Dicker R L
Otolaryngol Head Neck Surg. 1981 Jul-Aug;89(4):689-93. doi: 10.1177/019459988108900432.
Recognizing the need to reduce the usual lengthy operating time of face-life surgery with its inherent risks and to make it possible the combining of multiple operative procedures of the face, the author explains a technique for shortening the face-lift procedure without sacrificing important steps to produce an effective, long-lasting result. Some of these steps include rapid, but careful administration of sedation, expeditious administration of local anesthesia through preplaced spinal needles, effective illumination of the field, particularly beneath the skin flaps, for rapid hemostasis with use of electrocautery, a safe and swift method of extensive undermining, strategic use of subcutaneous suspension sutures for plication, application of temporary anchor sutures in the rotation of skin flaps, the use of skin clamps for rapid closure, and a Hemovac for postoperative control of bleeding.
认识到有必要减少面部提升手术通常较长的手术时间及其固有风险，并使面部多种手术操作的联合成为可能，作者解释了一种缩短面部提升手术的技术，该技术在不牺牲重要步骤的情况下产生有效、持久的效果。其中一些步骤包括快速但谨慎地给予镇静剂，通过预先放置的脊椎针快速给予局部麻醉，有效照亮手术区域，特别是皮瓣下方，以便使用电灼进行快速止血，一种安全且迅速的广泛剥离方法，战略性地使用皮下悬吊缝线进行折叠，在皮瓣旋转中应用临时锚定缝线，使用皮肤夹进行快速缝合，以及使用负压引流管进行术后出血控制。
