title: Post-facelift flap necrosis treatment using charged polystyrene microspheres.
abstract: BACKGROUND
  Flap necrosis following facial rhytidectomy constitutes a vexing and grievous complication to the patient and the surgeon. Treatment modalities that can expedite wound healing and re-epithelialization rates are highly desired.
  
  
  OBJECTIVE
  To assess wound healing and re-epithelialization rates of open wounds following postrhytidectomy flap necrosis treated with commercially available charged polystyrene microspheres (Polyheal-1, Polyheal Ltd, Israel).
  
  
  METHODS
  Flap necrosis following rhytidectomy with open wounds in three female patients were treated using dressings soaked with Polyheal-1. Wound closure rates were documented.
  
  
  RESULTS
  The wounds demonstrated both accelerated granulation tissue formation and rapid re-epithelialization rates. No complications or side effects were encountered.
  
  
  CONCLUSIONS
  Charged polystyrene microspheres may offer a new and efficacious way to treat open wounds due to flap necrosis following facial rhytidectomy. Further research with larger patient numbers is still needed to verify these findings.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Sheba Medical Center, Tel Hashomer, Affiliated to Sackler School of Medicine;
authors.forename: Oren
authors.initials: O
authors.lastname: Weissman
authors.affiliation: Department of Plastic and Reconstructive Surgery, Sheba Medical Center, Tel Hashomer, Affiliated to Sackler School of Medicine;
authors.forename: Nimrod
authors.initials: N
authors.lastname: Farber
authors.affiliation: Department of Plastic and Reconstructive Surgery, Sheba Medical Center, Tel Hashomer, Affiliated to Sackler School of Medicine;
authors.forename: Eric
authors.initials: E
authors.lastname: Remer
authors.affiliation: Department of Plastic and Reconstructive Surgery, Sheba Medical Center, Tel Hashomer, Affiliated to Sackler School of Medicine;
authors.forename: Ariel
authors.initials: A
authors.lastname: Tessone
authors.affiliation: Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel;
authors.forename: Omer
authors.initials: O
authors.lastname: Trivizki
authors.affiliation: Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Chicago Medical Center, Chicago, Illinois, USA;
authors.forename: Jonathan
authors.initials: J
authors.lastname: Bank
authors.affiliation: Department of Plastic and Reconstructive Surgery, Sheba Medical Center, Tel Hashomer, Affiliated to Sackler School of Medicine;
authors.forename: Eyal
authors.initials: E
authors.lastname: Winkler
authors.affiliation: Department of Plastic and Reconstructive Surgery, Sheba Medical Center, Tel Hashomer, Affiliated to Sackler School of Medicine; ; MOHS Unit, Sheba Medical Center, Tel Hashomer, Affiliated to Sackler School of Medicine, Tel Aviv University, Tel-Aviv, Israel.
authors.forename: Isaac
authors.initials: I
authors.lastname: Zilinsky
authors.affiliation: Department of Plastic and Reconstructive Surgery, Sheba Medical Center, Tel Hashomer, Affiliated to Sackler School of Medicine;
authors.forename: Josef
authors.initials: J
authors.lastname: Haik
keywords: Charged polystyrene microspheres; Face-lift complications; Flap necrosis; Open wound