BACKGROUND: Solitary facelift in wide face produce unsatisfied result. Solitary facial bone reduction usually resulted in sagging of the face even in young age.
Congenital lateral downward prominent supraorbital bone, usually resulted in congenital lateral hooding. Mongolian fold also will has limitation in med. Forehead lift.
Therefore facelift in those patients will have unideal cosmetic outcome.
The surgery for facelift or facial bone reduction usually each has a long operative time, swelling and blood loss consideration. Therefore, these two procedures are often performed separately. In recent years, an increasing demand for simultaneous facial bone reduction and facelift has been observed, however few studies(1,2,3,4) have examined safe and effective of simultaneous facial bone reduction and facelift.
OBJECTIVE: The aim of this study was to present a safe, easy and flexible method for combining facelift and facial bone reduction through single facelift incision with minimal blood loss.
METHODS: From 2015 to 2022, the senior author performed facial bone reduction with facelift by using a subcutaneous approach through single facelift incision in patients with wide facial bone and an aging face. Operative time, intraoperative blood loss, postoperative course, and complications were recorded.
RESULTS: In total, 132 patients met the inclusion criteria and were included in the study. The combined surgery was successfully performed in all cases, and no serious complications were reported. The follow-up period ranged from 6.5 to 60 months. The average operating time was 187 minutes, and the mean intraoperative blood loss was minimal (30 mL). All patients were satisfied with the outcome, different scores were assessed with Global Aesthetic Improvement Scale.
CONCLUSIONS: The demand and pressure coming from the patients, it forces our plastic surgeon to reconsider the necessity in the near future.
Facelift and facial bone reduction using a subcutaneous approach through single facelift incision provides complete visualization of the facial bone, superior hemostasis control result in an easy and safe surgery that does not require additional intraoral incisions.
REFERENCES:
1. Zhou J, Qi Z, Jin X. Simultaneous surgery for contouring the prominent facial bone and mandibular angles with facelift in middle-aged patients. J Craniofac Surg 2020;31(2):448-452.
2. Lee YJ, Lee IS, Yang HJ. Reduction malarplasty combined with facelift via the prezygomatic space. Arch Aesthet Plast Surg 2020;26(4):138-143.
3. Lee YJ, Lee CL, Lee IS, et al. Facial Contouring Surgery Using Facelift Approach. J Craniofac Surg 2021; 32(8): 2840–2844.
4. Zou C, Wang JQ, Liu JF, et al. Reduction malarplasty with face-lift for older Asians with prominent Zygoma. Ann Plast Surg 2016;77(2):141-144.