Secondary Rhytidectomy

ABSTRACT

With the increase in popularity of aesthetic surgery, patients with previous face-lifts are increasingly encountered in clinical practice. Whereas the literature is replete with face-lift techniques and management of the primary rhytidectomy patient, there is a relative paucity of information concerning secondary facial rejuvenation procedures. This article is intended to bridge that gap and stimulate further discussion about this clinical situation.

KEYWORDS

Revision rhytidectomy - lateral sweep - revision face-lift - pixie ear deformity - face-lift sequelae

REFERENCES

• 1 American Society for Aesthetic Plastic Surgery .2007 Annual Statistics. Available at: http://www.surgery.org/download/2008stats.pdf Accessed 10/14/09
• 2 MEDLINE. http://Available at: www.pubmed.gov Accessed February 26, 2009
• 3 Rohrich R J, Ghavami A, Lemmon J A, Brown S A. The individualized component face lift: developing a systematic approach to facial rejuvenation.  Plast Reconstr Surg. 2009;  123 1050-1063
• 4 Millard Jr D R, Yuan R T, Devine Jr J W. A challenge to the undefeated nasolabial folds.  Plast Reconstr Surg. 1987;  80 37-46
• 5 Guyuron B, Bokhari F, Thomas T. Secondary rhytidectomy.  Plast Reconstr Surg. 1997;  100 1281-1284
• 6 Lambros V. Models of facial aging and implications for treatment.  Clin Plast Surg. 2008;  35 319-327 discussion 317
• 7 Connell B F. Eyebrow, face, and neck lifts for males.  Clin Plast Surg. 1978;  5 15-28
• 8 Knize D M. Periauricular face lift incisions and the auricular anchor.  Plast Reconstr Surg. 1999;  104 1508-1520 discussion 1521-1523
• 9 Hoefflin S M. Simple repair of a pixie earlobe.  Plast Reconstr Surg. 2001;  107 1623-1624
• 10 Little J W. Hiding the posterior scar in rhytidectomy: the omega incision.  Plast Reconstr Surg. 1999;  104 259-272 discussion 273-276
• 11 Hamra S T. Frequent face lift sequelae: hollow eyes and the lateral sweep: cause and repair.  Plast Reconstr Surg. 1998;  102 1658-1666
• 12 Lambros V, Stuzin J M. The cross-cheek depression: surgical cause and effect in the development of the “joker line” and its treatment.  Plast Reconstr Surg. 2008;  122 1543-1552
• 13 Hamra S T. Correcting the unfavorable outcomes following facelift surgery.  Clin Plast Surg. 2001;  28 621-638
• 14 Mendelson B C. Surgery of the superficial musculoaponeurotic system: principles of release, vectors, and fixation.  Plast Reconstr Surg. 2001;  107 1545-1552 discussion 1553-1555 1556-1557 1558-1561
• 15 Schwartz R J, Burns A J, Rohrich R J, Barton Jr F E, Byrd H S. Long-term assessment of CO2 facial laser resurfacing: aesthetic results and complications.  Plast Reconstr Surg. 1999;  103 592-601
• 16 Taylor G I, Corlett R J, Caddy C M, Zelt R G. An anatomic review of the delay phenomenon: II. Clinical applications.  Plast Reconstr Surg. 1992;  89 408-416 discussion 417-418
• 17 Guyuron B. Secondary rhytidectomy.  Plast Reconstr Surg. 2004;  114 797-800
• 18 Cerda E. Mechanics of scars.  J Biomech. 2005;  38 1598-1603
• 19 Mentz III H A, Ruiz-Razura A, Patronella C K, Newall G. Facelift: measurement of superficial muscular aponeurotic system advancement with and without zygomaticus major muscle release.  Aesthetic Plast Surg. 2005;  29 353-362
• 20 Har-Shai Y, Bodner S R, Egozy-Golan D et al.. Mechanical properties and microstructure of the superficial musculoaponeurotic system.  Plast Reconstr Surg. 1996;  98 59-70 discussion 71-73
• 21 Kissmeyer A, With C. Clinical and histological studies on the pathological changes in the elastic tissues of the skin.  Br J Dermatol. 1922;  34 175-194
• 22 Hwang K, Lee D K, Lee E J, Chung I H, Lee S I. Innervation of the lower eyelid in relation to blepharoplasty and midface lift: clinical observation and cadaveric study.  Ann Plast Surg. 2001;  47 1-5 discussion 5-7
• 23 Lowe III J B, Cohen M, Hunter D A, Mackinnon S E. Analysis of the nerve branches to the orbicularis oculi muscle of the lower eyelid in fresh cadavers.  Plast Reconstr Surg. 2005;  116 1743-1749 discussion 1750-1751
• 24 Lambros V. Overcorrection/undercorrection and the iatrogenic deformity of the neck following rhytidectomy. Presented at: Annual Meeting of the American Society of Aesthetic Plastic Surgeons May 2009 Las Vegas, NV;
• 25 Hatef D A, Hollier L H, Bullocks J M, Stal S. Smile block after rhytidectomy: a dynamic investigation into its cause. Presented at: Annual Meeting of the American Society of Aesthetic Plastic Surgeons May 2009 Las Vegas, NV;
• 26 Lambros V. Personal communication. Presented at: Annual Meeting of the American Society of Aesthetic Plastic Surgeons May 2009 Las Vegas, NV;
• 27 Brink R R. Auricular displacement with rhytidectomy.  Plast Reconstr Surg. 2001;  108 743-752
• 28 McKinney P, Giese S, Placik O. Management of the ear in rhytidectomy.  Plast Reconstr Surg. 1993;  92 858-866
• 29 McGregor M W, Greenberg R L. Rhytidectomy. In: Goldwyn RM The Unfavorable Result in Plastic Surgery. Boston, MA; Little, Brown 1972: 173-179
• 30 Baker T J, Gordon H L. Complications of rhytidectomy.  Plast Reconstr Surg. 1967;  40 31-39
• 31 Rich J D, Gottlieb V, Shesol B F. A simple method for correction of the pixie earlobe.  Plast Reconstr Surg. 1982;  69 136-138
• 32 Khoo B C. The pixie earlobe: a method of correction.  Plast Reconstr Surg. 1985;  76 636-638
• 33 Mowlavi A, Meldrum D G, Wilhelmi B J, Russell R C, Zook E G. The “pixie” ear deformity following face lift surgery revisited.  Plast Reconstr Surg. 2005;  115 1165-1171
• 34 Hoefflin S M. Simple repair of a pixie earlobe.  Plast Reconstr Surg. 2001;  107 1623-1624
• 35 McKinney P, Giese S, Placik O. Management of the ear in rhytidectomy.  Plast Reconstr Surg. 1993;  92 858-866
• 36 Barton Jr F E. Personal communication. Presented at: University of Texas Southwestern Department of Plastic Surgery Weekly Conference March 2008 Dallas, TX;