Plastic and reconstructive surgery · 2025
Taking Face Lifts to the Next Level: Case Series Reflecting the Safety and Efficacy of Plasma Resurfacing with Face and Neck Lifts.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
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Lacerna Kimbrell Melinda
Аннотация
BACKGROUND: Deep facial skin resurfacing with plasma technology is known to produce superior correction of deep rhytids and photoelastosis. When combined with a rhytidectomy, total facial rejuvenation can be achieved in a single surgical session and recovery period.
METHODS: A single surgeon's experience (2017 to 2025) is presented involving 96 consecutive patients (93 women and 3 men; age range, 48 to 86 years) who underwent a single-session combination of face and neck lifts, full-face fat grafting, and full-face deep plasma skin resurfacing. Helium plasma radiofrequency was used in 84 patients, and nitrogen radiofrequency plasma was used in 12 patients. A subset of 20 patients underwent additional computerized skin analysis preoperatively and at 90 days postoperatively. The longest follow-up was 6 years.
RESULTS: Computerized analysis showed decreased upper cutaneous lip height (0.25 to 2.47 mm; average, 1.26 mm), decreased skin age (1 to 9 years; average, 4.27 years), improved elasticity (1 to 20 years; average, 9.81 years), rhytid reduction (1 to 22 years; average, 7.36 years), and ultraviolet spot reduction (1 to 9 years; average, 4.54 years). The 4 complications (4 of 96 patients [4.1%], all in the helium radiofrequency group) included transient cellulitis (1 patient) and hypertrophic scarring (3 patients). No skin necrosis occurred. Results demonstrated significant correction of deep rhytids and photoelastosis.
CONCLUSIONS: This 7-year series demonstrates that full-face deep plasma skin resurfacing can be safely and effectively combined with face and neck lifts, along with fat grafting, to achieve comprehensive 3-dimensional facial and neck rejuvenation in a single session without increasing the risk of complications such as skin necrosis. Patients can have enhanced aesthetic outcomes with reduced downtime, surgical time, and anesthesia exposure, offering an efficient alternative to traditional staged procedures.
METHODS: A single surgeon's experience (2017 to 2025) is presented involving 96 consecutive patients (93 women and 3 men; age range, 48 to 86 years) who underwent a single-session combination of face and neck lifts, full-face fat grafting, and full-face deep plasma skin resurfacing. Helium plasma radiofrequency was used in 84 patients, and nitrogen radiofrequency plasma was used in 12 patients. A subset of 20 patients underwent additional computerized skin analysis preoperatively and at 90 days postoperatively. The longest follow-up was 6 years.
RESULTS: Computerized analysis showed decreased upper cutaneous lip height (0.25 to 2.47 mm; average, 1.26 mm), decreased skin age (1 to 9 years; average, 4.27 years), improved elasticity (1 to 20 years; average, 9.81 years), rhytid reduction (1 to 22 years; average, 7.36 years), and ultraviolet spot reduction (1 to 9 years; average, 4.54 years). The 4 complications (4 of 96 patients [4.1%], all in the helium radiofrequency group) included transient cellulitis (1 patient) and hypertrophic scarring (3 patients). No skin necrosis occurred. Results demonstrated significant correction of deep rhytids and photoelastosis.
CONCLUSIONS: This 7-year series demonstrates that full-face deep plasma skin resurfacing can be safely and effectively combined with face and neck lifts, along with fat grafting, to achieve comprehensive 3-dimensional facial and neck rejuvenation in a single session without increasing the risk of complications such as skin necrosis. Patients can have enhanced aesthetic outcomes with reduced downtime, surgical time, and anesthesia exposure, offering an efficient alternative to traditional staged procedures.