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Vascular Age as a Predictor of Side Effects After Facial Lipofilling

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Abstract

Background

Vascular age (VA) represents chronological age adjusted for an individual’s atherosclerotic burden. Keeping in mind the fact that facial vascularization could influence the success of esthetic interventions, we aimed to investigate the predictive value of VA in development of side effects following facial lipofilling.

Methods

In the period from October 1, 2014, to October 1, 2015, 106 consecutive subjects who underwent a facial lipofilling were included in the study. The VA was calculated using two approaches: Systematic Coronary Risk Evaluation (SCORE) project equations and means of vascular parameters assessed by color duplex sonographic examinations. The data regarding facial lipofilling-related complications (pain, edema and/or hematoma) have been collected during the regular checkups over 2 weeks after intervention.

Results

The average chronological age of the participants was 50.9 ± 9.4 years. Estimation of VA using vascular sonographic parameters revealed the value of 45.4 ± 29.1 years, whereas the assessment of VA using SCORE equations showed that the mean age was 53.7 ± 12.7 (p = 0.006). The total frequency of these complications was as follows: 6.6% for hematoma, 15.1% for edema (13.2% mild edema and 1.9% severe edema) and 20.8% for local facial pain (17.0% mild pain and 3.8% severe pain). The multivariate logistic regression models showed that VA had statistically significant (p < 0.01) independent prognostic value for facial lipofilling-related appearance of hematoma and pain.

Conclusions

The results of our study revealed that advanced VA has an independent predictive role in the appearance of complications following facial plastic surgery.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Authors and Affiliations

  1. BT-Clinic Aesthetic Surgery, Belgrade, 11000, Serbia

    Brakica Tepavcevic

  2. Institute of Cardiovascular Diseases “Dedinje”, Belgrade, 11000, Serbia

    Djordje Radak & Sandra Radak

  3. Clinic for Plastic and Reconstructive Surgery, Clinical Center of Serbia, Belgrade, 11000, Serbia

    Milan Jovanovic

  4. Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Visegradska 26, Belgrade, 11000, Serbia

    Darija Kisic Tepavcevic

Authors
  1. Brakica Tepavcevic
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  2. Djordje Radak
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  3. Milan Jovanovic
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  4. Sandra Radak
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  5. Darija Kisic Tepavcevic
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Correspondence to Darija Kisic Tepavcevic.

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Tepavcevic, B., Radak, D., Jovanovic, M. et al. Vascular Age as a Predictor of Side Effects After Facial Lipofilling. Aesth Plast Surg 41, 729–737 (2017). https://doi.org/10.1007/s00266-017-0852-9

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  • DOI: https://doi.org/10.1007/s00266-017-0852-9

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