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The Combination of Rhytidoplasty and Fractional CO2 Laser Therapy in the Treatment of Facial Aging
Background Facial aging is a natural biological process with symptoms such as sagging tissue, accentuated lines, furrows, wrinkles, dyschromias, and loss of facial volume. Rhytidectomy alone often fails to achieve a patient’s expected goals, which is why there is a high demand for adjunct laser skin...
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Published in: | Aesthetic plastic surgery 2014-10, Vol.38 (5), p.839-848 |
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container_title | Aesthetic plastic surgery |
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creator | Moreira, Amanda C. Moreira, Marcio Motta, Roberta L. Moreira, Yasmin C. Bettoni, Ana P. Tokunaga, Heloisa H. V. O. Fagundes, Djalma J. |
description | Background
Facial aging is a natural biological process with symptoms such as sagging tissue, accentuated lines, furrows, wrinkles, dyschromias, and loss of facial volume. Rhytidectomy alone often fails to achieve a patient’s expected goals, which is why there is a high demand for adjunct laser skin treatment.
Methods
From January 2007 to February 2013, a total of 80 patients with skin types Fitzpatrick I–IV underwent large undermined cutaneous flap rhytidectomy and superficial muscular aponeurotic system (SMAS) plicature plus hyaluronic acid injection on the nasolabial folds and lips and concomitant Lumenis UltraPulse CO
2
Active FX total ablation mode resurfacing of nonundermined skin. The undermined skin was treated with a fractional laser using different energies depending on the type of skin. Patients were evaluated at 5, 10, 15, 30, 60, and 90 days after the operation. At the last evaluation patients completed a specific questionnaire about satisfaction.
Results
Complications included expansive hematomas (5 %), partial necrosis (1.25 %), bacterial infection (1.25 %), herpetic infection (1.25 %), hypertrophic scar (1.25 %), and spot hyperchromia (1.25 %). 95 % of patients were extremely satisfied, 3.75 % were satisfied, and only 1.25 % were unsatisfied.
Conclusion
The combination of subcutaneous flap rhytidectomy and SMAS plicature with fractional laser resurfacing plus hyaluronic acid injection is a safe procedure with low incidence of major complications and improves patient satisfaction.
Level of Evidence IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
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doi_str_mv | 10.1007/s00266-014-0348-9 |
format | article |
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Facial aging is a natural biological process with symptoms such as sagging tissue, accentuated lines, furrows, wrinkles, dyschromias, and loss of facial volume. Rhytidectomy alone often fails to achieve a patient’s expected goals, which is why there is a high demand for adjunct laser skin treatment.
Methods
From January 2007 to February 2013, a total of 80 patients with skin types Fitzpatrick I–IV underwent large undermined cutaneous flap rhytidectomy and superficial muscular aponeurotic system (SMAS) plicature plus hyaluronic acid injection on the nasolabial folds and lips and concomitant Lumenis UltraPulse CO
2
Active FX total ablation mode resurfacing of nonundermined skin. The undermined skin was treated with a fractional laser using different energies depending on the type of skin. Patients were evaluated at 5, 10, 15, 30, 60, and 90 days after the operation. At the last evaluation patients completed a specific questionnaire about satisfaction.
Results
Complications included expansive hematomas (5 %), partial necrosis (1.25 %), bacterial infection (1.25 %), herpetic infection (1.25 %), hypertrophic scar (1.25 %), and spot hyperchromia (1.25 %). 95 % of patients were extremely satisfied, 3.75 % were satisfied, and only 1.25 % were unsatisfied.
Conclusion
The combination of subcutaneous flap rhytidectomy and SMAS plicature with fractional laser resurfacing plus hyaluronic acid injection is a safe procedure with low incidence of major complications and improves patient satisfaction.
Level of Evidence IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</description><identifier>ISSN: 0364-216X</identifier><identifier>EISSN: 1432-5241</identifier><identifier>DOI: 10.1007/s00266-014-0348-9</identifier><identifier>PMID: 25028109</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Cosmetic Techniques ; Dermatologic Surgical Procedures - methods ; Female ; Humans ; Hyaluronic Acid - therapeutic use ; Lasers, Gas - therapeutic use ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Otorhinolaryngology ; Patient Satisfaction ; Plastic Surgery ; Rhytidoplasty ; Skin Aging</subject><ispartof>Aesthetic plastic surgery, 2014-10, Vol.38 (5), p.839-848</ispartof><rights>Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-5b188a84ce39b0f3584530acc0597e3ecaf82444168a20405140833fb4558cc43</citedby><cites>FETCH-LOGICAL-c372t-5b188a84ce39b0f3584530acc0597e3ecaf82444168a20405140833fb4558cc43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25028109$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moreira, Amanda C.</creatorcontrib><creatorcontrib>Moreira, Marcio</creatorcontrib><creatorcontrib>Motta, Roberta L.</creatorcontrib><creatorcontrib>Moreira, Yasmin C.</creatorcontrib><creatorcontrib>Bettoni, Ana P.</creatorcontrib><creatorcontrib>Tokunaga, Heloisa H. V. O.</creatorcontrib><creatorcontrib>Fagundes, Djalma J.</creatorcontrib><title>The Combination of Rhytidoplasty and Fractional CO2 Laser Therapy in the Treatment of Facial Aging</title><title>Aesthetic plastic surgery</title><addtitle>Aesth Plast Surg</addtitle><addtitle>Aesthetic Plast Surg</addtitle><description>Background
Facial aging is a natural biological process with symptoms such as sagging tissue, accentuated lines, furrows, wrinkles, dyschromias, and loss of facial volume. Rhytidectomy alone often fails to achieve a patient’s expected goals, which is why there is a high demand for adjunct laser skin treatment.
Methods
From January 2007 to February 2013, a total of 80 patients with skin types Fitzpatrick I–IV underwent large undermined cutaneous flap rhytidectomy and superficial muscular aponeurotic system (SMAS) plicature plus hyaluronic acid injection on the nasolabial folds and lips and concomitant Lumenis UltraPulse CO
2
Active FX total ablation mode resurfacing of nonundermined skin. The undermined skin was treated with a fractional laser using different energies depending on the type of skin. Patients were evaluated at 5, 10, 15, 30, 60, and 90 days after the operation. At the last evaluation patients completed a specific questionnaire about satisfaction.
Results
Complications included expansive hematomas (5 %), partial necrosis (1.25 %), bacterial infection (1.25 %), herpetic infection (1.25 %), hypertrophic scar (1.25 %), and spot hyperchromia (1.25 %). 95 % of patients were extremely satisfied, 3.75 % were satisfied, and only 1.25 % were unsatisfied.
Conclusion
The combination of subcutaneous flap rhytidectomy and SMAS plicature with fractional laser resurfacing plus hyaluronic acid injection is a safe procedure with low incidence of major complications and improves patient satisfaction.
Level of Evidence IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</description><subject>Cosmetic Techniques</subject><subject>Dermatologic Surgical Procedures - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Hyaluronic Acid - therapeutic use</subject><subject>Lasers, Gas - therapeutic use</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Patient Satisfaction</subject><subject>Plastic Surgery</subject><subject>Rhytidoplasty</subject><subject>Skin Aging</subject><issn>0364-216X</issn><issn>1432-5241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp1kctKAzEUhoMotl4ewI0E3LgZPSeXmcyyFKtCoSAV3IVMmqkjc6nJdDFvb2pVRHCVxfn-75DzE3KBcIMA2W0AYGmaAIoEuFBJfkDGKDhLJBN4SMbAU5EwTF9G5CSENwBkWSaOyYhJYAohH5Ni-erotGuKqjV91bW0K-nT69BXq25Tm9AP1LQrOvPG7qamptMFo3MTnKcx6c1moFVL-yhZemf6xrX9TjEztorwZF216zNyVJo6uPOv95Q8z-6W04dkvrh_nE7mieUZ6xNZoFJGCet4XkDJpRKSg7EWZJ457qwpFRNCYKoMAwESBSjOy0JIqawV_JRc770b371vXeh1UwXr6tq0rtsGjTJNEXmGLKJXf9C3buvj9z6pKExFJiOFe8r6LgTvSr3xVWP8oBH0rgC9L0DHAvSuAJ3HzOWXeVs0bvWT-L54BNgeCHHUrp3_tfpf6weeZo3z</recordid><startdate>20141001</startdate><enddate>20141001</enddate><creator>Moreira, Amanda C.</creator><creator>Moreira, Marcio</creator><creator>Motta, Roberta L.</creator><creator>Moreira, Yasmin C.</creator><creator>Bettoni, Ana P.</creator><creator>Tokunaga, Heloisa H. V. O.</creator><creator>Fagundes, Djalma J.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20141001</creationdate><title>The Combination of Rhytidoplasty and Fractional CO2 Laser Therapy in the Treatment of Facial Aging</title><author>Moreira, Amanda C. ; Moreira, Marcio ; Motta, Roberta L. ; Moreira, Yasmin C. ; Bettoni, Ana P. ; Tokunaga, Heloisa H. V. O. ; Fagundes, Djalma J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-5b188a84ce39b0f3584530acc0597e3ecaf82444168a20405140833fb4558cc43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Cosmetic Techniques</topic><topic>Dermatologic Surgical Procedures - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Hyaluronic Acid - therapeutic use</topic><topic>Lasers, Gas - therapeutic use</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Patient Satisfaction</topic><topic>Plastic Surgery</topic><topic>Rhytidoplasty</topic><topic>Skin Aging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moreira, Amanda C.</creatorcontrib><creatorcontrib>Moreira, Marcio</creatorcontrib><creatorcontrib>Motta, Roberta L.</creatorcontrib><creatorcontrib>Moreira, Yasmin C.</creatorcontrib><creatorcontrib>Bettoni, Ana P.</creatorcontrib><creatorcontrib>Tokunaga, Heloisa H. V. O.</creatorcontrib><creatorcontrib>Fagundes, Djalma J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Databases</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Aesthetic plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moreira, Amanda C.</au><au>Moreira, Marcio</au><au>Motta, Roberta L.</au><au>Moreira, Yasmin C.</au><au>Bettoni, Ana P.</au><au>Tokunaga, Heloisa H. V. O.</au><au>Fagundes, Djalma J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Combination of Rhytidoplasty and Fractional CO2 Laser Therapy in the Treatment of Facial Aging</atitle><jtitle>Aesthetic plastic surgery</jtitle><stitle>Aesth Plast Surg</stitle><addtitle>Aesthetic Plast Surg</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>38</volume><issue>5</issue><spage>839</spage><epage>848</epage><pages>839-848</pages><issn>0364-216X</issn><eissn>1432-5241</eissn><abstract>Background
Facial aging is a natural biological process with symptoms such as sagging tissue, accentuated lines, furrows, wrinkles, dyschromias, and loss of facial volume. Rhytidectomy alone often fails to achieve a patient’s expected goals, which is why there is a high demand for adjunct laser skin treatment.
Methods
From January 2007 to February 2013, a total of 80 patients with skin types Fitzpatrick I–IV underwent large undermined cutaneous flap rhytidectomy and superficial muscular aponeurotic system (SMAS) plicature plus hyaluronic acid injection on the nasolabial folds and lips and concomitant Lumenis UltraPulse CO
2
Active FX total ablation mode resurfacing of nonundermined skin. The undermined skin was treated with a fractional laser using different energies depending on the type of skin. Patients were evaluated at 5, 10, 15, 30, 60, and 90 days after the operation. At the last evaluation patients completed a specific questionnaire about satisfaction.
Results
Complications included expansive hematomas (5 %), partial necrosis (1.25 %), bacterial infection (1.25 %), herpetic infection (1.25 %), hypertrophic scar (1.25 %), and spot hyperchromia (1.25 %). 95 % of patients were extremely satisfied, 3.75 % were satisfied, and only 1.25 % were unsatisfied.
Conclusion
The combination of subcutaneous flap rhytidectomy and SMAS plicature with fractional laser resurfacing plus hyaluronic acid injection is a safe procedure with low incidence of major complications and improves patient satisfaction.
Level of Evidence IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>25028109</pmid><doi>10.1007/s00266-014-0348-9</doi><tpages>10</tpages></addata></record> |
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subjects | Cosmetic Techniques Dermatologic Surgical Procedures - methods Female Humans Hyaluronic Acid - therapeutic use Lasers, Gas - therapeutic use Male Medicine Medicine & Public Health Middle Aged Original Article Otorhinolaryngology Patient Satisfaction Plastic Surgery Rhytidoplasty Skin Aging |
title | The Combination of Rhytidoplasty and Fractional CO2 Laser Therapy in the Treatment of Facial Aging |
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