+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Refining the anesthesia management of the face-lift patient: lessons learned from 1089 consecutive face lifts

Refining the anesthesia management of the face-lift patient: lessons learned from 1089 consecutive face lifts

Plastic and Reconstructive Surgery 135(3): 723-730

The importance of anesthetic technique is often underappreciated in face-lift procedures and is sparsely written about in the literature. Appropriate control of blood pressure, anxiety, pain, and nausea is essential for reducing the complications of face lift, primarily, hematoma risk. This study discusses the standard anesthetic protocol provided at the authors' institution and describes the preoperative, intraoperative, and postoperative management of face-lift patients resulting in low hematoma and complication rates. One thousand eighty-nine patients who underwent face-lift procedures performed by a single surgeon (R.J.R) were included in a retrospective chart review following institutional review board approval. Patient demographics, operative data including additional ancillary procedures, and the anesthesia regimen were recorded. In addition, postoperative complications and reoperation rates were documented. Between 1990 and 2013, 1089 face-lift procedures were performed. Of these, 10 patients developed postoperative hematomas. Benzodiazepines were commonly administered preoperatively to reduce anxiety level. Intraoperatively, a specific regimen and combination of inhalation agents, neuromuscular blockers, antiemetics, antihypertensives, and narcotics was given to control the ease of induction and emergence from anesthesia. Postoperatively, nausea, vomiting, anxiety, pain, and hypertension were treated as needed. The described protocol is safe and has been instituted at the authors' facility for approximately 20 years. The benefit of this regimen is related to the synergy of combination therapy. It is successful in reducing patient anxiety and pain, controlling blood pressure and postoperative emesis, and subsequently results in a reduced risk of hematoma. Therapeutic, IV.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 055437074

Download citation: RISBibTeXText

PMID: 25415274

DOI: 10.1097/prs.0000000000000966

Related references

Laser face-lifts: a new paradigm in face-lift surgery. Facial Plastic Surgery 27(4): 299-307, 2011

The Role of the Superwet Technique in Face Lift: An Analysis of 1089 Patients over 23 Years. Plastic and Reconstructive Surgery 135(6): 1566-1572, 2015

Face lifts and brow lift after radiotherapy. Plastic and Reconstructive Surgery 111(7): 2445-2448, 2003

Carbon dioxide laser skin resurfacing of the face (laser face lift)--what can be learned from the length of postoperative healing?. Plastic and Reconstructive Surgery 101(1): 250-251, 1998

Frontal face lift. Temporal face lift. Extraperiosteal face lift. Annales de Chirurgie Plastique et Esthetique 39(5): 571-596, 1994

Modified superficial musculoaponeurotic system face-lift: a review of 327 consecutive procedures and a patient satisfaction assessment. Aesthetic Plastic Surgery 35(2): 147-155, 2011

The study of hematomas in 500 consecutive face lifts. Plastic and Reconstructive Surgery 59(5): 694-698, 1977

Deep-plane face-lift vs superficial musculoaponeurotic system plication face-lift: a comparative study. Archives of Facial Plastic Surgery 6(1): 8, 2004

One hundred consecutive deep plane face-lifts. Archives of Otolaryngology--Head and Neck Surgery 122(1): 17-22, 1996

The Effect of Midline Corset Platysmaplasty on Degree of Face-lift Flap Elevation During Concomitant Deep-Plane Face-lift: A Cadaveric Study. JAMA Facial Plastic Surgery 18(3): 183-187, 2016

Is deep-plane face-lift better than superficial musculoaponeurotic system plication face-lift?. Archives of Facial Plastic Surgery 6(1): 14-15, 2004

Measuring outcomes that matter to face-lift patients: development and validation of FACE-Q appearance appraisal scales and adverse effects checklist for the lower face and neck. Plastic and Reconstructive Surgery 133(1): 21-30, 2014

Face-to-face clinical skills feedback: lessons from the analysis of standardized patient's work. Teaching and Learning in Medicine 17(3): 254-256, 2005

Defining the facial extent of the platysma muscle: a review of 71 consecutive face-lifts. Archives of Facial Plastic Surgery 11(6): 405-408, 2010

Ancillary procedures in the face lift operation extending the face lift. Southern Medical Journal 84(9): 2S74, 1991