Tanna Neil, Lindsey William H
Division of Otolaryngology-Head & Neck Surgery, The George Washington University, Washington, DC, USA.
Dermatol Surg. 2008 Feb;34(2):196-202; discussion 202-3. doi: 10.1111/j.1524-4725.2007.34037.x. Epub 2007 Dec 17.
Short-scar rhytidectomies offer patients with mild to moderate facial aging an alternative to traditional face-lift surgery. Advantages of decreased recovery time, diminished risk, and decreased cost make this an attractive procedure to add to a cosmetic surgery practice.
This study is a review of 1,000 consecutive short-scar rhytidectomies performed over 36 months with at least 6 months of follow-up. All patients underwent short-scar rhytidectomy with SMAS suspension. Outcome parameters examined included complications or adverse events and any interventions necessary.
The most common complication was suture extrusion, observed in 148 patients (14.8%). Ten patients had hematomas (1%), while postauricular nodules were observed in 8 patients (0.8%). Eight patients (0.8%) required liposuction under local anesthesia to address asymmetry due to under removal of fat in the submental region. Revision rhytidectomy was required in 5 patients (0.5%). Five patients (0.5%) had hypertrophic scarring, while 1 patient (0.1%) developed hyperpigmentation. There were no cases of nerve injury, infection, skin flap necrosis, skin puckering or depression, hair loss, or parotid injury.
Short-scar rhytidectomy is an excellent procedure for good candidates with mild to moderate aging of the face. It has a very low complication rate and can be done safely in an office environment.
短切口除皱术为轻至中度面部衰老患者提供了一种替代传统面部提升手术的选择。恢复时间缩短、风险降低和成本降低等优点使得该手术成为整形手术业务中一项有吸引力的术式。
本研究回顾了在36个月内连续进行的1000例短切口除皱术，随访时间至少6个月。所有患者均接受了带SMAS悬吊的短切口除皱术。检查的结果参数包括并发症或不良事件以及任何必要的干预措施。
最常见的并发症是缝线外露，148例患者（14.8%）出现该情况。10例患者出现血肿（1%），8例患者出现耳后结节（0.8%）。8例患者（0.8%）因颏下区域脂肪去除不足导致不对称，需要在局部麻醉下进行吸脂。5例患者（0.5%）需要进行除皱术修复。5例患者（0.5%）出现增生性瘢痕，1例患者（0.1%）出现色素沉着。未发生神经损伤、感染、皮瓣坏死、皮肤褶皱或凹陷、脱发或腮腺损伤的病例。
短切口除皱术对于轻至中度面部衰老的合适患者是一种极佳的手术方式。其并发症发生率非常低，且可在门诊环境中安全进行。
