The Use of Tranexamic Acid in Facial Cosmetic Surgery Procedures: A Technical Note

Area of Science:

• Plastic Surgery
• Anesthesiology
• Pharmacology

Background:

• Tranexamic acid (TXA) is a well-established antifibrinolytic agent primarily used in dentoalveolar surgery.
• Recent interest has emerged regarding its application in facial cosmetic procedures.
• Limited research exists on local infiltrative TXA use, particularly for rhytidectomy.

Purpose of the Study:

• To describe a technical note on utilizing lower concentrations of TXA within tumescent anesthesia.
• To evaluate the efficacy of this technique in various facial cosmetic procedures.
• To report on the impact of TXA on hemostasis and postoperative recovery.

Main Methods:

• Implementation of TXA at reduced concentrations in tumescent anesthesia solutions.
• Application across a range of facial cosmetic surgical procedures.
• Observational assessment of intraoperative and postoperative outcomes.

Main Results:

• Demonstrated improved intraoperative hemostasis.
• Observed a significant reduction in intraoperative bleeding.
• Noted a profound decrease in postoperative ecchymosis, edema, and seroma formation.

Conclusions:

• Local infiltration of TXA in tumescent anesthesia is a viable adjunct for facial cosmetic surgery.
• This technique effectively enhances hemostasis and minimizes common postoperative complications.
• Further investigation into optimal concentrations and broader applications is warranted.