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Related Experiment Videos

A second look at the second-look technique in face lifts

P L Schnur1, J Weinzweig

  • 1Division of Plastic and Reconstructive Surgery, Mayo Clinic Scottsdale, Ariz, USA.

Plastic and Reconstructive Surgery
|December 1, 1995
PubMed
Summary

The "second-look" technique does not significantly reduce hematoma risk after facelift surgery when meticulous hemostasis and specific epinephrine infiltration are used. This finding impacts surgical protocols for preventing facelift complications.

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Area of Science:

  • Plastic Surgery
  • Surgical Complications

Background:

  • Hematoma is a significant complication following facelift surgery, potentially leading to poor outcomes.
  • Preventive strategies include various hemostatic techniques and the "second-look" procedure.

Purpose of the Study:

  • To evaluate the efficacy of the "second-look" technique in preventing postoperative hematoma after facelift surgery.

Main Methods:

  • A series of 82 facelifts were performed using a modified Marcaine/epinephrine infiltration technique without the "second-look" procedure.
  • Comparison of hematoma incidence with historical data using the "second-look" technique.

Main Results:

  • The modified technique without the "second-look" procedure resulted in a 7.3% incidence of hematoma formation.

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  • This incidence is comparable to the 6.7% rate previously observed with the "second-look" technique.

    • Conclusions:

    • The "second-look" technique offers no significant advantage over meticulous hemostasis and specific epinephrine infiltration in preventing facelift hematomas.
    • Optimized hemostasis and anesthetic techniques are crucial for minimizing this complication.