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Outcomes Assessment Of Combination Facelift And Perioral Phenol-Croton Oil Peel
Cemile Nurdan Ozturk, Franziska Huettner, Can Ozturk, Marisa A. Bartz-Kurycki, James E Zins
Cleveland Clinic, Plastic Surgery Department
2013-03-14
Presenter: Cemile Nurdan Ozturk
Affidavit:
I certify that the material proposed for presentation in this abstract has not been published in any scientific journal or previously presented at a major meeting. The work represents the original work of the resident.
Director Name: James E Zins
Author Category: Fellow Plastic Surgery
Presentation Category: Clinical
Abstract Category: Aesthetics
Purpose: Facelift surgery combined with perioral phenol-croton oil peeling is an under-recognized tool for lower face rejuvenation which results in significant central face skin tightening as well as wrinkle ablation.
Methods: A retrospective review of 47 consecutive patients who underwent simultaneous facelift and perioral peel was performed. The extended SMAS approach was the most common facelift procedure combined with perioral resurfacing. The objective outcome measures included: (1) validated patient satisfaction questionnaire, (2) evaluation of apparent age by 6 observers, (3) evaluation of perioral wrinkles by 2 independent plastic surgeons. Assesment of apparent age and improvement in perioral rhytids were done by using photobooks which had randomly organized pre and post operative photographs. The apparent age, as estimated by observers, was compared to patient`s actual age. Objective wrinkle assessment was made using the Glogau classification.
Results: Mean follow up in this series was 23.2 months. The response rate to the questionnaire was 57.4%. Overall satisfaction was rated as 6.5 on a 1 to 7 scale, with higher scores indicating greater satisfaction. Preoperative apparent age assessment was quite accurate with no significant difference between the patient`s real age and the preoperative apparent age (p>0.05). However, postoperative apparent age estimate was 8.2 years younger than patients` real age (p=0.0002). The mean Glogau class as evaluated by two plastic surgeons was 3.3 preoperatively and was reduced to 2.15 postoperatively (p<0.0001).
Conclusions: Outcomes measurements including patient satisfaction, objective evaluation of wrinkle improvement and significant reduction in apparent age document the power of this technique.
