Rhytidectomy by multi-method joint application of W incisions in temporal hair line

Abstract

Objective To introduce an operative method of rhytidectomy with W-incision and fewer complications for facial rejuvenation. Methods A total of 84 patients were treated with rhytidectomy by multi-methods and followed up from January 2007 to December 2012. The rhytidectomy was done along the temporal hairline edge through the combined procedures, including sharp and blunt separation, liposuction and filling with autologous fat, tighting and fixing the fascial flap of superficial musculoaponeurotic system, as well as the suspension of the zygomatic cheek fiber fat pad. Results Follow-up for 3 moths to 2 years after surgery in 84 patients showed that the wound was healing with good concealment and without complications such as facial nerve injury or local uneven. All the cases achieved good results in facelift with high satisfaction rate after the combined operations. Conclusions This combined rhytidectomy is safe, effective, simple and easy. And it is a good and ideal approach of facial rejuvenation worthy of clinical application. Key words: Rhytidectomy; Lifting facial rejuvenation; Fat pad; Temporal hair line; Minimal invasive procedure