Easy and Safe Simultaneous Zygoma Reduction and Facelift by Single Incision Through Subcutaneous Approach.

BACKGROUND: The surgery for facelift or zygoma reduction usually has a long operative time, swelling, and blood loss consideration; and therefore, these two procedures are often performed separately. In recent years, an increasing demand for simultaneous zygoma reduction and facelift has been observed; however, few studies have examined safe and effective of simultaneous zygoma reduction and facelift. OBJECTIVE: The aim of this study was to present a safe, easy, and flexible method for combining facelift and zygoma reduction through single facelift incision with minimal blood loss. METHODS: From 2015 to 2020, the senior author performed zygoma reduction with facelift by using a subcutaneous approach through single facelift incision in patients with wide zygoma and an aging face. Operative time, intraoperative blood loss, postoperative course, and complications were recorded. RESULTS: In total, 56 patients met the inclusion criteria and were included in the study. The combined surgery was successfully performed in all cases, and no serious complications were reported. The follow-up period ranged from 6.5 to 60 months. The average operating time was 187 minutes, and the mean intraoperative blood loss was minimal (30 mL). All patients were satisfied with the outcome, different scores were assessed with Global Aesthetic Improvement Scale (GAIS). CONCLUSIONS: Facelift and zygoma reduction using a subcutaneous approach through single facelift incision provides complete visualization of the zygoma, superior hemostasis control, resulting in an easy and safe surgery that does not require additional intraoral incisions.

Safety and Effectiveness of Single Session Mega Volume Fat Grafting for Breast Augmentation: A Space-Creating Concept and Clinical Experiences.

BACKGROUND: The main drawback of fat transfer breast augmentation is the need for multiple sessions of fat injection. For approximately 15 years, stem cells and the Brava device for breast expansion have been discussed and extensively investigated to address relevant challenges. However, the safety and effectiveness of autologous fat transfer as a single-session primary breast augmentation technique has not yet been standardized. OBJECTIVES: The aim of this study was to achieve mega volume fat breast augmentation in a single session by developing a "space-creating" approach that emphasizes the use of highly purified fat to achieve an optimized surgical outcome with large-volume breast augmentation. METHODS: Female patients who underwent aesthetic breast augmentation (October 2013-October 2020) involving the application of this space-creating technique for mega volume autologous fat transfer were retrospectively enrolled. Inclusion criteria were patients with hypomastia, breast asymmetry, and volume replacement following implant removal with BMI ≥18.5 kg/m2. After macrospace creation, highly purified fat was injected in several rounds during the procedure. A breast massage was performed between each stage (microspace creation). Breast circumference, nipple-inframammary fold distance, and cup size were recorded during 6 months of follow-up. RESULTS: Three hundred fifty-eight patients met the inclusion criteria. Average fat injection volumes of 510.9 mL in the right breast and 490.8 mL in the left breast resulted in at least a 2 cup size increase. The significant outcome remained stable at 6 months after surgery. CONCLUSIONS: The space-creating technique and the injection of highly purified fat achieves stable cosmetic outcomes of mega volume breast augmentation in a single session.