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Facelifting: an initial eight year experience

B M Jones1

  • 1Hospital for Sick Children, London.

British Journal of Plastic Surgery
|June 1, 1995
PubMed
Summary
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This study reviews 137 facelifts, finding SMAS-platysma lifts most common. Hematoma requiring surgery occurred in 3.6% of patients, highlighting a key complication in rhytidectomy procedures.

Area of Science:

  • Plastic Surgery
  • Facial Rejuvenation Techniques

Background:

  • Facelift surgery (rhytidectomy) is a common procedure for facial aging.
  • Variations in surgical techniques exist, impacting outcomes and complication rates.

Purpose of the Study:

  • To analyze the author's initial 8-year experience with various facelift techniques.
  • To identify the most common facelift methods and associated complications.

Main Methods:

  • Retrospective analysis of 137 consecutive facelift procedures.
  • Review of surgical techniques, including SMAS-platysma, skin-only, and subperiosteal lifts.
  • Detailed assessment of complication rates, focusing on hematoma.

Main Results:

  • The most frequent technique was the SMAS-platysma lift (70%).

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  • Skin-only lifts accounted for 24%, and subperiosteal lifts for 6%.
  • Hematoma requiring surgical evacuation was the most common complication, occurring in 3.6% of cases.

    • Conclusions:

    • SMAS-platysma rhytidectomy is a prevalent and effective facelift technique.
    • Awareness and management of potential complications like hematoma are crucial for patient safety in facelift surgery.