery adjuncts, finding evidence supports pre-infiltration, fat grafting, and laser resurfacing for safety and efficacy. Other methods like fibrin tissue adhesives and hilotherapy lack compelling evidence.

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Area of Science:

  • Plastic Surgery
  • Surgical Adjuncts

Background:

  • Facelift surgery is a common procedure with significant variability in techniques and adjuncts.
  • Numerous adjunctive measures are employed, but their efficacy is not consistently established.

Purpose of the Study:

  • To review and assess the evidence supporting various adjuncts used in facelift surgery.
  • To provide guidance on the utility and effectiveness of these supplementary procedures.

Main Methods:

  • Systematic review of current literature on facelift surgery adjuncts.
  • Evaluation of evidence for pre-infiltration, drains, fat grafting, fibrin tissue adhesives, hilotherapy, and laser skin resurfacing.

Main Results:

  • Reasonable evidence supports the safety and efficacy of pre-infiltration, fat grafting, and laser skin resurfacing.
  • Drain use may offer some benefit, though it is not considered mandatory.
  • Evidence for fibrin tissue adhesives and hilotherapy is not compelling.

Conclusions:

  • Pre-infiltration, fat grafting, and laser skin resurfacing are recommended adjuncts for selected facelift patients.
  • The role of drains is supportive, while fibrin tissue adhesives and hilotherapy require further investigation.