Face-lift with bloodless atraumatic technique (bat). reducing downtime, side-effects and complications

Author: 
Sergio Noviello., Andrea De Santis., Massimiliano Tocchio ., Andrea Maroni., Gualtiero Cogliandro., and Nicola Di Benedetto

Introduction: From the first surgical procedures in the early 1900, face-lifting patients experienced a recovery and return to full normal activities within 14 days to several weeks, depending on the techniques, the instruments and processes used by surgeons and their staff. For ten decades, the norm for patients was prolonged recovery with restrictive bandaging, special garments, drain tubes, narcotic pain medications, and other sometime completely useless adjuncts.
Materials and Methods: We used principles derived from physics, video recording with multiple cameras and then documenting and evaluating every move or action that occurred during a face-lift.
Results: During many hours of video analysis, actions that were useless were eliminated and other movements refined or combined to make them more efficient and less traumatic.
Discussion: Materials and instruments were selected appositely and developed to facilitate surgeon visualization, to reduce mechanical and thermal trauma, and to better control the procedure. Surgical techniques were refined to dramatically reduce all kind of trauma to tissues, and to virtually eliminate bleeding and blood soaking into tissues, causing pain, swelling and inflammation and increasing risks of other complications like hematoma, nerve injuries, skin necrosis.
Conclusion: Bloodless Atraumatic Technique Face-lift offer objective improvements in recovery, complications, reoperation rates, and the overall patient experience, but do not happen in a predictable manner without substantial commitment of the surgical staff and effort primarily of the surgeon.

Page: 
3546-3549
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DOI: 
http://dx.doi.org/10.24327/23956429.ijcmpr20180508
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