Combined cervicofacial rhytidectomy and laser skin resurfacing

Ophthalmic Plastic and Reconstructive Surgery
Alan B Brackup

Abstract

To determine the safety and efficacy of simultaneous cervicofacial rhytidectomy (face lift) and laser skin resurfacing. A retrospective study of 100 consecutive patients who underwent simultaneous face lift and carbon dioxide laser resurfacing procedures was performed. Patients received regional (periorbital and/or perioral), "T"-shaped (forehead and central face), or full face laser skin resurfacing, and were classified on this basis. All patients were assessed for flap necrosis, delayed reepithelialization, reactive hyperpigmentation, persistent erythema, scarring, or other unsatisfactory results postoperatively. One of 10 patients receiving full-face resurfacing, including the entire subcutaneously undermined flap, suffered full-thickness skin necrosis of the distal segment of one flap. Six of the 100 patients developed reactive hyperpigmentation postoperatively. One patient evidenced an imprint of the laser footprint over nonundermined skin, requiring a secondary procedure. Aside from the one patient with scar, no cases of delayed reepithelialization were identified. Carbon dioxide laser skin resurfacing combined with face lift procedures can achieve dramatic cervicofacial rejuvenation. Laser resurfacing over nonundermined ...Continue Reading

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Citations

Jul 17, 2014·Aesthetic Plastic Surgery·Amanda C MoreiraDjalma J Fagundes
May 10, 2003·Journal of Clinical Laser Medicine & Surgery
Apr 28, 2012·Facial Plastic Surgery Clinics of North America·William H Truswell
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Sep 23, 2003·Current Opinion in Ophthalmology·Alan B Brackup
Oct 30, 2013·Plastic and Reconstructive Surgery·Cemile Nurdan OzturkJames E Zins
Sep 1, 2020·Facial Plastic Surgery : FPS·Catherine P Winslow
Apr 4, 2015·Plastic and Reconstructive Surgery·Jack F ScheuerRod J Rohrich

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