vertical U-rhytidectomy; 9 tips to improve results over classical techniques
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abstract
regular facelifting techniques can make awefull scars, especially in the occipital region. 9 tips are presented to significantly improve results for cases in wich a full rhytidectomy is indicated. MACS lifting will not yield optimal results in cases with vertical platysma banding. Classical rhytidec...
tomy will often give pixy ears and/or migrating wide scras in the occipital region. It is a high risk procedure in smokers. Vertical U rhytidetcomy has the elegant answer to all of this. Swift, safe and very efficient and effective. I don't do it in another way anymore. Lift vertically, and don't make incisions where you don't want to have the scar. Another important tips I would like to share is the beneficial use of Spongostan over Tissuecol to prevent hematoma and seroma formation, reducing the need for postoperative seroma aspiration with over 80%. Daniel Marchac should be mentioned for his publication on this matter. As well as Daniel Baker for his work on lateral SMASectomy.
reason, objective, purpose
Improving results in regular rhytidectomy. The vertical U-rhytidectomy with a full dissection on the neck and Platysma muscle repositioning together with a lateral SMASectomy is presented to convince you of the superior aspects it holds. Significant reduction in the need for seroma aspiration postoperatively is realised by using Spongostan and flat suction drainage.
materials used
Light retractor, regular face lifting material, Vycril 3.0, Ethilon 5.0, Staples, Spongstan in stead of Tissuecol)
operation date
2008-02-24
publication info
presentation info
not available
