9611-988 Goodstein
Goodstein WA.
Superficial liposculpture of the face and neck.
Plast Reconstr Surg. 1996 Nov;98(6):988-96; discussion 997-8. PMID: 8911468
Comment in:
Plast Reconstr Surg. 1997 Aug;100(2):552-3.
Plast Reconstr Surg. 1997 Jul;100(1):284.
Plast Reconstr Surg. 1998 Mar;101(3):872.
Division of Plastic Surgery at the U.C.L.A. School of Medicine, USA.
The capacity to benefit from scar tissue retraction beneath the intact skin has
been demonstrated by a number of surgeons working in the superficial fat over
the past decade. The efforts to achieve predictable skin retraction have largely
overlooked the importance of the mechanism of removal of fat, focusing instead
on the depth of the surgical plane and the vacuum pressure utilized. Recent
experimental and clinical evidence has pointed out the role of mechanical
dislodgment as a key factor in fat removal. A modification of an existing
cannula design has been utilized to achieve predictable skin retraction in the
face and neck in a series of 75 patients with follow-up from 3 months to 3
years. Facial and cervical flap elevation with this instrument (with or without
deep tissue tightening and skin excision) has consistently enhanced results,
improving skin tone and facial contours and at the same time diminishing both
recovery and operative time. The combination of the technique described and
existing techniques such as endoscopic and composite lift approaches may offer
enhancement of achievable results.
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