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Facelift Surgery Following Superficial Parotidectomy: Is it Safe?
Andi J Cummins1, Christopher C Surek2, Ali H Charafeddine3
1Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Aesthetic Plastic Surgery
|January 26, 2020
Summary
Facelift surgery after superficial parotidectomy is safe, with no permanent facial nerve injury in seven patients. Careful consideration of nerve location, contour, and scars ensures successful facial rejuvenation.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation
- Head and Neck Surgery
Background:
- Patients undergoing facelift after superficial parotidectomy present unique challenges.
- Potential risks include altered facial nerve anatomy, contour deformities, and scarring.
Purpose of the Study:
- To assess the safety and morbidity of facelift surgery in patients with a history of superficial parotidectomy.
- To develop an evidence-based treatment algorithm for this specific patient group.
Main Methods:
- Retrospective case series of seven patients undergoing facelift after superficial parotidectomy (2000-2017).
- Data collected on facial nerve deficits, contour/scar deformities, surgical techniques, and augmentation procedures.
- Nerve monitoring and stimulation used in all cases.
Main Results:
- Facelift was safely performed in all seven patients.
- No permanent postoperative facial nerve injury was observed.
- Surgical modifications and soft tissue augmentation were utilized as needed.
Conclusions:
- Facelift surgery is a safe option for patients with prior superficial parotidectomy.
- Meticulous attention to facial nerve location, contour irregularities, and scar management is crucial.
- Proper surgical approach allows these patients to be suitable candidates for facial rejuvenation.
