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Related Experiment Videos

The two-stage face lift.

B Hirshowitz

    British Journal of Plastic Surgery
    |April 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Skin creep, or stretching, is the most common reason for face-lift patients feeling they have inadequate lift. This phenomenon necessitates a potential second surgery to resect additional skin, often requiring a conservative incision.

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    Area of Science:

    • Plastic Surgery
    • Dermatology
    • Biomechanical Engineering

    Background:

    • Skin creep, a phenomenon of tissue stretching under tension, is a significant factor in post-facelift outcomes.
    • Inadequate lift is the most frequent postoperative complaint among patients undergoing facelifts.

    Purpose of the Study:

    • To explain the underlying cause of inadequate lift following facelifts.
    • To describe the implications of skin creep for surgical planning and patient expectations.

    Main Methods:

    • Observational analysis of skin behavior under tension post-facelift.
    • Clinical assessment of patient complaints and surgical outcomes.

    Main Results:

    • Skin creep occurs within hours of a facelift but is initially masked by edema.

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  • A second surgical stage may require re-excision of a substantial amount of skin.
  • Conservative facelift incisions, preserving sideburns, facilitate staged procedures.

    • Conclusions:

    • Skin creep is the primary driver of perceived inadequate lift after facelifts.
    • Staged surgical approaches, utilizing conservative incisions, can effectively address skin creep.
    • Managing patient expectations regarding potential secondary procedures is crucial.