Safety of face-lifts in the older patient

Archives of Facial Plastic Surgery
Ferdinand F Becker, Richard D Castellano

Abstract

To compare the surgical and anesthesia complications after rhytidectomy in patients 75 years and older vs those aged 45 to 61 years. Retrospective review of 107 patients of a single surgeon in private practice. All patients 75 and older who underwent rhytidectomy (using deep-plane and superficial musculoaponeurotic system plication techniques) from 1998 to 2002 were selected. This cohort was compared with a randomly selected group of rhytidectomy patients aged 45 to 61 from the same period. Complications related to the procedure or anesthesia were recorded, as well as American Society of Anesthesiologists (ASA) physical class, method of procedure, and patient age. The mean ages of the 2 groups were 79.0 years (33 patients) and 54.2 years (74 patients). Five patients in the older cohort had minor complications after surgery, compared with 7 in the younger group (P = .52). No major complications were reported. Patients 75 and older carry risks of postoperative complications from face-lift procedures that are similar to those of middle-aged patients, when matched for ASA class. Preoperative counseling should emphasize patient health status rather than age when considering the risk of postoperative complications. Face-lift surgery ...Continue Reading

References

Jun 7, 1985·JAMA : the Journal of the American Medical Association·M R Katlic
Sep 4, 1998·Plastic and Reconstructive Surgery·F M Kamer, A S Frankel
Aug 11, 2000·Archives of Facial Plastic Surgery·K A ShumrickF Becker
Feb 11, 2003·The Medical Clinics of North America·Margaret M Beliveau, Mark Multach
Jan 21, 2004·Archives of Facial Plastic Surgery·Ferdinand F Becker, Benjamin A Bassichis

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Citations

Aug 28, 2007·Aesthetic Plastic Surgery·Daniel F KalbermattenGerhard Pierer
May 28, 2011·Plastic and Reconstructive Surgery·Esteban MarténJames E Zins
Nov 19, 2015·Aesthetic Surgery Journal·Varun GuptaK Kye Higdon
Jul 25, 2006·Clinics in Geriatric Medicine·James E Zins, Andrea Moreira-Gonzalez
Feb 1, 2011·Dermatologic Therapy·Brian SomoanoGreg Morganroth
Apr 26, 2015·Aesthetic Surgery Journal·Max YeslevK Kye Higdon
Oct 19, 2017·Aesthetic Surgery Journal·Christodoulos KaoutzanisK Kye Higdon
Feb 24, 2018·Aesthetic Surgery Journal·Keith HoodK Kye Higdon
Oct 9, 2015·JAMA Facial Plastic Surgery·Justin M WudelJeffrey S Moyer
Mar 24, 2017·Aesthetic Surgery Journal·Rafael A CoutoJames E Zins
Apr 12, 2017·Aesthetic Surgery Journal·Christodoulos KaoutzanisK Kye Higdon
Jan 6, 2006·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Rhoda S NarinsEdward V Ross

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