Surgical intervention for the aging face. Combination of mini-face-lifting and superficial carbon dioxide laser resurfacing.
BACKGROUND
Patients seeking facial rejuvenation often would benefit from a combination of face-lifting and laser resurfacing. Fear of skin slough has prevented the study of this issue.


OBJECTIVE
We report our experience utilizing a combination of simultaneous cervicofacial rhytidectomy and carbon dioxide (CO2) laser resurfacing, and summarize the results of a survey completed by each patient.


METHODS
Forty patients underwent the combination treatment. Patients were followed and asked to respond to a questionnaire 12 months postprocedure regarding their surgical experience.


RESULTS
Our survey revealed an overall degree of satisfaction. Reported complications included transient swelling, redness, pigmentary alteration, and numbness. One patient experienced minimal slough in a nonresurfaced site.


CONCLUSIONS
The control of depth of thermal damage with the CO2 UltraPulse laser allows for precision in its combined application along with face-lifting. In the area of the flap, one pass at low power settings is safe in our experience and results in an improved cosmetic result.
Department of Dermatology, Columbia University, College of Physicians & Surgeons, New York, New York 10032, USA.
E
E
Bisaccia
M
M
Sequeira
J
J
Magidson
D
D
Scarborough
D002245:Carbon Dioxide; D004487:Edema / Q000209:etiology; D004890:Erythema / Q000209:etiology; D004954:Esthetics; D005145:Face / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006987:Hypesthesia / Q000209:etiology; D053685:Laser Therapy / Q000009:adverse effects / Q000379:methods; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D015361:Rhytidoplasty / Q000009:adverse effects / Q000379:methods; D012449:Safety; D015595:Skin Aging / Q000473:pathology*; D012880:Skin Pigmentation; D013536:Suture Techniques; D016896:Treatment Outcome
D002245:Carbon Dioxide