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Hemostatic net in facelift surgery

  • T. G. O’Daniel
  • A. AuersvaldEmail author
  • L. A. Auersvald
Leitthema

Abstract

Hematomas are one of the most frequently reported complications in aesthetic surgery. Risk factors predisposing to postoperative bleeding and hematoma formation have been previously identified and include gender and smoking status, hypertension and malignancy, anticoagulant medications, surgical and anesthetic techniques, as well as postoperative management. In an effort to impact the incidence of hematoma formation following facelift, Auersvald and Auersvald developed a novel technique to eliminate hematoma formation in the early high-risk post-operative period. The application of a hemostatic net to all areas of skin elevation closes the dead space, negating the potential of expansive bleeding. The hemostatic net has proven to be a safe and effective method to prevent hematoma in the early post-operative period. The technique also enhances the surgeon’s ability to accommodate severely lax cervicofacial skin.

Keywords

Hematoma Aesthetic procedure Dead space Suturing technique Superficial muscular aponeurotic system 

Hämostatisches Netz bei Facelift

Zusammenfassung

Hämatome sind eine der häufigsten Komplikationen in der ästhetischen Chirurgie. Zu den bereits identifizierten Risikofaktoren für postoperative Blutungen und Hämatombildung zählen das Geschlecht und der Raucherstatus, Hypertonie und maligne Erkrankungen, die Einnahme von Gerinnungshemmern, Operations- und Anästhesieverfahren sowie das postoperative Management. In ihrem Bemühen, die Inzidenz der Hämatombildung nach Facelift zu senken, haben Auersvald und Auersvald ein neuartiges Verfahren entwickelt, mit dem die Entstehung von Hämatomen in der frühen Hochrisikophase nach Operation unterbunden werden soll. Durch Einsatz eines hämostatischen Netzes in allen Bereichen mit Hauterhebung wird der Totraum geschlossen, was potenzielle ausgedehnte Blutungen unterbindet. Das hämostatische Netz hat sich als sicheres und wirksames Mittel zur Hämatomprävention in der frühen postoperativen Phase erwiesen. Zudem erleichtert das Verfahren dem Chirurgen die Versorgung von sehr schlaffer zervikofazialer Haut.

Schlüsselwörter

Hämatom Ästhetisches Verfahren Totraum Nahttechnik Superfizielles muskuloaponeurotisches System 

Notes

Compliance with ethical guidelines

Conflict of interest

T.G. O’Daniel, A. Auersvald and, L.A. Auersvald declare that they have no competing interests.

This article does not contain any studies with human participants or animals performed by any of the authors. For images or other information within the manuscript which identify patients, consent was obtained from them and/or their legal guardians.

References

  1. 1.
    Grover R, Jones BM, Waterhouse N (2001) The prevention of haematoma following rhytidectomy: a review of 1078 consecutive facelifts. Br J Plast Surg 54(6):481–486CrossRefGoogle Scholar
  2. 2.
    Beer GM, Goldscheider E, Weber A, Lehmann K (2010) Prevention of acute hematoma after face-lifts. Aesthetic Plast Surg 34(4):502–507CrossRefGoogle Scholar
  3. 3.
    Gupta V, Winocour J, Shi H, Shack RB, Grotting JC, Higdon KK (2016) Preoperative risk factors and complication rates in facelift: analysis of 11,300 patients. Aesthet Surg J 36(1):1–13CrossRefGoogle Scholar
  4. 4.
    Auersvald A, Auersvald LA (2014) Hemostatic net in rhytidoplasty: an efficient and safe method for preventing hematoma in 405 consecutive patients. Aesthetic Plast Surg 38:1–9CrossRefGoogle Scholar
  5. 5.
    Kaoutzanis C, Winocour J, Gupta V et al (2017) Incidence and risk factors for major hematomas in aesthetic surgery: analysis of 129,007 patients. Aesthet Surg J 37(10):1175–1185CrossRefGoogle Scholar
  6. 6.
    Auersvald A, Auersvald LA, Biondo-Simões MLP (2012) Hemostatic net: an alternative for the prevention of hematoma in rhytidoplasty. Rev Bras Cir Plast 27:22–30CrossRefGoogle Scholar
  7. 7.
    Baroudi R, Ferreira CA (1998) Seroma: how to avoid it and how to treat it. Aesthet Surg J 18:439–441CrossRefGoogle Scholar
  8. 8.
    Pollock H, Pollock T (2000) Progressive tension sutures: a technique to reduce local complications in abdominoplasty. Plast Reconstr Surg 105(7):2583–2586 (discussion 2587)CrossRefGoogle Scholar
  9. 9.
    Pollock H, Pollock T (2003) Management of face lifts with progressive tension sutures. Aesthet Surg J 23(1):28–33CrossRefGoogle Scholar
  10. 10.
    Baker TJ, Gordon HL (1967) Complications of rhytidectomy. Plast Reconstr Surg 40:31–39CrossRefGoogle Scholar
  11. 11.
    Rees TD, Lee YC, Coburn RJ (1973) Expanding hematoma after rhytidectomy: a retrospective study. Plast Reconstr Surg 51:149–153CrossRefGoogle Scholar

Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  • T. G. O’Daniel
    • 1
  • A. Auersvald
    • 2
    Email author
  • L. A. Auersvald
    • 2
  1. 1.O’Daniel Plastic Surgery StudioLouisvilleUSA
  2. 2.Alameda Presidente Taunay, 1756Clínica Auersvald de Cirurgia PlásticaCuritibaBrazil

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