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Methods for Minimizing Bleeding in Facelift Surgery: An Evidence-based Review.

Ekaterina Tiourin¹, Natalie Barton², Jeffrey E Janis³

¹University of California, Irvine School of Medicine, Irvine, Calif.

Plastic and Reconstructive Surgery. Global Open

|August 16, 2021

Summary

Effective strategies for minimizing bleeding in facelift surgery include managing blood pressure, using tissue sealants, and administering tranexamic acid. These methods significantly reduce hematoma and improve surgical outcomes.

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Area of Science:

Plastic Surgery
Surgical Complications
Evidence-Based Medicine

Background:

Bleeding and hematoma are significant complications in facelift surgery, impacting patient outcomes.
Various techniques are employed to mitigate bleeding, including blood pressure control, compression, drains, sealants, and tranexamic acid.

Purpose of the Study:

To conduct an evidence-based review of methods aimed at minimizing bleeding during facelift surgery.
To evaluate the efficacy of different interventions on bleeding outcomes and hematoma rates.

Main Methods:

A systematic review of the PubMed database was performed following PRISMA guidelines.
Thirty-six studies were analyzed to assess the impact of various bleeding-minimizing techniques on facelift surgery outcomes.

Main Results:

Perioperative blood pressure management, tissue sealants, and tranexamic acid were found effective in reducing hemostasis time, drainage, and hematoma rates.
Drains and wetting solutions showed no significant impact on bleeding, though they may offer other benefits.
Compression dressings did not demonstrate a significant effect on facelift outcome measures.

Conclusions:

Perioperative blood pressure management, tissue sealants, and tranexamic acid are the most effective strategies for achieving hemostasis and preventing hematoma after facelift surgery.