The Outcome of the Reconstructive Procedure Using Buccal Pad of Fat Flap and Deep Plane Facelift after Permanent Filler Removal.
Abstract
[BACKGROUND] Deep plane facelift in patients with prior permanent filler injection is a formidable reconstructive and aesthetic procedure. Various reconstructive techniques have been previously described in the literature to address the defects after permanent fillers removal. This study investigates the effectiveness and complication rate of reconstruction of these soft tissue defects using the buccal pad of fat flap.
[MATERIALS AND METHODS] This prospective cohort study was conducted at Opal Aesthetic Center in Cairo from 2016 to 2022. Patients underwent removal of the permanent fillers, followed by a deep plane facelift and reconstruction of the resulting defect using a buccal pad of fat flap. Follow up was done for a minimum period of six months to a maximum of five years to assess contour and complications.
[RESULTS] A study of 151 patients, comprising 92.7% females with a mean age of 47.8 years, examined the outcomes of reconstruction using buccal pad of fat flap following permanent filler removal in conjunction with a deep plane facelift procedure. Patient satisfaction was high, with 80.7% rating their outcomes as "very good" or "excellent". Primary surgeries had an 88.5% satisfaction rate, whereas revision surgeries had only a 33.4% satisfaction rate. Contour irregularities were reported in 10.6% of cases and were linked to the occurrence of complications (p < 0.001).
[CONCLUSION] The buccal fat pad flap combined with a deep plane facelift after permanent filler removal is a safe and effective reconstructive method with high patient satisfaction. Primary surgeries generally have better outcomes than secondary revisions. The outcome of the buccal fat pad procedure has shown to be negatively affected by smoking, previous surgeries and the presence of post-operative complications. Future research should refine techniques for secondary cases and investigate treatments to improve tissue quality.
[LEVEL OF EVIDENCE IV] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
[MATERIALS AND METHODS] This prospective cohort study was conducted at Opal Aesthetic Center in Cairo from 2016 to 2022. Patients underwent removal of the permanent fillers, followed by a deep plane facelift and reconstruction of the resulting defect using a buccal pad of fat flap. Follow up was done for a minimum period of six months to a maximum of five years to assess contour and complications.
[RESULTS] A study of 151 patients, comprising 92.7% females with a mean age of 47.8 years, examined the outcomes of reconstruction using buccal pad of fat flap following permanent filler removal in conjunction with a deep plane facelift procedure. Patient satisfaction was high, with 80.7% rating their outcomes as "very good" or "excellent". Primary surgeries had an 88.5% satisfaction rate, whereas revision surgeries had only a 33.4% satisfaction rate. Contour irregularities were reported in 10.6% of cases and were linked to the occurrence of complications (p < 0.001).
[CONCLUSION] The buccal fat pad flap combined with a deep plane facelift after permanent filler removal is a safe and effective reconstructive method with high patient satisfaction. Primary surgeries generally have better outcomes than secondary revisions. The outcome of the buccal fat pad procedure has shown to be negatively affected by smoking, previous surgeries and the presence of post-operative complications. Future research should refine techniques for secondary cases and investigate treatments to improve tissue quality.
[LEVEL OF EVIDENCE IV] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | deep plane facelift
|
안면거상술 | dict | 5 | |
| 시술 | flap
|
피판재건술 | dict | 5 | |
| 시술 | filler
|
필러 주입술 | dict | 4 | |
| 해부 | soft tissue
|
scispacy | 1 | ||
| 해부 | buccal fat pad flap
|
scispacy | 1 | ||
| 해부 | buccal fat pad
|
scispacy | 1 | ||
| 해부 | tissue
|
scispacy | 1 | ||
| 합병증 | buccal pad
|
scispacy | 1 | ||
| 합병증 | Fat Flap
|
scispacy | 1 | ||
| 약물 | [BACKGROUND] Deep plane facelift in
|
scispacy | 1 | ||
| 약물 | [RESULTS] A
|
scispacy | 1 | ||
| 약물 | smoking
|
C0037369
Smoking
|
scispacy | 1 | |
| 기타 | patients
|
scispacy | 1 | ||
| 기타 | Patient
|
scispacy | 1 | ||
| 기타 | Buccal Pad
|
scispacy | 1 |
📑 인용 관계
이 논문이 참조한 문헌 39
- Buccal Fat Advancement-Transposition Flap for Reconstruction of Midface Volume Defects.
- Facial Contouring after Permanent Filler Removal with Combined Facelift and Fat Grafting: A Case Ser…
- Complicated Facial Fillers: Management Algorithm.
- Facial Fat Grafting (FFG): Worth the Risk? A Systematic Review of Complications and Critical Apprais…
- Facelift Surgery after Permanent Filler: Outcomes after Removal of Permanent Filler under Local Anes…
- Progressive Improvement in Midfacial Volume 18 to 24 Months After Simultaneous Fat Grafting and Face…
- Pedicled buccal fat pad for the augmentation of facial depression deformity: A case report.
- Current Thoughts on Fat Grafting: Using the Evidence to Determine Fact or Fiction.
- Evidence-based medicine: Face lift.
- Facelift complications and the risk of venous thromboembolism: a single center's experience.
- The safety of rhytidectomy in the elderly.
- Effectiveness of Juvéderm Ultra Plus dermal filler in the treatment of severe nasolabial folds.
- Minimal incision facelift.
- The prevention of haematoma following rhytidectomy: a review of 1078 consecutive facelifts.
- National plastic surgery survey: face lift techniques and complications.
외부 PMID 24건 (DB 미수집)
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- PMID 14515225 ↗
- PMID 16416639 ↗
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- PMID 35403786 ↗
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- PMID 36696919 ↗
- PMID 38010992 ↗
- PMID 38720100 ↗
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