Recent Development and Studies: Skin Resurfacing and Face-Lift in the Same Surgical Procedure

A. Arellano-Huacuja, Anja Arellano-Montalvo
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Abstract

When performing a Facelift procedure, we mostly focus on the skin laxity; however, to truly rejuvenate a patient´s face we need to take care of the quality of the skin. Performing any type of Laser procedure in combination with a Facelift will take care of the patient´s sagging, wrinkles, open pores, blemishes, scars, etc. The main objective of this study was to develop the best combination of surgery and laser treatment in order to obtain a technique that is reproducible in different types of patients and that guarantees a good result, little recovery time and no adverse effects. More than 3873 cases have been done with this procedure since 1994, minimal complications have been observed. The facelift and skin resurfacing techniques are performed during the same surgical procedure, in order to save time and improve the patient’s recovery. We started using the facial rejuvenation with surgical procedure technique, SMAS plication and skin resurfacing in one surgical stage in 1994. However, it is needed between 2 to 6 weeks to recover from the skin Resurfacing with CO2 laser. This procedure takes more recovery time and produces more edema, redness and patient discomfort. For that reason, we began in 2000 to perform facial rejuvenation and skin resurfacing with Erbium: YAG and CO2 Lasers (Derma K device). We can also perform blepharoplasty in the upper eyelid and perform the transconjunctival approach in the lower eyelid with the CO2 laser in the cut (ablative) mode.
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最近的发展和研究:皮肤重塑和面部拉皮在同一外科手术中的应用
在做拉皮手术时,我们主要关注皮肤松弛;然而,要真正让病人的脸焕发活力,我们需要照顾皮肤的质量。将任何类型的激光手术与面部拉皮相结合,都可以治疗患者的松弛、皱纹、毛孔张开、瑕疵、疤痕等。本研究的主要目的是开发手术和激光治疗的最佳组合,以获得一种在不同类型患者中可重复的技术,并保证良好的结果,短的恢复时间和无不良反应。自1994年以来,已有超过3873例采用该手术,并发症极少。为了节省时间和提高患者的恢复能力,拉皮和皮肤重铺技术在同一手术过程中进行。我们于1994年开始在一个手术阶段使用外科手术技术,SMAS应用和皮肤重塑的面部年轻化。然而,用CO2激光换肤后需要2到6周的时间才能恢复。这个过程需要更多的恢复时间,产生更多的水肿,红肿和病人不适。出于这个原因,我们在2000年开始使用Erbium: YAG和CO2激光器(Derma K设备)进行面部年轻化和皮肤换肤。我们也可以在上眼睑做眼睑成形术在下眼睑做经结膜入路用CO2激光切割(烧蚀)模式。
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