Abstract
Background
Since the introduction of the classic submucosal aponeurotic system (SMAS) face-lift, the surgical approach to improve the changes of an aging face has evolved, and significant technical improvements have been made. However, several problems still have not been solved satisfactorily. These problems include facial lipodystrophy and changes in skin and skin texture.
Methods
The Lipo-Facelift procedure consists of facial liposculpturing performed simultaneously with a biplanar, bivectorial SMAS face-lift procedure. The authors analyzed pre- and postsurgical photographs of 12 patients with a Lipo-Facelift after 3 and 12 months and analyzed their charts for complications. Furthermore, O2C measurement was performed to assess improved microcirculation. The longest follow-up period was 8 years.
Results
The Lipo-Facelift demonstrated very satisfying results. Initial swelling and bruising were seen as well as two cases of wound-healing disorders, but no surgical intervention or revision was needed. The findings show lasting improvement of skin quality and a youthful appearance.
Conclusion
The Lipo-Facelift corrects age-related skin and SMAS changes as well as age-related lipodystrophy, improves skin circulation and skin revitalization, and provides a lasting and natural result. The skin quality resulting from simultaneous lipofilling can be explained by improved angiogenesis due to transferred growth factors in the lipoaspirate. Also, differentiation of progenitor cells to fibroblasts and increased production of collagen contribute to firmer skin.
Level of Evidence IV
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References
Lemmon ML, Hamra ST (1980) Skoog rhytidectomy: a five-year experience with 577 patients. Plast Reconstr Surg 65:283–297
Mitz V, Peyronie M (1976) The superficial musculo-aponeurotic system (SMAS) in the parotid and cheek area. Plast Reconstr Surg 58:80–88
Fulton JE et al (2001) The S-lift facelift featuring the U-suture and O-suture combined with skin resurfacing. Dermatol Surg 27:18–22
Brackup AB (2002) Combined cervicofacial rhytidectomy and laser skin resurfacing. Ophthal Plast Reconstr Surg 18:24–39
Hamra ST (1990) The deep-plane rhytidectomy. Plast Reconstr Surg 86:53–61; discussion 62–63
Stuzin JM, Baker TJ, Baker TM (2000) Refinements in face-lifting: enhanced facial contour using vicryl mesh incorporated into SMAS fixation. Plast Reconstr Surg 105:290–301
Marten T (2005) Lamellar high SMAS face and midface lift. In: Nahai F (ed) The art of aesthetic surgery. QMP Medical, St. Louis, pp 1110–1193
Mendelson BC, Muzaffar AR, Adams WP Jr (2002) Surgical anatomy of the midcheek and malar mounds. Plast Reconstr Surg 110:885–896; discussion 897–911
Pallua N et al (2009) Content of the growth factors bFGF, IGF-1, VEGF, and PDGF-BB in freshly harvested lipoaspirate after centrifugation and incubation. Plast Reconstr Surg 123:826–833
Coleman SR (1997) Facial recontouring with lipostructure. Clin Plast Surg 24:347–367
Pulsfort AK, Wolter TP, Pallua N (2011) The effect of centrifugal forces on viability of adipocytes in centrifuged lipoaspirates. Ann Plast Surg 66:292–295
Donofrio LM (2005) Panfacial volume restoration with fat. Dermatol Surg 31(11 Pt 2):1496–1505
Knize DM (1999) Periauricular face lift incisions and the auricular anchor. Plast Reconstr Surg 104:1508–1520; discussion 1521–1523
Lu F et al (2008) Improved viability of random pattern skin flaps through the use of adipose-derived stem cells. Plast Reconstr Surg 121:50–58
Wolter TP et al (2005) Cryopreservation of mature human adipocytes: in vitro measurement of viability. Ann Plast Surg 55:408–413
Masuda T, Furue M, Matsuda T (2004) Novel strategy for soft tissue augmentation based on transplantation of fragmented omentum and preadipocytes. Tissue Eng 10:1672–1683
Zhu M et al (2010) Supplementation of fat grafts with adipose-derived regenerative cells improves long-term graft retention. Ann Plast Surg 64:222–228
Mojallal A et al (2009) Improvement of skin quality after fat grafting: clinical observation and an animal study. Plast Reconstr Surg 124:765–774
Brown SA et al (2010) Basic science review on adipose tissue for clinicians. Plast Reconstr Surg 126:1936–1946
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Pallua, N., Wolter, T. The Lipo-Facelift: Merging the Face-Lift and Liposculpture: Eight Years Experience and a Preliminary Observational Study. Aesth Plast Surg 37, 1107–1113 (2013). https://doi.org/10.1007/s00266-013-0218-x
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DOI: https://doi.org/10.1007/s00266-013-0218-x