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Semin Plast Surg 2020; 34(04): 272-276
DOI: 10.1055/s-0040-1721764
Review Article

Complications in Facial Esthetic Surgery

Arya Namin
1   Department of Otolaryngology – Head and Neck Surgery, University of Missouri, Columbia, Missouri
,
Tom Shokri
2   Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
,
Aurora Vincent
2   Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
,
Masoud Saman
3   Saman Center for Facial Plastic Surgery, Plano, Texas
,
Yadranko Ducic
2   Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
› Author Affiliations
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Abstract

Esthetic surgery continues to become increasingly popular both in the United States and globally. Facial esthetic procedures in particular account for a large proportion of procedures performed. This increase in popularity will inevitably result in the number of potential complications associated with these procedures. In this review, the authors describe common complications encountered with frequently performed cosmetic facial procedures and their associated management. This article is meant as a general overview and introduction to potential complications surgeons may encounter, interested readers are encouraged to further review comprehensive subspecialty literature for more detailed discussion.

Keywords

cosmetic surgery - complications - facial plastic surgery - esthetic surgery


Publication History

Article published online:
24 December 2020

© 2020. Thieme. All rights reserved.

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  • References

  • 1 Lighthall JG, Wang TD. Complications of forehead lift. Facial Plast Surg Clin North Am 2013; 21 (04) 619-624
    CrossrefPubMedGoogle Scholar
  • 2 Cho M-J, Carboy JA, Rohrich RJ. Complications in brow lifts: a systemic review of surgical and nonsurgical brow rejuvenations. Plast Reconstr Surg Glob Open 2018; 6 (10) e1943
    CrossrefPubMedGoogle Scholar
  • 3 Trinei FA, Januszkiewicz J, Nahai F. The sentinel vein: an important reference point for surgery in the temporal region. Plast Reconstr Surg 1998; 101 (01) 27-32
    CrossrefPubMedGoogle Scholar
  • 4 Rohrich RJ, Cho M-J. Endoscopic temporal brow lift: surgical indications, technique, and 10-year outcome analysis. Plast Reconstr Surg 2019; 144 (06) 1305-1310
    CrossrefPubMedGoogle Scholar
  • 5 Keller GS, Mashkevich G. Endoscopic forehead and brow lift. Facial Plast Surg 2009; 25 (04) 222-233
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 Fagien S. Putterman's Cosmetic Oculoplastic Surgery E-Book. Philadelphia, PA: Saunders-Elsevier; 2007
    Google Scholar
  • 7 Pan E, Yu J, Zhang S, Nie Y, Li Q. Retrospective analysis of the effect of Hering's law on outcomes of surgical correction of ptosis. Ann Plast Surg 2018; 80 (03) 242-244
    CrossrefPubMedGoogle Scholar
  • 8 Glasgold M, Lam SM, Glasgold R. Volumetric rejuvenation of the periorbital region. Facial Plast Surg 2010; 26 (03) 252-259
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Whipple KM, Korn BS, Kikkawa DO. Recognizing and managing complications in blepharoplasty. Facial Plast Surg Clin North Am 2013; 21 (04) 625-637
    CrossrefPubMedGoogle Scholar
  • 10 Baek JS, Kim KH, Lee JH, Choi HS. Ophthalmologic complications associated with oculofacial plastic and esthetic surgeries. J Craniofac Surg 2018; 29 (05) 1208-1211
    CrossrefPubMedGoogle Scholar
  • 11 Mejia JD, Egro FM, Nahai F. Visual loss after blepharoplasty: incidence, management, and preventive measures. Aesthet Surg J 2011; 31 (01) 21-29
    CrossrefPubMedGoogle Scholar
  • 12 Alghoul M. Blepharoplasty: anatomy, planning, techniques, and safety. Aesthet Surg J 2019; 39 (01) 10-28
    CrossrefPubMedGoogle Scholar
  • 13 MD MAC. MD CDM Jr. Eyelid and Periorbital Surgery. 2nd ed.. Boca Raton, FL: CRC Press; 2016
    Google Scholar
  • 14 Rohrich RJ, Mohan R. Preventing lateral canthal malposition in modern blepharoplasty. Plast Reconstr Surg 2020; 145 (02) 324e-328e
    CrossrefPubMedGoogle Scholar
  • 15 Harounian J, Wulc AE, Brackup AB, Ramesh S. Subtle eyelid retraction after lower blepharoplasty. J Plast Reconstr Aesthet Surg 2019; 72 (10) 1682-1687
    CrossrefPubMedGoogle Scholar
  • 16 Schwarcz RM, Kotlus B. Complications of lower blepharoplasty and midface lifting. Clin Plast Surg 2015; 42 (01) 63-71
    CrossrefPubMedGoogle Scholar
  • 17 Patel A, Wang Y, Massry GG. Management of postblepharoplasty lower eyelid retraction. Facial Plast Surg Clin North Am 2019; 27 (04) 425-434
    CrossrefPubMedGoogle Scholar
  • 18 Massry GG, Azizzadeh B. Periorbital fat grafting. Facial Plast Surg 2013; 29 (01) 46-57
    Article in Thieme ConnectPubMedGoogle Scholar
  • 19 Maamari RN, Massry GG, Holds JB. Complications associated with fat grafting to the lower eyelid. Facial Plast Surg Clin North Am 2019; 27 (04) 435-441
    CrossrefPubMedGoogle Scholar
  • 20 Jacono AA. A novel volumizing extended deep-plane facelift: using composite flap shifts to volumize the midface and jawline. Facial Plast Surg Clin North Am 2020; 28 (03) 331-368
    CrossrefPubMedGoogle Scholar
  • 21 Patrocinio TG, Loredo BAS, Arevalo CEA, Patrocinio LG, Patrocinio JA. Complications in blepharoplasty: how to avoid and manage them. Rev Bras Otorrinolaringol (Engl Ed) 2011; 77 (03) 322-327
    PubMedGoogle Scholar
  • 22 Wilson SC, Daar DA, Maliha SG, Abdou SA, Levine SM, Baker DC. Lower eyelid blepharoplasty: does the literature support the longevity of this procedure?. Aesthet Surg J 2018; 38 (12) 1289-1297
    CrossrefPubMedGoogle Scholar
  • 23 Mitz V, Peyronie M. The superficial musculo-aponeurotic system (SMAS) in the parotid and cheek area. Plast Reconstr Surg 1976; 58 (01) 80-88
    CrossrefPubMedGoogle Scholar
  • 24 Stuzin JM, Baker TJ, Gordon HL. The relationship of the superficial and deep facial fascias: relevance to rhytidectomy and aging. Plast Reconstr Surg 1992; 89 (03) 441-449 , discussion 450–451
    CrossrefPubMedGoogle Scholar
  • 25 Furnas DW. The retaining ligaments of the cheek. Plast Reconstr Surg 1989; 83 (01) 11-16
    CrossrefPubMedGoogle Scholar
  • 26 Hamra ST. The deep-plane rhytidectomy. Plast Reconstr Surg 1990; 86 (01) 53-61 , discussion 62–63
    CrossrefPubMedGoogle Scholar
  • 27 Mendelson BC. Extended sub-SMAS dissection and cheek elevation. Clin Plast Surg 1995; 22 (02) 325-339
    CrossrefPubMedGoogle Scholar
  • 28 Rohrich RJ, Narasimhan K. Long-term results in face lifting: observational results and evolution of technique. Plast Reconstr Surg 2016; 138 (01) 97-108
    CrossrefPubMedGoogle Scholar
  • 29 Auersvald A, Auersvald LA. Management of the submandibular gland in neck lifts: indications, techniques, pearls, and pitfalls. Clin Plast Surg 2018; 45 (04) 507-525
    CrossrefPubMedGoogle Scholar
  • 30 Jacono A, Bryant LM. Extended deep plane facelift: incorporating facial retaining ligament release and composite flap shifts to maximize midface, jawline and neck rejuvenation. Clin Plast Surg 2018; 45 (04) 527-554
    CrossrefPubMedGoogle Scholar
  • 31 Marten T, Elyassnia D. Management of the platysma in neck lift. Clin Plast Surg 2018; 45 (04) 555-570
    CrossrefPubMedGoogle Scholar
  • 32 Feldman J. Neck Lift. St. Louis, MO: Quality Medical Publishing; 2006
    CrossrefGoogle Scholar
  • 33 Fedok FG. The avoidance and management of complications, and revision surgery of the lower face and neck. Clin Plast Surg 2018; 45 (04) 623-634
    CrossrefPubMedGoogle Scholar
  • 34 Batniji RK. Complications/sequelae of neck rejuvenation. Facial Plast Surg Clin North Am 2014; 22 (02) 317-320
    CrossrefPubMedGoogle Scholar
  • 35 Jacono AA, Malone MH. Vertical sweep deformity after face-lift. JAMA Facial Plast Surg 2017; 19 (02) 155-156
    CrossrefPubMedGoogle Scholar
  • 36 Lawson III GA, Kreymerman P, Nahai F. An unusual complication following rhytidectomy: iatrogenic parotid injury resulting in parotid fistula/sialocele. Aesthet Surg J 2012; 32 (07) 814-821
    CrossrefPubMedGoogle Scholar
  • 37 Cristel RT, Irvine LE. Common complications in rhytidectomy. Facial Plast Surg Clin North Am 2019; 27 (04) 519-527
    CrossrefPubMedGoogle Scholar
  • 38 Reinisch JF, Bresnick SD, Walker JW, Rosso RF. Deep venous thrombosis and pulmonary embolus after face lift: a study of incidence and prophylaxis. Plast Reconstr Surg 2001; 107 (06) 1570-1575 , discussion 1576–1577
    CrossrefPubMedGoogle Scholar
  • 39 Chang S, Pusic A, Rohrich RJ. A systematic review of comparison of efficacy and complication rates among face-lift techniques. Plast Reconstr Surg 2011; 127 (01) 423-433
    CrossrefPubMedGoogle Scholar
  • 40 Jacono AA, Alemi AS, Russell JL. A meta-analysis of complication rates among different SMAS facelift techniques. Aesthet Surg J 2019; 39 (09) 927-942
    CrossrefPubMedGoogle Scholar
  • 41 Auersvald A, Auersvald LA. Hemostatic net in rhytidoplasty: an efficient and safe method for preventing hematoma in 405 consecutive patients. Aesthetic Plast Surg 2014; 38 (01) 1-9
    CrossrefPubMedGoogle Scholar
  • 42 Cohen JC, Glasgold RA, Alloju LM, Glasgold MJ. Effects of intravenous tranexamic acid during rhytidectomy: a randomized, controlled, double-blind pilot study. Aesthet Surg J 2020; sjaa072 DOI: 10.1093/asj/sjaa072.
    CrossrefPubMedGoogle Scholar
  • 43 Killion EA, Hyman CH, Hatef DA, Hollier Jr LH, Reisman NR. A systematic examination of the effect of tissue glues on rhytidectomy complications. Aesthet Surg J 2015; 35 (03) 229-234
    CrossrefPubMedGoogle Scholar
  • 44 Perkins SW, Williams JD, Macdonald K, Robinson EB. Prevention of seromas and hematomas after face-lift surgery with the use of postoperative vacuum drains. Arch Otolaryngol Head Neck Surg 1997; 123 (07) 743-745
    CrossrefPubMedGoogle Scholar
  • 45 Jones BM, Grover R. Avoiding hematoma in cervicofacial rhytidectomy: a personal 8-year quest. Reviewing 910 patients. Plast Reconstr Surg 2004; 113 (01) 381-387 , discussion 388–390
    CrossrefPubMedGoogle Scholar
  • 46 Schroeder II RJ, Langsdon PR. Effect of local tranexamic acid on hemostasis in rhytidectomy. Facial Plast Surg Aesthet Med 2020; 22 (03) 195-199
    CrossrefPubMedGoogle Scholar
  • 47 Niamtu III J. Pyoderma gangrenosum after facelift and otoplasty surgery: case presentations and literature review. J Oral Maxillofac Surg 2019; 77 (04) 834-842
    CrossrefPubMedGoogle Scholar
  • 48 Wee JH, Park M-H, Oh S, Jin H-R. Complications associated with autologous rib cartilage use in rhinoplasty: a meta-analysis. JAMA Facial Plast Surg 2015; 17 (01) 49-55
    CrossrefPubMedGoogle Scholar
  • 49 Liang X, Wang K, Malay S, Chung KC, Ma J. A systematic review and meta-analysis of comparison between autologous costal cartilage and alloplastic materials in rhinoplasty. J Plast Reconstr Aesthet Surg 2018; 71 (08) 1164-1173
    CrossrefPubMedGoogle Scholar
  • 50 Layliev J, Gupta V, Kaoutzanis C. et al. Incidence and preoperative risk factors for major complications in aesthetic rhinoplasty: analysis of 4978 patients. Aesthet Surg J 2017; 37 (07) 757-767
    CrossrefPubMedGoogle Scholar
  • 51 Wagner R, Toback JM. Toxic shock syndrome following septoplasty using plastic septal splints. Laryngoscope 1986; 96 (06) 609-610
    CrossrefPubMedGoogle Scholar
  • 52 Jacobson JA, Kasworm EM. Toxic shock syndrome after nasal surgery. Case reports and analysis of risk factors. Arch Otolaryngol Head Neck Surg 1986; 112 (03) 329-332
    CrossrefPubMedGoogle Scholar
  • 53 Ishii LE, Tollefson TT, Basura GJ. et al. Clinical practice guideline: improving nasal form and function after rhinoplasty executive summary. Otolaryngol Head Neck Surg 2017; 156 (02) 205-219
    CrossrefPubMedGoogle Scholar
  • 54 Nuyen B, Kandathil CK, Laimi K, Rudy SF, Most SP, Saltychev M. Evaluation of antibiotic prophylaxis in rhinoplasty: a systematic review and meta-analysis. JAMA Facial Plast Surg 2019; 21 (01) 12-17
    CrossrefPubMedGoogle Scholar
  • 55 Rohrich RJ, Ghavami A, Constantine FC, Unger J, Mojallal A. Lift-and-fill face lift: integrating the fat compartments. Plast Reconstr Surg 2014; 133 (06) 756e-767e
    CrossrefPubMedGoogle Scholar
  • 56 Cotofana S, Lachman N. Arteries of the face and their relevance for minimally invasive facial procedures: an anatomical review. Plast Reconstr Surg 2019; 143 (02) 416-426
    CrossrefPubMedGoogle Scholar
  • 57 Cotofana S, Schenck TL, Trevidic P. et al. Midface: clinical anatomy and regional approaches with injectable fillers. Plast Reconstr Surg 2015; 136 (5, Suppl): 219S-234S
    CrossrefPubMedGoogle Scholar
  • 58 Signorini M, Liew S, Sundaram H. et al; Global Aesthetics Consensus Group. Global aesthetics consensus: avoidance and management of complications from hyaluronic acid fillers-evidence- and opinion-based review and consensus recommendations. Plast Reconstr Surg 2016; 137 (06) 961e-971e
    CrossrefPubMedGoogle Scholar
  • 59 Bertossi D, Giampaoli G, Verner I, Pirayesh A, Nocini R, Nocini P. Complications and management after a nonsurgical rhinoplasty: a literature review. Dermatol Ther (Heidelb) 2019; 32 (04) e12978
    CrossrefPubMedGoogle Scholar
  • 60 White JB, Dufresne CR. Management and avoidance of complications in chin augmentation. Aesthet Surg J 2011; 31 (06) 634-642
    CrossrefPubMedGoogle Scholar