Learning Objectives: After studying this article, the participant should be able to: 1. Understand and describe preoperative medical conditions pertinent to patient selection in facial rejuvenation. 2. Understand and describe anatomical and aesthetic changes that occur with facial aging and how they affect surgical treatment planning. 3. Understand and describe operative approaches to the aging face. 4. Understand and describe the avoidance and treatment of complications following face lifting.
Summary: Surgical rejuvenation of the aging face has evolved into one of the most frequently performed cosmetic surgery procedures. Although there are many techniques that are used in facial rejuvenation, the key to consistent results is not technique but rather the surgeon’s ability to individualize the treatment plan according to the aesthetic needs of the patient. To ensure safety, preoperative medical conditions need to be both well defined and stabilized preoperatively, and procedures are best performed with anesthesia supervision. Consistency in postoperative result is obtainable through a thorough understanding of facial soft-tissue anatomy, the anatomical changes that occur with aging, and an appreciation of the technical nuances required to reposition descended soft tissues toward the anatomical position of youth. Recognition of potential complications and an appreciation of how to both limit and manage them when they occur are imperative in delivering a satisfying outcome for both patient and physician.
The Maintenance of Certification module series is designed to help the clinician structure his or her study in specific areas appropriate to his or her clinical practice. This article is prepared to accompany practice-based assessment of preoperative assessment, anesthesia, surgical treatment plan, perioperative management, and outcomes. In this format, the clinician is invited to compare his or her methods of patient assessment and treatment, outcomes, and complications with authoritative, information-based references.
This information base is then used for self-assessment and benchmarking in parts II and IV of the Maintenance of Certification process of the American Board of Plastic Surgery. This article is not intended to be an exhaustive treatise on the subject. Rather, it is designed to serve as a reference point for further in-depth study by review of the reference articles presented.