Abstract:
BACKGROUND:Tranexamic acid (TXA) is an antifibrinolytic agent shown to decrease intraoperative bleeding, reduce transfusions, and improve outcomes across multiple specialties. Within plastic surgery, initial reports are encouraging but formal studies are lacking. OBJECTIVES:The aim of this study was to determine whether intravenous (IV) TXA has any effect on intraoperative bleeding or postoperative sequelae in patients undergoing a deep-plane facelift. METHODS:This is a prospective, randomized, double-blind, case series in a private practice surgery center. The participants were 44 patients undergoing rhytidectomy with the senior authors (R.A.G. or M.J.G). The treatment group received a 1-g dose of IV TXA prior to skin incision and the same dose 4 hours later (vs saline). Bleeding was rated mild, moderate, or severe. Postoperative ecchymosis and edema were subjectively evaluated by patient and surgeon and scores were aggregated for analysis. RESULTS:The TXA group showed decreased intraoperative bleeding but this difference did not reach statistical significance. Postoperative ecchymosis/edema ratings were lower for patients who received TXA, including a statistically significant decrease in surgeon-rated bruising. TXA resulted in a statistically significant decrease in postoperative collections in this study and no major complications occurred. CONCLUSIONS:TXA is a safe, low-cost addition to any existing surgical protocol and may lead to fewer surgical sequelae and improved satisfaction. Although we did not observe a dramatically different intraoperative experience, postoperative bruising and collections were significantly reduced. TXA acid may have great value in the management of patients undergoing rhytidectomy and its use warrants further study. LEVEL OF EVIDENCE: 2:
journal_name
Aesthet Surg Jjournal_title
Aesthetic surgery journalauthors
Cohen JC,Glasgold RA,Alloju LM,Glasgold MJdoi
10.1093/asj/sjaa072subject
Has Abstractpub_date
2021-01-25 00:00:00pages
155-160issue
2eissn
1090-820Xissn
1527-330Xpii
5805501journal_volume
41pub_type
杂志文章abstract:BACKGROUND:Paradoxical adipose hyperplasia (PAH) is a rare, moderate-to-severe adverse event associated with cryolipolysis (Coolsculpting, CS). OBJECTIVES:Describe the incidence, diagnoses and treatment of PAH, following CS for nonsurgical fat reduction. METHODS:A multicenter evaluation of all patients who underwent ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa310
更新日期:2020-11-20 00:00:00
abstract:BACKGROUND:Body contouring after massive weight loss has become more popular as the rate of gastric bypasses and other bariatric surgeries increases. After bariatric surgery, the buttocks not only tend to become loose and ptotic but also lose their natural fullness. OBJECTIVE:To improve buttock fullness in postbariatr...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2005.09.015
更新日期:2005-11-01 00:00:00
abstract:Background:Although many patients who undergo reduction mammaplasty are obese, reports on whether obesity is a risk factor for postoperative complications have been conflicting. Objectives:This systematic literature review and meta-analysis aimed to evaluate the relationship between obesity and surgical complications ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,meta分析,评审
doi:10.1093/asj/sjw189
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:The Plastic Surgery In-Service Training Exam (PSITE) is a multiple-choice examination taken by plastic surgery trainees to provide an assessment of plastic surgery knowledge. OBJECTIVE:The purpose of this study was to evaluate cosmetic questions and determine overlap with national procedural data. METHODS:...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sju151
更新日期:2015-08-01 00:00:00
abstract::After 4 years of experience with this technique, the author recommends using minimal incision brachioplasty (MIB) to treat mild to moderately severe upper arm soft tissue excess and laxity. However, when treating arms with gravity-induced skin furrows, he finds MIB problematic. ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2005.02.002
更新日期:2005-03-01 00:00:00
abstract:Background:Synkinesis represents involuntary muscular movements that occur in association with voluntary contraction of other muscle groups. Oculonasal synkinesis is a rare phenomenon. Objectives:In a series of videos, the authors present clinical findings and surgical correction of oculonasal synkinesis. Methods:Two...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjx074
更新日期:2017-09-01 00:00:00
abstract:Background:Poor wound healing and scar formation remain critical problems in daily surgical practice. Generally, most attention is paid to intra- and postoperative interventions to improve wound healing after surgery, while preoperative interventions remain unsatisfactorily explored. Objectives:In this systematic revi...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjy074
更新日期:2018-10-15 00:00:00
abstract::Abdominal wall hernias are often diagnosed on clinical examination or encountered intraoperatively during an abdominoplasty. Traditional surgical techniques for abdominoplasty and umbilical hernia repair, when performed simultaneously, can potentially compromise the vascular supply to the umbilicus. The authors descri...
journal_title:Aesthetic surgery journal
pub_type: 信件
doi:10.1016/j.asj.2009.02.012
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:The American Society for Aesthetic Plastic Surgery (ASAPS) sponsors an annual conference that promotes education, advocacy, and care. There, researchers deliver abstracts as podium and poster presentations. Subsequently, ASAPS encourages submitting these research findings for publication. Yet, many never bec...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjw097
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:Several growth factors and hyaluronic acid are implicated in fetal scarless healing. Whether these factors can be applied to an adult scar to improve scar characteristics is unknown. OBJECTIVES:This study compared the efficacy and safety of SKN2017B, a proprietary topical cream consisting of selective synth...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1093/asj/sjy185
更新日期:2019-02-15 00:00:00
abstract:BACKGROUND:Studies have shown that scarring is a primary reason for patient dissatisfaction with reduction mammaplasty. OBJECTIVES:The authors prospectively evaluated patient preferences for the 3 most common breast reduction scar patterns: horizontal, vertical, and Wise. METHODS:Sixty-six patients were recruited for...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X13495868
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:A well-defined supratarsal crease has often been considered attractive, representing a significant component in a beautiful upper eyelid. Approximately 50% of East and Southeast Asian women are born with either a minimal or absent supratarsal eyelid crease. Among people of Chinese descent, the creation of a ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X14523020
更新日期:2014-03-01 00:00:00
abstract::Posterior neck lift, which combines anterior platysmaplasty and anterior and lateral neck lift, is a good alternative to a full or lower face lift for patients with minimal or no jowl sagging. It may be combined with neck lipoplasty, serial platysma notching, expanded polytetrafluoroethylene neck sling, and chemical p...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2004.01.005
更新日期:2004-03-01 00:00:00
abstract:BACKGROUND:Anatomical structures of the nose (including muscles) are elevated, sutured, or reshaped during rhinoplasty. Electromyography and electroneurography are the objective electrophysiologic tests performed for the direct measurement of nasal muscle function. OBJECTIVES:The authors investigate the predictive val...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X11398478
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND:Autologous fat transplantation for soft tissue augmentation is a commonly used technique without a universally accepted approach. The literature includes a variety of reports describing varying degrees of success or failure. OBJECTIVE:To evaluate the behavior of facial fat grafts in humans with the use of a...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.asj.2008.05.002
更新日期:2008-07-01 00:00:00
abstract:Background:Muscle activity contributes to the enhancement of facial aging deformity, blepharospasm, cerebral palsy spasticity, trismus, torticollis, and other conditions. Myotomy of the involved muscles in order to reduce the deformity has variable success rates due to muscle healing and regeneration of activity. Obje...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjx207
更新日期:2018-04-06 00:00:00
abstract:BACKGROUND:A preliminary report on a new technique for dermal overlap subareolar mastopexy appeared in 2001. OBJECTIVE:This paper reports on a series of 117 patients who underwent subareolar mastopexy and describes several modifications of the original technique. METHODS:Preoperative markings defined the upper edge o...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/S1090-820X(03)00205-X
更新日期:2003-09-01 00:00:00
abstract:BACKGROUND:Volume loss and muscular hyperactivity are two major components of the aging process that contribute to the formation of the folds and wrinkles. Tear trough deformity is one of the most difficult depressions to correct surgically. OBJECTIVE:The authors evaluate the results of periorbital filling with hyalur...
journal_title:Aesthetic surgery journal
pub_type: 临床试验,杂志文章
doi:10.1177/1090820X10395505
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:The use of textured breast implants over smooth implants has been widely shown to have a lower incidence of capsular contracture. However, the impact of micropatterning techniques on the incidence of postoperative patient morbidity has not been comprehensively investigated. OBJECTIVES:The authors sought to ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,meta分析
doi:10.1093/asj/sjy178
更新日期:2019-05-16 00:00:00
abstract:BACKGROUND:Liposuction is one of the most common aesthetic procedures and a number of options are available to practitioners in terms of surgical technique. One of those options is ultrasound-assisted liposuction (UAL), which has garnered considerable attention in the literature and from patients themselves. Because th...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X10378086
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Transaxillary subpectoral augmentation mammaplasty (TASPA) is not widely accepted due to perceived limitations in pocket access, visualization, control, and subsequent risk for postoperative complications. Current published data do little to substantiate or refute those claims. OBJECTIVE:A retrospective cha...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X11416936
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:The Regnault classification of breast ptosis is insufficient for determining surgical strategies for different stages of ptosis. OBJECTIVE:A new clinical classification of breast ptosis is proposed that allows greater precision in the development of an appropriate surgical plan. METHODS:Breast ptosis is cl...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1067/maj.2002.126746
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:The transaxillary approach for breast augmentation has gained popularity because of the absence of scarring on the breast. However, the effects of this procedure on breast cancer detection and treatment (which rely heavily on the results of axillary status studies) remain under debate. Specifically, sentinel...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X11404399
更新日期:2011-05-01 00:00:00
abstract::Lymphomas associated with implants are predominantly of T-cell type-with anaplastic large cell lymphoma (ALCL) being most reported. That said, to date, 6 cases of B-cell lymphoma associated with breast implants have been reported. All cases exhibited unilateral breast involvement. Here, the authors report a case of lo...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjy093
更新日期:2020-01-29 00:00:00
abstract:BACKGROUND:In 1971, Ribeiro isolated a segment in the inferior pole of the ptotic breast, nourished by muscular perforating vessels, and moved it cranially to the posterior region of the remaining detached breast tissue, where it was fixed to the pectoral fascia. This maneuver created a flap with autologous implant fun...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjz188
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Hyperalgesia, defined as hypersensitivity to pain, refers to sensitization of nociceptors to normal levels of pain. OBJECTIVES:We aimed to determine whether hyperalgesia occurs due to the development of sensitization following repeated applications of platelet-rich plasma (PRP), and to ascertain the mechani...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjz113
更新日期:2019-09-13 00:00:00
abstract:BACKGROUND:Most aesthetic rhinosurgeons rely on proper photographic documentation of the nose using several different views. The frontal view is probably the most important, but it is also the most demanding. OBJECTIVES:In the frontal view, delicate, 3-dimensional (3D) anatomic structures require special photographic ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sju081
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Previously, the problem created by overly convex, wide, and robust lower lateral cartilages (LLC) required an external or endonasal approach with delivery. Although this method has proven invaluable, it may not be indicated in all patients with large tips, specifically those with overly convex LLC or with th...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X10391779
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Both the conventional periareolar approach and the inframammary approach present difficulties in breast augmentation when treating the patient with a small nipple-areolar complex diameter. OBJECTIVE:We describe an approach that uses a 360-degree periareolar incision. METHODS:A ring of skin was demarcated a...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1067/maj.2001.117702
更新日期:2001-07-01 00:00:00
abstract:Background:The previously described Akademikliniken (AK) method is a comprehensive approach to breast augmentation with form stable implants that has been shown to afford favorable outcomes when applied by experienced surgeons. Objectives:To evaluate outcomes of a surgeon newly adopting this method at the beginning of...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjx024
更新日期:2017-07-01 00:00:00