Castillo-Campos Porfirio
Aesthet Surg J Open Forum. 2022 Jul 8;4:ojac059. doi: 10.1093/asjof/ojac059. eCollection 2022.
In the present report, an innovative alternative approach for rhytidoplasty is described. Rhytidoplasty Through Minimal Incisions (Rhythmic) is an effective, efficient, safe, and reproducible alternative procedure for facial rejuvenation. It has several advantages over traditional procedures.
The main objective of this report is to describe the surgical technique of Rhythmic.
The surgical technique for the foreheadplasty requires only a transverse ~7-mm incision ~1 cm behind the hairline at the midline. The upper and lower blepharoplasty are made with incisions of ~3 mm, and no suture is needed. Liposuction of the neck can also be performed, and the face-lift can be achieved through preauricular incisions.
Here, we summarize the results obtained in 741 patients subjected to rhytidoplasty through minimal incisions. The follow-up of these patients extended up to 20 years. This technique drastically reduced the length of scars; the eyebrows elevated 8-13 mm, and in some cases, the tip of the nose was also elevated ~7 mm. It minimized or eliminated the vertical frown lines and the horizontal furrows in the forehead. The use of this technique allowed an excellent definition of the cervicofacial angle in the patients.
In conclusion, rhytidoplasty through minimal incisions drastically reduced the length of scars, bleeding, surgical time, avoided the use of drains, reduced costs, and shorted the convalescent period. It also offered the patients a natural appearance with minor complications.
在本报告中，描述了一种用于除皱整形术的创新替代方法。通过最小切口进行除皱整形术（Rhythmic）是一种有效、高效、安全且可重复的面部年轻化替代手术。它相对于传统手术有几个优点。
本报告的主要目的是描述Rhythmic的手术技术。
前额整形术的手术技术仅需在发际线后1厘米中线处做一个约7毫米的横向切口。上下眼睑成形术采用约3毫米的切口，无需缝合。也可进行颈部吸脂，通过耳前切口可实现面部提升。
在此，我们总结了741例通过最小切口进行除皱整形术患者的结果。这些患者的随访长达20年。该技术显著缩短了疤痕长度；眉毛抬高了8 - 13毫米，在某些情况下，鼻尖也抬高了约7毫米。它使前额的垂直皱眉纹和水平皱纹最小化或消除。使用该技术使患者的颈面角得到了很好的塑形。
总之，通过最小切口进行除皱整形术显著缩短了疤痕长度、减少了出血、缩短了手术时间、避免了引流管的使用、降低了成本并缩短了恢复期。它还为患者提供了自然的外观，并发症较少。
