Abstract
Facelift surgery is the ultimate rejuvenative procedure. Over the past 50 years, evolution of various facelift techniques has addressed both conservative and aggressive approaches. This procedure can be as simple as a small skin flap or as aggressive as deep plane subperiosteal techniques. Regardless of the technique, significant complications can occur with facelift surgery in the preoperative, intraoperative, and postoperative phase. It is imperative that the surgeon anticipate, recognize, and be able to treat the common complications associated with this procedure. The following problems can occur with facelift surgery and will be discussed. Optimal candidate selectionThe poor risk facelift patientPreoperative incision designPreoperative hypertensionPreoperative coagulopathyPreoperative anesthetic considerationsIntraoperative flap designIntraoperative SMAS managementIntraoperative nerve and danger zonesPostoperative hypertensionPostoperative hematomaPostoperative neuropathyPostoperative contour irregularitiesPostoperative scar problemsPostoperative hair lossRevision facelift considerations The above topics will be discussed in a multimedia presentation with emphasis placed on the recognition, management, and prevention of these complications. References Niamtu J: Cosmetic facial surgery. Oral Maxillofac Surg Clin North Am 12:579, 2000 Ramirez OM: Three-dimensional endoscopic midface enhancement: A personal quest for the ideal cheek rejuvenation. Plast Reconstr Surg 109:329, 2002; discussion 341 Hamra ST: The zygorbicular dissection in composite rhytidectomy: An ideal midface plane. Plast Reconstr Surg 102:1646, 1998 Tobin HA, Cuzalina A, Tharanon W, et al: The biplane facelift: An opportunistic approach. J Oral Maxillofac Surg 58:76, 2002
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