The Modern Male Rhytidectomy: Lessons Learned

Rod J. Rohrich, James M. Stuzin, Smita Ramanadham, Christopher Costa, Phillip B. Dauwe

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Cosmetic surgery among male patients has become increasingly popular. The face-lift technique is different in male patients, specifically regarding preservation of hair follicles, restoration of a youthful and well appearance, and reduction of the risk of hematoma. Methods: A retrospective review of a single surgeon's past 20 years of consecutive male rhytidectomies revealed a cohort of 83 patients. A control group was created by random selection of 83 age-matched female rhytidectomy patients during the same period. Data were collected and analyzed critically for factors contributing to complications, including hematoma, seroma, skin sloughing, alopecia, infection, and nerve injury. The evolution in the senior author's technique in male rhytidectomy is described. Results: Differences in facial analysis and rhytidectomy technique in male patients and female patients are highlighted. Five male patients (6.0 percent) and no female patients in the control group developed postoperative hematoma (p = 0.0587). No other complications occurred. Conclusion: Respecting the patterns of hair growth in incision design, avoiding damage to follicles during dissection, and exercising standard of care (especially avoidance of hypotensive anesthesia) in prevention of postoperative hematoma have delivered safe and consistently reproducible aesthetic outcomes and acceptable complication rates. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

Original languageEnglish (US)
Pages (from-to)295-307
Number of pages13
JournalPlastic and Reconstructive Surgery
Volume139
Issue number2
DOIs
StatePublished - Feb 1 2017

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Rhytidoplasty
Hematoma
Seroma
Control Groups
Hair Follicle
Alopecia
Plastic Surgery
Risk Reduction Behavior
Standard of Care
Esthetics
Hair
Dissection
Anesthesia
Skin

ASJC Scopus subject areas

  • Surgery

Cite this

Rohrich, R. J., Stuzin, J. M., Ramanadham, S., Costa, C., & Dauwe, P. B. (2017). The Modern Male Rhytidectomy: Lessons Learned. Plastic and Reconstructive Surgery, 139(2), 295-307. https://doi.org/10.1097/PRS.0000000000003008

The Modern Male Rhytidectomy : Lessons Learned. / Rohrich, Rod J.; Stuzin, James M.; Ramanadham, Smita; Costa, Christopher; Dauwe, Phillip B.

In: Plastic and Reconstructive Surgery, Vol. 139, No. 2, 01.02.2017, p. 295-307.

Research output: Contribution to journalArticle

Rohrich, RJ, Stuzin, JM, Ramanadham, S, Costa, C & Dauwe, PB 2017, 'The Modern Male Rhytidectomy: Lessons Learned', Plastic and Reconstructive Surgery, vol. 139, no. 2, pp. 295-307. https://doi.org/10.1097/PRS.0000000000003008
Rohrich RJ, Stuzin JM, Ramanadham S, Costa C, Dauwe PB. The Modern Male Rhytidectomy: Lessons Learned. Plastic and Reconstructive Surgery. 2017 Feb 1;139(2):295-307. https://doi.org/10.1097/PRS.0000000000003008
Rohrich, Rod J. ; Stuzin, James M. ; Ramanadham, Smita ; Costa, Christopher ; Dauwe, Phillip B. / The Modern Male Rhytidectomy : Lessons Learned. In: Plastic and Reconstructive Surgery. 2017 ; Vol. 139, No. 2. pp. 295-307.
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