2009, Number 2
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Cir Cir 2009; 77 (2)
Mini-invasive surgical procedure to reverse the aging process
Fuente-Del Campo A
Language: Spanish
References: 23
Page: 157-163
PDF size: 196.94 Kb.
ABSTRACT
Reduction of the bony structure of the face is the main reason for flabbiness and drooping of the facial soft tissues. Because we do not currently recourses to restore the lost bony volume, a good possibility is to reestablish an optimal relationship between the soft tissues and the present bony volume. Based on this principle, we have developed the procedure of mini-invasive subperiosteal facial restoration. In this paper we describe the application of this procedure to restore the frontal region. The maneuvers and instrumentation used to perform this procedure through frontal, palpebral or the combination of both approaches are described. Based on the surgical anatomy, orientation and instructions for obtaining the goals of the procedure and to avoid complications are elucidated. Ancillary procedures that may be associated with this procedure are described, as well as detailed postoperative care. Observed complications are noted and a summary of the obtained results, which have shown a high degree of patient and surgeon satisfaction, are reported. Observations from our experience with this method during a 10-year period and the reasons for this being the procedure of our first choice, are revealed.
REFERENCES
Shaw RB Jr, Kahn DM. Aging of the midface bony elements: a three dimensional computer tomographic study. Plast Reconstr Surg 2007;119:675-681.
Coleman SR, Grover R. The anatomy of the aging face: volume loss and changes in 3-dimensional topography. Aesthetic Surg J 2006;26(suppl):S4-S9.
Kahn DM, Shaw RB. Aging of the bony orbit: a three-dimensional computed tomographic study. Aesthetic Surg J 2008;28:258-264.
Fenske NA, Lober CW. Structural and functional changes of normal aging skin. J Am Acad Dermatol 1986;15:571-585.
Bosset S, Barré P, Chalon A, Kurfurst R, Bonté F, André P, et al. Skin aging: clinical and histopathologic study of permanent and reducible wrinkles. Eur J Dermatol 2002;12:247-252.
Enlow DH. Manual sobre Crecimiento Facial. Buenos Aires: Intermédica; 1982.
Fuente-Del Campo A. Face lift without preauricular scars. Plast Reconstr Surg 1993, 92:642-653.
Fuente-Del Campo A. Subperiosteal face-lift with staged suspension: a facial restoration method without preauricular scars. In: Psillakis J, ed. Deeplifting Techniques. New York: Thieme Medical; 1994. pp. 76-89.
Fuente-Del Campo A. Technique and auxiliary maneuvers for a face-lift without preauricular scars. Oper Tech Plast Reconstr Surg 1995;2:116-26.
Ramírez OM, Maillard GF, Musolas A. The extended sub-periosteal facelift: a definitive soft-tissue remodeling for facial rejuvenation. Plast Reconstr Surg 1991;88:227-232.
Isse N. Endoscopic facial rejuvenation: endoforehead, the functional lift. Aesthetic Plast Surg 1994;18:21-29.
Ramírez OM. Endoscopic subperiosteal browlift and facelift. Clin Plast Surg 1995;22:639-660.
Fuente-Del Campo A. Facial rejuvenation (endoscopic): technique and rationale. In: Fodor PB, Isse NG, eds. Endocopically Assisted Aesthetic Plastic Surgery. Mosby: St. Louis; 1996. pp. 63-77.
Fuente-Del Campo A. The endo-facelift, basics and options. Rev Clin Plast Surg 1997;24:309-327.
Fuente-Del Campo A. Mini-invasive facial rejuvenation without endoscopy. Aesthetic Surg J 1996;16:129-137.
Fuente-Del Campo AB, Gordon C, Kiesler Bergman O. Evolution from endoscopic to mini-invasive facelift: a logical progression. Aesthetic Plast Surg 1998;22:267-275.
Knize DM. Limited incision forehead lift for eyebrow elevation to enhance upper blepharoplasty. Plast Reconstr Surg 2001;108:564-567.
Knize DM. Transpalpebral approach to the corrugator supercilli and procerus muscles. Plast Reconstr Surg 1995;95:52-60.
Fuente-Del Campo A, Greensmith A. Minimally invasive approach to facial rejuvenation. In: Peled I, Manders EK, eds. Aesthetic Surgery for the Face. London: Taylor and Francis; 2004. pp. 1-28.
Fuente-Del Campo A. Update on minimally invasive facelift technique. Aesthetic Surg J 2008;28:51-61.
Fuente-Del Campo A. Centrofacial lifting. Perspect Plast Surg 1993;7:87-99.
Fuente-Del Campo A. The subperiosteal rhytidectomy and the lower lid incision approach to the nasolabial fold. In: Bernard BW, ed. Surgical Restoration of the Face. Boston: Butterworth-Heinemann; 1996. pp. 169-194.
Fuente-Del Campo A. Ritidectomía miniinvasiva. En: Coiffman F, editor. Cirugía plástica, reconstructiva y estética, Vol. II. Bogotá: Amolca; 2007. pp. 1131-1146.