The PAVE (peeling-assisted volume-enhancing) lift: A retrospective 6-year clinical analysis of a combined approach for facial rejuvenation.
The peeling-assisted volume-enhancing (PAVE) lift is a single-stage approach that combines superficial musculoaponeurotic system (SMAS) plication techniques with fat grafting and different peeling agents. To evaluate the safety of this approach, we analyzed the records of 159 patients who underwent surgery between 2008 and 2014. The percentage of complications observed was not higher than values reported in the literature for each treatment entity: surgical facelift: n=3 haematomas (1.89 %), n=2; temporary apraxia of the mandibular branch (1.26%); fat transfer: minor asymmetry in n = 5 cases (3.14%); peeling: temporary hyperpigmentation in trichloroacetic acid (n = 5; 3.8%) and phenol peels (n = 4; 3.1%), permanent hypopigmentation (n = 6; 5.6%), formation of skin miliae persisting longer than 2 to 3 months (n = 5; 4.6%) and prolonged erythema (n = 3; 0.28%) in phenol peels. The single-stage use of chemical peels, autologous fat transfer, and surgical rhytidectomy was safe.
Centre for Plastic and Aesthetic Surgery, Ocean Clinic, Marbella, Malaga, Spain.
Kai Oliver
KO
Kaye
Department for Plastic, Reconstructive, Hand and Burns Surgery, BG-Trauma Centre, Schnarrenbergstrasse, Tuebingen, Baden-Wuerttemberg, Germany.
Hans-Eberhard
HE
Schaller
Centre for Plastic and Aesthetic Surgery, St. Marien-Hospital, Am Boltenhof, Borken, Nordrhein-Westfalen, Germany.
Patrick
P
Jaminet
Centre for Plastic and Aesthetic Surgery, Ocean Clinic, Marbella, Malaga, Spain; Department for Plastic, Reconstructive, Hand and Burns Surgery, BG-Trauma Centre, Schnarrenbergstrasse, Tuebingen, Baden-Wuerttemberg, Germany. Electronic address: gophi@web.de.
Phillipp
P
Gonser
D000368:Aged; D002615:Chemexfoliation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012060:Rejuvenation; D012189:Retrospective Studies; D015361:Rhytidoplasty / Q000379:methods*; D015595:Skin Aging; D050151:Subcutaneous Fat / Q000637:transplantation; D013997:Time Factors; D016896:Treatment Outcome
Autologous fat grafting; Combined single-stage approach; Facelift; Peeling; Phenol/croton oil peel; TCA peel