Prevention of severe postoperative lymphedema in anti-aging facial surgery

Manturova N.E.

Pirogov Russian National Research Medical University;
Institute of Plastic Surgery and Cosmetology

SPIN RSCI: 5232-0412
Scopus AuthorID: 55461712100
ORCID: 0000-0003-4281-1947

Volokh M.A.

Mechnikov North-Western State Medical University

Subbotkin A.S.

Mechnikov North-Western State Medical University

Abzaleva G.R.

Mechnikov North-Western State Medical University

Barsakov M.A.

Mechnikov North-Western State Medical University

Prokhorchuk E.N.

Mechnikov North-Western State Medical University

Lazarenko E.S.

Mechnikov North-Western State Medical University

Prevention of severe postoperative lymphedema in anti-aging facial surgery

Authors:

Manturova N.E., Volokh M.A., Subbotkin A.S., Abzaleva G.R., Barsakov M.A., Prokhorchuk E.N., Lazarenko E.S.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2021;(2): 5‑12

DOI: 10.17116/plast.hirurgia20210215

Downloaded: 307

To cite this article:

Manturova NE, Volokh MA, Subbotkin AS, Abzaleva GR, Barsakov MA, Prokhorchuk EN, Lazarenko ES. Prevention of severe postoperative lymphedema in anti-aging facial surgery. Plastic Surgery and Aesthetic Medicine. 2021;(2):5‑12. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia20210215

Подписка 2025-2 (Plastic Surgery and Aesthetic Medicine)

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OBJECTIVE

To improve the outcomes of anti-aging facial surgery via prevention of severe postoperative lymphedema.

MATERIAL AND METHODS

There were 40 menopausal women aged 52-65 years with body mass index 20-23 kg/m². All women had similar parameters of facial aging and thickness of subcutaneous fatty tissue. Deep frontotemporomalar lifting, upper and lower blepharoplasty, SMAS lifting and lateral platysmoplasty were carried out under general anesthesia. Patients were divided into several groups depending on the management: group 1 — crystalloids only (ionosteril, sterofundin) 3-4 ml/kg/hour; group 2 — gelofusine 500 ml once at the beginning of surgery, then only crystalloids (ionosteril, sterofundin) 3-4 ml/kg/hour; group 3 — crystalloids only (ionosteril, sterofundin) 3-4 ml/kg/hour + postoperative glucocorticoids (dexamethasone 8 mg intraoperatively, 8 mg in 24 and 72 hours after surgery ); group 4 — crystalloids only (ionosteril, sterofundin) 3-4 ml/kg/hour + taping. We used direct morphometric measurement and ultrasound followed by computer analysis of images.

RESULTS

Composite surface measurement and echogenicity value were 185.3±6.8 and 20.8±16.2 in group 1, 169.4±7.5 and 32.9±17.4 in group 2, 169.2±5.6 and 34.5±15.8 in group 3, 170.8±6.5 and 31.9±16.8 in group 4.

CONCLUSION

Infusion of colloids and glucocorticoids together with lymphatic drainage taping in postoperative period are required to reduce severity and duration of postoperative lymphedema in anti-aging facial surgery.

Keywords:

facelift

lymphedema

infusion therapy

colloids

glucocorticoids

taping

face and neck surgery

face ultrasound

prevention

Authors:

Manturova N.E.

Pirogov Russian National Research Medical University;
Institute of Plastic Surgery and Cosmetology

SPIN RSCI: 5232-0412
Scopus AuthorID: 55461712100
ORCID: 0000-0003-4281-1947

Volokh M.A.

Mechnikov North-Western State Medical University

Subbotkin A.S.

Mechnikov North-Western State Medical University

Abzaleva G.R.

Mechnikov North-Western State Medical University

Barsakov M.A.

Mechnikov North-Western State Medical University

Prokhorchuk E.N.

Mechnikov North-Western State Medical University

Lazarenko E.S.

Mechnikov North-Western State Medical University

Received:

29.01.2021

Accepted:

17.03.2021

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