Optimizing Aesthetic Facial Surgery Outcomes Following Minimally Invasive Treatments: Guidelines for Perioperative...

Area of Science:

• Aesthetic Medicine
• Plastic Surgery
• Dermatology

Background:

• Minimally invasive treatments (MITs) are increasingly popular in aesthetic medicine.
• Their impact on subsequent facial surgeries, like facelifts, is not well-documented.
• This presents challenges for surgical planning and patient outcomes.

Purpose of the Study:

• To explore how various MIT modalities influence outcomes of subsequent facial surgeries.
• To develop evidence-based guidelines for perioperative management of patients with a history of MITs.
• To optimize both aesthetic and functional results for these patients.

Main Methods:

• A comprehensive literature review was conducted by an expert panel.
• Author surveys and case-based discussions were utilized.
• Consensus on recommendations was achieved with ≥75% agreement.

Main Results:

• Complication risks vary significantly by MIT modality.
• Biostimulatory injectables, temporary fillers, and superficial energy-based devices (EBDs) pose lower risks.
• Permanent fillers, deep EBDs, and recent threads/temporary fillers are associated with higher risks.

Conclusions:

• Patients with prior MITs can undergo facelifts with appropriate perioperative strategies.
• Guidelines address risks like plane distortion and vascular compromise.
• Individualized approaches are crucial due to limited data on MIT-surgery interactions.