Combined endoscopic upper-mid face lift and short-scar cervicofacial rhytidoplasty principes in different aging group patients.
Endoscopically assisted face lift procedures revealed necessity of additional procedures to achieve best aesthetic results with minimal trauma and shortest rehabilitation period in middle aged patients. To get more effective and stabile results combination of different types of rhytidectomy was performed as an addition to usual methods. In years 2005 - 2007 in the plastic surgery clinic "Caraps Medline" endoscopically assisted subperiosteal face lift was performed on 25 patients; combined procedures were performed on 22 patients. Combined procedures included endoscopic face lift and short-scar cervicofacial rhytidoplasty which contained upper and mid endoscopically assisted lift and inferior face and traditional SMAS plastic elements with or without neck plastic. Patients were divided into 3 groups. The first group - 25-38 years old (20 patients), the second group - 39-50 years old (10 patients) and the third group - over 50 years old (7 patients). The observation period from the treatment ending was from 2 to 26 months. All patients were satisfied with the results. Endoscopically assisted face lift is recommended for 25-38 year old patients. For patients ranging from 39 to 50 years old a combined procedure of subperiosteal ednoscopically assisted rhytidectomy is recommended. For patients over 50 years old it's necessary to prolong the incision to retro auricular region and hair line with blepharoplasty. In all aging groups, depending on skin condition, elasticity and derma thickness neck and cheeks liposuction and immediate postoperative chemo peel is recommended.
Kalantarov
A
A
Clinic of plastic and reconstructive surgery Caraps Medline, Tbilisi.
Matitashvili
K
K
D000328:Adult; D000367:Age Factors; D000375:Aging / Q000502:physiology*; D002921:Cicatrix; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D015361:Rhytidoplasty / Q000379:methods*