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Cosmetology 2015: The combination of Rhytidoplasty& fractional CO2 laser therapy in the treatment of facial aging- Marcio Moreira- Sao Paulo Federal University School of Medicine-Sao Paulo -Federal University School of Medicine

Marcio Moreir

The facial aging may be a natural organic process noticed by falling tissue, accenting lines, furrows, winkles, dyschromias and loss of facial volume. The rhytidectomy alone often fails to achieve patients expected goal. That’s why there is a high demand for adjunct laser skin treatment. Material & Methods: From January 2007 to February 2013, 80 treat patients skin types I to IV Fitzpatrick were underwent to large undermined cutaneous flap rhytidectomy and SMAS plicature plus hialuronic acid injection on nasolabial folds and lips and concomitant Lumenis Ultra Pulse CO2 Active FX total ablation mode resurfacing on non-undermined skin and fractional laser of skin on the undermined skin utilizing different energizes concerning type of skin. The patients were evaluated at 5, 10, 15, 30, and 60 and at 90 days? Answers to a specific questionnaire about satisfaction. Results: Complications included expansive haemathoms 5%, partial necrosis 1.25%, bacterial infection 1.25%, herpetic infection 1.25%, hypertrophic scar 1.25%, and spot hyper chromic 1.25%. 95% of patients declared extremely satisfied; 3.75% satisfied and just one .25% unsatisfied. Conclusion: the mixture of subcutaneous flap rhytidectomy and SMAS plicature with fractional laser resurfacing plus mucopolysaccharide injection could also be a secure procedure with low incidence of major complications and improves patient satisfaction. Level of Evidence: IV - Case series with pre/post test