Lower face-lift with expanded polytetrafluoroethylene superficial musculoaponeurotic system extension graft (bandlift implant).
We introduce the expanded polytetrafluoroethylene (ePTFE) superficial musculoaponeurotic system extension graft (SEG) as an effective method of lower face-lift and an alternative to the minimally invasive lower face-lift and thread-lift. During a 4.5-year period, 450 lower face-lifts with ePTFE SEG were performed. The procedure consisted of a primary ePTFE grafting operation followed by a secondary ePTFE SEG traction operation 3 to 4 weeks later; the skin flap was then excised and redraped to adjust the postauricular sulcus. No major complications resulted from surgery, but minor complications included wound infection (2.7%), insufficient traction (1.8%), slipped ePTFE graft (1.3%), temporary earlobe numbness (1.1%), asymmetric traction (0.9%), occipital pain (0.7%), and hematoma below the earlobe (0.2%). Lower face-lift with ePTFE SEG produces satisfactory results for both patients and surgeons in view of the short recovery time, less minimal invasion, simple techniques, and long-lasting outcome when compared with other minimally invasive methods of lower face-lift.
Teuim Plastic Surgery Clinic, Seoul, Korea.
Jun Mo
JM
Kim
Yong Ju
YJ
Jang
Bong Sik
BS
Kwon
Minoru
M
Arakaki
Seuckjung
S
Hong
D000328:Adult; D000368:Aged; D001672:Biocompatible Materials; D004431:Ear, External / Q000294:innervation; D005152:Facial Muscles / Q000601:surgery; D000071938:Fasciotomy; D005500:Follow-Up Studies; D006406:Hematoma / Q000209:etiology; D006801:Humans; D006987:Hypesthesia / Q000209:etiology; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D010149:Postoperative Pain / Q000209:etiology; D017060:Patient Satisfaction; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications; D019106:Postoperative Hemorrhage / Q000209:etiology; D012189:Retrospective Studies; D015361:Rhytidoplasty / Q000379:methods*; D013526:Surgical Mesh; D013530:Surgical Wound Infection / Q000209:etiology; D014143:Traction; D055815:Young Adult
D001672:Biocompatible Materials; D011138:Polytetrafluoroethylene