Three weeks after a facelift, a 56-year-old man suffers an immediate rapidly expanding, painful swelling on the left side of his face while exerting himself. The most likely source of the bleeding is:
The superficial temporal artery. Most haematomas following a facelift are seen within the first 12-24 hours. These are typically related to an increase in venous pressure as a result of nausea, vomiting, or an increase in blood pressure as a result of anxiety or pain. These early (within 24 hours) haematomas are related to venous bleeding or generalised subcutaneous ooze, very rarely bleeding directly from an arterial vessel. However, a delayed haematoma at 3 weeks is most likely associated with bleeding from the superficial temporal artery. It is therefore advisable that if the superficial temporal artery is encountered during the dissection for the facelift it should be ligated at either end rather than cauterized.
The names of Skoog, Sterzi, Mitz, and Peyronie are associated with:
Face lifting. Their work on the anatomy of the layers of the facial skin led to the SMAS facelift technique. Skoog headed the unit in Uppsala, Sweden. Peyronie was a French barber, who commanded the surgical corps of Louis XIV.
The following is true concerning aesthetic subunits of the cheek:
Zone 1 may be divided into three smaller subunits. There are three major aesthetic cheek subunits: the infra-orbital, buccomandibular and preauricular subunits. Cheek flaps should be adequately anchored to prevent ectropion of the lower eyelid.
Concerning contour defects of the face:
Which one is true concerning the nose?
Is best considered as four discrete ‘vaults’ based on underlying skeletal structure. The nose is best considered as four discrete vaults based on underlying skeletal structure. There are nine aesthetic subunits, these being: the dorsum, two sidewalls, the tip, two alae, two soft triangles, and the columella.
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