From Surface to Depth: Learning Curve in Extended Deep Facelift – my First 100 Cases
Introduction: Facial aging is a gradual, complex, and multifactorial process. It is the result of changes in the quality, volume, and positioning of tissues. Plastic surgeons have modified their approach to facial rejuvenation surgery, opting for the subaponeurotic plane (SMAS). The objective of thi...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2024-01-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/3397/1983-5175-rbcp-39-01-e0823.pdf |
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| _version_ | 1849247067538456576 |
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| author | Lincoln Graça Ana Clara Minguetti Graça Susana Puga Ribeiro |
| author_facet | Lincoln Graça Ana Clara Minguetti Graça Susana Puga Ribeiro |
| author_sort | Lincoln Graça |
| collection | DOAJ |
| description | Introduction: Facial aging is a gradual, complex, and multifactorial process. It is the result of changes in the quality, volume, and positioning of tissues. Plastic surgeons have modified their approach to facial rejuvenation surgery, opting for the subaponeurotic plane (SMAS). The objective of this study is to analyze 100 cases of patients operated on using the deep SMAS technique, evaluating its applicability and effectiveness.
Method: 100 patients were evaluated, undergoing facial plastic surgery using the deep SMAS technique - "Deep Smas", and followed up for 6 months. Patient satisfaction, number of complications, number of reoperations, risks, and advantages of the technique were observed.
Results: 100 patients were operated on over 3 years. Age ranged from 41 to 79 years, with 95% being female. The complications were 8 cases (8%) of injuries to branches of the facial nerve, of which 4 cases of zygomatic injury, 3 cases of mandibular injury, and 1 case of buccal injury; there was 1 case (1%) of post-auricular keloid; 1 case (1%) of hematoma. Regarding surgical revisions, there were 8 cases (8%) of surgical completion due to patient dissatisfaction. There were 15% of nerve injuries between the 1st and 40th surgery, 5% between the 41st and 80th, and no injuries between the 81st and 100th patient.
Conclusion: Deep facial lifting or subSMAS has proven to be effective, providing good aesthetic results. It has a low recurrence rate and low morbidity rate; however, it requires a long learning curve. |
| format | Article |
| id | doaj-art-324bc37c357f4d23b5de71960c307697 |
| institution | Kabale University |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-324bc37c357f4d23b5de71960c3076972025-08-20T03:58:19ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352024-01-01390111110.5935/2177-1235.2023RBCP0823-ENFrom Surface to Depth: Learning Curve in Extended Deep Facelift – my First 100 CasesLincoln Graça0Ana Clara Minguetti Graça1Susana Puga Ribeiro2Clínica Privada, Curitiba, PR, BrazilPUC Pr, Curso de Medicina, Curitiba, PR, BrazilFaculdade Evangélica Mackenzie de Medicina, Curitiba, PR, BrazilIntroduction: Facial aging is a gradual, complex, and multifactorial process. It is the result of changes in the quality, volume, and positioning of tissues. Plastic surgeons have modified their approach to facial rejuvenation surgery, opting for the subaponeurotic plane (SMAS). The objective of this study is to analyze 100 cases of patients operated on using the deep SMAS technique, evaluating its applicability and effectiveness. Method: 100 patients were evaluated, undergoing facial plastic surgery using the deep SMAS technique - "Deep Smas", and followed up for 6 months. Patient satisfaction, number of complications, number of reoperations, risks, and advantages of the technique were observed. Results: 100 patients were operated on over 3 years. Age ranged from 41 to 79 years, with 95% being female. The complications were 8 cases (8%) of injuries to branches of the facial nerve, of which 4 cases of zygomatic injury, 3 cases of mandibular injury, and 1 case of buccal injury; there was 1 case (1%) of post-auricular keloid; 1 case (1%) of hematoma. Regarding surgical revisions, there were 8 cases (8%) of surgical completion due to patient dissatisfaction. There were 15% of nerve injuries between the 1st and 40th surgery, 5% between the 41st and 80th, and no injuries between the 81st and 100th patient. Conclusion: Deep facial lifting or subSMAS has proven to be effective, providing good aesthetic results. It has a low recurrence rate and low morbidity rate; however, it requires a long learning curve.http://www.rbcp.org.br/export-pdf/3397/1983-5175-rbcp-39-01-e0823.pdffaceplastic surgery proceduresestheticscosmetic techniquesfacial nervelearning curve |
| spellingShingle | Lincoln Graça Ana Clara Minguetti Graça Susana Puga Ribeiro From Surface to Depth: Learning Curve in Extended Deep Facelift – my First 100 Cases Revista Brasileira de Cirurgia Plástica face plastic surgery procedures esthetics cosmetic techniques facial nerve learning curve |
| title | From Surface to Depth: Learning Curve in Extended
Deep Facelift – my First 100 Cases |
| title_full | From Surface to Depth: Learning Curve in Extended
Deep Facelift – my First 100 Cases |
| title_fullStr | From Surface to Depth: Learning Curve in Extended
Deep Facelift – my First 100 Cases |
| title_full_unstemmed | From Surface to Depth: Learning Curve in Extended
Deep Facelift – my First 100 Cases |
| title_short | From Surface to Depth: Learning Curve in Extended
Deep Facelift – my First 100 Cases |
| title_sort | from surface to depth learning curve in extended deep facelift my first 100 cases |
| topic | face plastic surgery procedures esthetics cosmetic techniques facial nerve learning curve |
| url | http://www.rbcp.org.br/export-pdf/3397/1983-5175-rbcp-39-01-e0823.pdf |
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