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Infection in Face-Lift Surgery: An Evidence-Based Approach to Infection Prevention

Dauwe, Phillip B. M.D.; Pulikkottil, Benson J. M.D.; Scheuer, Jack F. M.D.; Stuzin, James M. M.D.; Rohrich, Rod J. M.D.

Plastic & Reconstructive Surgery: January 2015 - Volume 135 - Issue 1 - p 58e–66e
doi: 10.1097/PRS.0000000000000824
Cosmetic: Original Articles

Background: Complications in face-lift surgery are rare but can present a difficult experience for the patient and surgeon. It is the objective of this review to evaluate the clinical efficacy of routine perioperative safety measures in preventing surgical-site infection in face-lift surgery.

Methods: A review of the literature was performed to assess the correlation of preoperative decolonization, prophylactic antibiotic use, perioperative hypothermia, body mass index, and smoking status with the incidence of surgical-site infection in cosmetic surgery, especially pertaining to face-lift surgery.

Results: Studies supporting safe practice in cosmetic surgery and “clean” procedures are analyzed and discussed.

Conclusion: This article provides the current evidence on perioperative safety measures and recommendations regarding the prevention of infection in cosmetic surgery, especially in face-lift surgery.

Dallas, Texas; and Coconut Grove, Fla.

From the Department of Plastic Surgery, University of Texas Southwestern Medical Center; and private practice.

Received for publication March 18, 2014; accepted May 9, 2014.

The LOE grades in this article were provided by the authors, not by the American Society of Plastic Surgeons.

Disclosure: The authors have no financial interests in this research project or in any of the techniques or equipment used in this study. Dr. Rohrich receives instrument royalties from Micrins Instructions and book royalties from Quality Medical Publishing. He received clinical research grant support from Neodyne Biosciences, Inc. for participation in a clinical trial.

Phillip B. Dauwe, M.D., Department of Plastic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, Dallas, Texas 75390-9132, phillipdauwe@gmail.com

©2015American Society of Plastic Surgeons