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1.
Facial Plast Surg ; 36(6): 688-695, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33368123

RESUMO

Nonsurgical facelifts are a term for a heterogeneous group of procedures used by physicians to improve facial rejuvenation without the use of operative techniques. Patients demand these services due to the reduced recovery time and generally lower risk. However, nonsurgical techniques, to be effective, must induce conformational change in the cells and tissues of the face. Therefore, these techniques are significant procedures that have associated risks. Understanding the tissue modifications and mechanisms of action of these techniques is vital to their safe and effective use. The purpose of this article is to provide a background of tissue modification in nonsurgical facelift options.


Assuntos
Ritidoplastia , Face , Humanos , Rejuvenescimento
3.
Facial Plast Surg ; 36(4): 351-357, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32866973

RESUMO

Rhytidectomy is a common procedure performed by facial plastic surgeons. On well-selected patients, rhytidectomy rejuvenates the aging face by repositioning soft tissues and improving facial shape. The fundamental goal of rhytidectomy, or facelift surgery, is to provide a more youthful facial appearance by elevating soft tissues that often descend with aging. The success and longevity of any rhytidectomy procedure are based on the individual patient's anatomy and aging and on the mobilization, elevation, and fixation of the soft tissues during the facelift procedure. Although surgeons often use many terms to describe a given facelift technique, anatomical terms are best used to name the facelift procedure, as the plane of dissection and the vector of elevation are what determines the end result. This paper attempts to simplify and demystify the deep plane facelift procedure and to describe the anatomy that makes this technique successful.


Assuntos
Ritidoplastia , Envelhecimento , Dissecação , Face , Humanos , Rejuvenescimento
4.
Facial Plast Surg ; 36(4): 376-385, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32866975

RESUMO

The mini facelift, often referred to as short scar or minimum incision facelift or rhytidectomy, is a facial rejuvenation procedure with limited incisions. It aims to lift and tighten the superficial musculo-aponeurotic system to restore the lower midface and the mandibular contour, thus eliminating undesirable jowls. By performing the deep plane or extended deep plane facelift with short incisions, the midface and upper neck can also be improved without the full face and neck incisions as in the typical rhytidectomy. With its decreased operative time and expense, rapid recovery, less complications, as well as more limited incisions with resultant less evidence of scars, mini facelift techniques have boomed over a decade for younger patients who seek facial rejuvenation. We describe our concept of the short or minimum incision deep plane/extended deep plane facelift or rhytidectomy and address what results can be expected.


Assuntos
Ritidoplastia , Sistema Musculoaponeurótico Superficial , Face/cirurgia , Humanos , Mandíbula , Rejuvenescimento
5.
Facial Plast Surg ; 36(4): 386-394, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32866976

RESUMO

The introduction and evolution of different rhytidectomy techniques has spawned an exciting era of facial rejuvenation in modern times. To provide patients with the best customized approach to surgery the facial aesthetic surgeon must have familiarity and understanding of the fundamental differences between these techniques. Here we set forth to provide some historical and anatomical perspective, followed by reviewing and comparing some of the key aspects of the most commonly utilized facelift techniques.


Assuntos
Ritidoplastia , Humanos , Rejuvenescimento
6.
Facial Plast Surg ; 36(4): 395-403, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32866977

RESUMO

Over the history of facial rejuvenation surgery there has been a progressive assimilation of knowledge about the anatomy of neck structures that are central to the manifestations of the aging neck. These advances in knowledge have been accompanied by the innovation and introduction of several surgical techniques to restore the neck to a more youthful appearance. The rejuvenation of the aging neck frequently incorporates a consideration and execution of accepted methods to restore the platysma muscles to a more aesthetic form. Lasting and dependable surgical techniques remain somewhat elusive and late failures in the neck continue to be a frustration for both patients and surgeons.In this manuscript, the author reviews some of the more enduring and innovative methods to manage the platysma in facelifting and cites the rationale and limitations of the various techniques. The concept of the restoration of an effective platysma "sling" in the upper neck to eliminate platysma bands and recreate a defined jawline is highlighted. A framework of patient evaluation and decision making is presented, and a suggested individualized application of accepted surgical maneuvers is suggested.


Assuntos
Ritidoplastia , Estética Dentária , Humanos , Pescoço/cirurgia , Músculos do Pescoço/cirurgia , Rejuvenescimento
7.
Facial Plast Surg ; 36(4): 416-429, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32866979

RESUMO

South America is a vast territory; its people were made from all parts of the world. The miscegenation made a unique population comprised of Indian, Asian, Caucasian, African, Mestizo, Mulatto, and Zambo. The South American patients tend to have a wider face with a skin-soft tissue envelope (S-STE) that is thicker, heavier, and has less elasticity than the Caucasian patient. Upper eyelids may hood easily. In the same way, malar eminences and round face look are more prominent. The chin can be a little retracted. With aging, the S-STE tends to sag more, making nasolabial folds and jowl area more prominent, and redundant neck skin will appear loose and heavy. Facelift is popular in South American patients. They have peculiar characteristics like heavy dark sebaceous skin which lead to peculiarities in face lifting. It is usually a procedure designed to rejuvenate all thirds of the face. In the forehead, skin excision in temporal incisions is usually necessary. Midface subperiosteal lift is a possibility for heavy skin patients who need great improvement in the center of the face. The neck lift is almost indispensable to the rejuvenation of the lower third. Extended superficial muscular aponeurotic system or deep plane dissection is commonly performed so the soft tissues of the midface, the jowls, and the neck can be lifted to reestablish their youthful relationship with the underlying skeleton.


Assuntos
Ritidoplastia , Testa/cirurgia , Humanos , Pescoço , Rejuvenescimento , Zigoma
8.
Facial Plast Surg ; 36(4): 430-446, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32866980

RESUMO

Energy-based facelifting techniques are a relatively new genre of surgery. In this approach, the energy-based device-whether laser, radiofrequency plasma, or ultrasound-can be used in the superficial plane to elevate skin flaps before performing more traditional facelift techniques involving the superficial musculoaponeurotic system (SMAS) or platysma. The initial reports of utilizing fiber lasers as surgical tools date back to approximately 2007 and initial lipolasers were used to elevate facial skin flaps. The other energy-based devices were also tested. The author has probably the largest series of energy-based facial rejuvenation procedures, having performed over 3,000 of these procedures. The advantages of laser-assisted rhytidectomy include hemostasis, facilitated dissection in areas hard to elevate conventionally such as nasolabial folds or distal neck and the remodeling and tightening of tissue that results from the activation of the wound healing cascade of neocollagenesis and wound contraction. The author currently has a preference for energy device used during rhytidectomy and it is a high frequency ultrasound energy delivered by a five-ring 2.9- and 3.7-mm probe. The use of the ultrasound dissector in both superficial and deep procedures is highlighted in this article with emphasis on its use for deep cervicoplasty and subplatysmal procedures as well as sub-SMAS elevations of the facial deep plane.


Assuntos
Ritidoplastia , Sistema Musculoaponeurótico Superficial/cirurgia , Dissecação , Pescoço/cirurgia , Rejuvenescimento
9.
Facial Plast Surg ; 36(4): 447-452, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32866981

RESUMO

Minimally invasive cosmetic procedures are in increasing demand worldwide. Patients are constantly searching for office-based techniques that can help improve the signs of aging but without the morbidity of a surgical procedure. Thread lifting with polydioxanone (PDO) sutures is a cosmetic procedure where lax tissue is lifted and repositioned trying to create a more youthful looking facial contour. The threads are absorbable and come in different shapes and lengths. The rate of complications and the downtime of the procedure are low, which are something patients are looking for. Ideally, these procedures should be performed by trained specialists who have complete knowledge of the facial anatomy, thus enhancing and improving results. Thread lifting with PDO absorbable threads has become an excellent option for minimally invasive facial rejuvenation procedures with a high satisfaction among patients and very few complications. It is a new tool that can be introduced in the armamentarium of specialists who work in the field of facial plastic surgery and who can offer this option to their patients with improved outcomes.


Assuntos
Ritidoplastia , Envelhecimento da Pele , Face , Humanos , Polidioxanona , Rejuvenescimento
10.
Facial Plast Surg ; 36(4): 462-477, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32866983

RESUMO

All surgical and minimally invasive procedures carry a risk of complications. It is imperative that the facial plastic surgeon and his/her staff are well educated in recognizing and managing all the possible problems that could arise. They must also be ready and able to deal with and correct any problem. The patient undergoing surgery or a procedure also needs to be informed of all possible sequelae and complications. Sequelae will happen after almost all procedures. These include soreness, swelling, bruising, and so on. If the patients understand that these are to be expected, they will be less likely to be overly concerned about them. They also must be educated about all the possible complications. They should be told that while complications are very rare, they could nevertheless happen. If a problem should arise, the surgeon and his/her staff should correct it and see that the patient receives the best care possible. This article examines the complications that could occur after rejuvenation surgery and minimally invasive procedures of the lower face and neck, what measures can be undertaken to reduce the risks, and how to recognize and manage them.


Assuntos
Rejuvenescimento , Ritidoplastia , Face , Feminino , Humanos , Masculino , Pescoço
11.
Ageing Res Rev ; 63: 101167, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32979553

RESUMO

Geroscience offers a counterpoint to the challenged pursuit of curing diseases of aging, by focusing on slowing the biological aging process for extended healthspan earlier in life. Remarkable progress has led this field toward animal trials and the next challenge lies with translation to humans. There is an emerging number of small human trials that can take advantage of new models integrating behavioral and social factors. Understanding dynamic aging mechanisms, given the powerful social determinants of aging (Crimmins, 2020) and human variability and environmental contexts (Moffitt, 2020), will be critical. Behavioral and social factors are intrinsic to aging. Toxic stressors broadly defined can lead to stress-acceleration of aging, either directly impacting aging processes or by shaping poor behavioral health, and underlie the socioeconomic disparities of aging. In contrast, hormetic stressors, acute intermittent stressors of moderate intensity, can produce stress resilience, the ability for quick recovery and possibly rejuvenation of cells and tissues. Although health research usually examines static biomarkers, aging is reflected in dynamic ability to recover from challenges pointing to new interventions and targets for examining mechanisms. A fuller model incorporating stress resilience provides innovative biobehavioral interventions, both for bolstering response to challenges, such as COVID-19, and for improving healthspan.


Assuntos
Envelhecimento , Hormese , Estresse Fisiológico , Animais , Betacoronavirus , Infecções por Coronavirus , Humanos , Pandemias , Pneumonia Viral , Rejuvenescimento
12.
Plast Reconstr Surg ; 146(4): 416e-419e, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32970000

RESUMO

Volume restoration with autologous fat augmentation has become a key technique in facial rejuvenation. It is highly versatile and useful as an independent operation or as an adjunct to rhytidectomy and blepharoplasty. The goal of this article and the accompanying videos is to provide a detailed step-by-step guide to achieving predictable and optimized surgical results.


Assuntos
Tecido Adiposo/transplante , Técnicas Cosméticas , Face/cirurgia , Ritidoplastia/métodos , Humanos , Rejuvenescimento
13.
Clin Dermatol ; 38(4): 494-496, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32972609

RESUMO

Stem cells have recently garnered increased attention, especially pertaining to their use in cutaneous rejuvenation. Their popularity has continued to grow with patients and consumers alike, which has followed the substantial marketing bolstering them. Although limited, studies have begun to demonstrate promise in the field of esthetics. We review the prominent studies in the literature to shed more light on the use of stem cells for cosmetic practitioners.


Assuntos
Técnicas Cosméticas , Dermatologia , Estética , Células-Tronco Mesenquimais/citologia , Rejuvenescimento/fisiologia , Envelhecimento da Pele , Fenômenos Fisiológicos da Pele , Células-Tronco , Tecido Adiposo/citologia , Células da Medula Óssea , Diferenciação Celular , Autorrenovação Celular , Humanos , Pele , Células-Tronco/fisiologia
14.
Cir. plást. ibero-latinoam ; 46(3): 291-301, jul.-sept. 2020. ilus, graf, tab
Artigo em Espanhol | IBECS | ID: ibc-196919

RESUMO

INTRODUCCIÓN Y OBJETIVO: El labio senescente se produce por cambios relacionados con el paso del tiempo a nivel de piel, tejido celular subcutáneo, músculo y hueso, con el resultado de elongación y pérdida de volumen del labio. Proponemos una clasificación clínica del labio senescente a fin de establecer el tratamiento quirúrgico del mismo según sus grados. MATERIAL Y MÉTODO: La investigación fue de tipo no experimental, descriptiva y prospectiva. Constó de 2 fases: la primera donde se recolectaron 180 pacientes a quienes se tomaron medidas clínicas del labio blanco, y la segunda con 20 pacientes clasificados según grado de ritidosis labial a los que se les aplicó el tratamiento correspondiente. Realizamos pruebas estadísticas tipo chi-cuadrado y Shapiro-Wilk para asociación y significancia estadística. RESULTADOS: Evidenciamos el inicio de la ritidosis labial a partir del grupo etario de 30 a 34 años y clasificamos la ritidosis labial en 4 grados. Aplicamos tratamiento quirúrgico modificado en "cuerno de toro". Identificamos complicaciones postoperatorias: hematoma, dehiscencia parcial y recidivas. El 100% de los pacientes mostraron alta satisfacción con los resultados. CONCLUSIONES: La clasificación propuesta permite establecer un tratamiento quirúrgico de la ritidosis labial seguro y efectivo, adaptado a las características anatómicas de cada paciente


BACKGROUND AND OBJECTIVE: The aged lip is produced by changes related to the passage of time at the level of skin, subcutaneous cellular tissue, muscle and bone, resulting in elongation and loss of volume of the lip. We propose a clinical classification of the senescent lip to establish its surgical treatment according to its grades. METHODS: We conduct a non-experimental, descriptive and prospective research in 2 phases: the first one with 180 patients taking the clinical measurements of the white lip, and a second one consisting on 20 patients who were classified according to the degree of labial rhytidosis and the corresponding treatment was applied. Statistical tests chi-square and Shapiro-Wilk were applied for association and statistical significance. RESULTS: It was evidenced the beginning of the labial rhytidosis from the age group of 30 to 34 years and it was possible to classify the labial rhytidosis in 4 grades. Modified surgical treatment was applied in "bull's horn". Postoperative complications were identified: hematoma, partial dehiscence and recurrences. All the patients reported high satisfaction with the results. CONCLUSIONS: The proposed classification allows to establish a safe and effective surgical treatment of labial rhytidosis, adapted to the anatomical characteristics of each patient


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Lábio/cirurgia , Cirurgia Plástica/métodos , Técnicas Cosméticas , Ritidoplastia/métodos , Rejuvenescimento , Envelhecimento da Pele , Estudos Prospectivos , Cuidados Pós-Operatórios , Complicações Pós-Operatórias , Satisfação do Paciente , Estética , Procedimentos Cirúrgicos Reconstrutivos/métodos , Envelhecimento/fisiologia , Face/fisiologia
15.
J Cosmet Dermatol ; 19(11): 2778-2784, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32852146

RESUMO

BACKGROUND: With the pandemic dissemination of COVID-19, attitude and sentiment surrounding facial rejuvenation have evolved rapidly. AIMS: The purpose of this study was to understanding the impact of pandemic on the attitude of people toward facial skin rejuvenation. METHODS: Twitter data related to facial rejuvenation were collected from January 1, 2020, to April 30, 2020. Sentiment analysis, frequency analysis, and word cloud were performed to analyze the data. Statistical analysis included two-tailed t tests and chi-square tests. RESULTS: In the post-declaration, the number of tweets about facial rejuvenation increased significantly, and the search volume in Google Trends decreased. Negative public emotions increased, but positive emotions still dominate. The words frequency of "discounts" and "purchase" decreased. The dominant words in word cloud were "Botox," "facelift," "hyaluronic," and "skin." CONCLUSION: The public has a positive attitude toward facial rejuvenation during the pandemic. In particular, minimally invasive procedures dominate the mainstream, such as "Botox," "Hyaluronic acid," and "PRP." The practitioners could understand the change of the public interest in facial rejuvenation in time and decide what to focus on.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Técnicas Cosméticas , Pneumonia Viral/epidemiologia , Opinião Pública , Rejuvenescimento , Mídias Sociais , Face , Humanos , Pandemias
16.
Medicine (Baltimore) ; 99(34): e21814, 2020 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-32846820

RESUMO

BACKGROUND: Various techniques have been applied in facial rejuvenation and lattice laser is the most accepted. However, the application effect of lattice laser in facial rejuvenation is unclear. This study aims to evaluate the application effect of lattice laser in facial rejuvenation. METHODS: Randomized controlled trials of lattice laser in facial rejuvenation will be searched in PubMed, EMbase, Web of Science, Cochrane Library, China National Knowledge Infrastructure, WanFang, the Chongqing VIP Chinese Science and Technology Periodical Database, and China biomedical literature database from inception to July 2020. And Baidu Scholar, International Clinical Trials Registry Platform, Google Scholar, and Chinese Clinical Trials Registry will be searched to obtain more relevant studies comprehensively. Two researchers will perform data extraction and risk of bias assessment independently. Statistical analysis will be conducted in RevMan 5.3. RESULTS: This study will sum up the present evidence so far by exploring the application effect of lattice laser in facial rejuvenation. CONCLUSIONS: The findings of the study will provide helpful evidence for the application effect of lattice laser in facial rejuvenation, promoting clinical practice, and further scientific research. ETHICS AND DISSEMINATION: The private information from individuals will not publish. This systematic review also will not involve endangering participant rights. Ethical approval is not required. The results may be published in a peer-reviewed journal or disseminated in relevant conferences. OSF REGISTRATION NUMBER: DOI 10.17605/OSF.IO/QF6H5.


Assuntos
Face , Lasers de Estado Sólido/uso terapêutico , Rejuvenescimento , Envelhecimento da Pele , Humanos , Terapia a Laser/métodos , Metanálise como Assunto , Ensaios Clínicos Controlados Aleatórios como Assunto , Projetos de Pesquisa , Revisões Sistemáticas como Assunto
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