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Facial Plast Surg 2017; 33(03): 299-310
DOI: 10.1055/s-0037-1602742
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Skin Resurfacing in Combination with Facelift Surgery

Kaete A. Archer
1   Archer Facial Plastic Surgery, Melbourne, Florida
,
Stephen W. Perkins
2   Meridian Plastic Surgery Center, Indianapolis, Indiana
› Author Affiliations
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Publication History

Publication Date:
01 June 2017 (online)

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Abstract

Facial aging is a combination of descent of facial tissues, atrophy of fat compartments, bony remodeling, and chronological and photoaging changes of the skin. A rhytidectomy will address the aging changes due to gravity on facial tissues but will do little to improve skin texture, thickness, and pigmentation. To address collagen loss, rhytids, and dyspigmentation, surgeons are incorporating resurfacing techniques including carbon dioxide/erbium ablative and fractionated lasers, 35% trichloroacetic acid chemical peel pretreated with Jessner's solution, phenol 88% chemical peel, Baker's solution chemical peel, and dermabrasion. More recently, surgeons are approaching facial aging with a more comprehensive approach to address both gravity and collagen changes by a combination of rhytidectomy with resurfacing. Technique and modality selection are keys to maximum single treatment results and therefore the greatest patient satisfaction.

Keywords

rhytidectomy - resurfacing - fractionated laser - chemical peel
 

  • References

  • 1 Atiyeh BS, Dibo SA. Nonsurgical nonablative treatment of aging skin: radiofrequency technologies between aggressive marketing and evidence-based efficacy. Aesthetic Plast Surg 2009; 33 (03) 283-294
    CrossrefPubMedGoogle Scholar
  • 2 Alster TS, Doshi SN, Hopping SB. Combination surgical lifting with ablative laser skin resurfacing of facial skin: a retrospective analysis. Dermatol Surg 2004; 30 (09) 1191-1195
    PubMedGoogle Scholar
  • 3 Koch BB, Perkins SW. Simultaneous rhytidectomy and full-face carbon dioxide laser resurfacing: a case series and meta-analysis. Arch Facial Plast Surg 2002; 4 (04) 227-233
    CrossrefPubMedGoogle Scholar
  • 4 Bernstein EF. Chemical peels. Semin Cutan Med Surg 2002; 21 (01) 27-45
    CrossrefPubMedGoogle Scholar
  • 5 Perkins SW, Castellano R. Use of combined modality for maximal resurfacing. Facial Plast Surg Clin North Am 2004; 12 (03) 323-337 , vi
    CrossrefPubMedGoogle Scholar
  • 6 Fitzpatrick TB. The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol 1988; 124 (06) 869-871
    CrossrefPubMedGoogle Scholar
  • 7 Brody HJ. Variations and comparisons in medium-depth chemical peeling. J Dermatol Surg Oncol 1989; 15 (09) 953-963
    CrossrefPubMedGoogle Scholar
  • 8 Glogau RG, Matarasso SL. Chemical face peeling: patient and peeling agent selection. Facial Plast Surg 1995; 11 (01) 1-8
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Gibson FB, Perkins SW. Complications of chemical peels, dermabrasion, and laser resurfacing. In: Eisele DW, Smith RV. , eds. Complications in Head and Neck Surgery. 2nd ed. Philadelphia, PA: Mosby/Elsevier; 2009: 655-669
    Google Scholar
  • 10 Apfelberg DB. ; American Society for Aesthetic Plastic Surgery. American Society of Plastic and Reconstructive Surgeons. Summary of the 1997 ASAPS/ASPRS Laser Task Force Survey on laser resurfacing and laser blepharoplasty. Plast Reconstr Surg 1998; 101 (02) 511-518
    CrossrefPubMedGoogle Scholar
  • 11 Duke D, Grevelink JM. Care before and after laser skin resurfacing. A survey and review of the literature. Dermatol Surg 1998; 24 (02) 201-206
    CrossrefPubMedGoogle Scholar
  • 12 Sensöz O, Nazmi Baran C, Sahin Alagöz M, Cağri Uysal A, Unlü RE. Long-term results of ultrapulsed carbon dioxide laser resurfacing of the Mediterranean face. Aesthetic Plast Surg 2004; 28 (05) 328-333
    CrossrefPubMedGoogle Scholar
  • 13 Perkins SW, Patel AB. Extended superficial muscular aponeurotic system rhytidectomy: a graded approach. Facial Plast Surg Clin North Am 2009; 17 (04) 575-587 , vi
    CrossrefPubMedGoogle Scholar
  • 14 Baker DC. Complications of cervicofacial rhytidectomy. Clin Plast Surg 1983; 10 (03) 543-562
    CrossrefPubMedGoogle Scholar
  • 15 Guyuron B, Michelow B, Schmelzer R, Thomas T, Ellison MA. Delayed healing of rhytidectomy flap resurfaced with CO2 laser. Plast Reconstr Surg 1998; 101 (03) 816-819
    CrossrefPubMedGoogle Scholar
  • 16 Babovic SB, Bite U, Bridges AG, Clay RP. Laser resurfacing of skin flaps: an experimental comparison of three different lasers. Acta Med Acad 2011; 40 (01) 4-9
    PubMedGoogle Scholar
  • 17 Adcock DP, Paulsen S, Katzen T. , et al. Simultaneous cutaneous flap elevation and skin resurfacing in the rabbit model. Aesthet Surg J 1999; 19 (05) 375-380
    CrossrefPubMedGoogle Scholar
  • 18 Achauer BM, Adair SR, VanderKam VM. Combined rhytidectomy and full-face laser resurfacing. Plast Reconstr Surg 2000; 106 (07) 1608-1611 , discussion 1612–1613
    CrossrefPubMedGoogle Scholar
  • 19 Fulton JE. Simultaneous face lifting and skin resurfacing. Plast Reconstr Surg 1998; 102 (07) 2480-2489
    CrossrefPubMedGoogle Scholar
  • 20 Weinstein C, Pozner J, Scheflan M. Combined erbium:YAG laser resurfacing and face lifting. Plast Reconstr Surg 2001; 107 (02) 586-592 , discussion 593–594
    CrossrefPubMedGoogle Scholar
  • 21 Perkins SW, Williams JD, Macdonald K, Robinson EB. Prevention of seromas and hematomas after face-lift surgery with the use of postoperative vacuum drains. Arch Otolaryngol Head Neck Surg 1997; 123 (07) 743-745
    CrossrefPubMedGoogle Scholar