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Published on: August 11, 2015
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Superficial Temporal Artery Pseudoaneurysm following Midface Thread-lift
Yosuke Niimi1, Nami Hayakawa1, Wataru Kamei1
1Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Tokyo, Japan.
Plastic and Reconstructive Surgery. Global Open
|April 19, 2021
Summary
Facial thread-lifting can cause rare but serious complications like superficial temporal artery pseudoaneurysms (STAP). Surgical resection is the primary treatment, highlighting the need for physician training in facial anatomy.
Area of Science:
- Plastic Surgery
- Vascular Surgery
- Medical Complications
Background:
- Facial thread-lifting is a popular cosmetic procedure known for its minimal downtime.
- Complications can arise, particularly when procedures are performed in non-specialized settings.
- Iatrogenic injuries, such as vascular pseudoaneurysms, are potential risks.
Observation:
- A case report details a 27-year-old male who developed a pre-auricular mass after a thread-lift.
- The mass was diagnosed as a superficial temporal artery pseudoaneurysm (STAP) via MRI.
- The patient presented three months post-procedure with a painless, pulsating swelling.
Findings:
- Surgical resection of the iatrogenic STAP was performed successfully.
- Microsurgical reconstruction of the superficial temporal artery was achieved.
- Surgical resection is considered the preferred treatment for STAP.
Implications:
- This case underscores the importance of specialized training for physicians performing facial thread-lifts.
- Awareness of facial and neck anatomy is crucial to prevent iatrogenic vascular injuries.
- Proper patient selection and procedural technique are vital for minimizing complications like STAP.
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