Rhytidectomy, or face and necklift surgery, was initially performed by Dr. Eugene Hollander in Berlin, Germany in 1901. His technique and that of numerous other early facelift surgeons, consisted of preauricular skin excision and redraping, i.e. the \u201cskin only\u201d technique. The first \u201cmuscle suspension\u201d or SMAS rhytidectomy was described by Tord Skoog in 1968. Over the past 53 years, there have been numerous \u201cmodifications\u201d to Dr. Skoog\u2019s original technique, but the overall rhytidectomy procedure in terms of incisions, planes of dissection, and fixation techniques have not changed significantly from his original description.<\/p>\n
During the course of a surgeon\u2019s career, the surgical techniques that were taught during residency and fellowship are gradually modified to create efficiencies, improve outcomes, and decrease complications. The author wishes to present his personal journey with respect to his rhytidectomy techniques over the course of 32 years of surgical practice and over 600 rhytidectomy procedures. Modifications to his original surgical technique will be presented as well as the multiple reasons why these modifications were adopted. The advantages of \u201cdeep IV sedation\u201d (Propofol) anesthesia in an accredited office surgical setting will be discussed. A number of preoperative and postoperative safety measures designed to minimize post-surgical complications and enhance the overall \u201cpatient experience\u201d will also be discussed.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-23303","session","type-session","status-publish","hentry"],"acf":{"status":"Active","airtable_id":"recgcKju8QhbAgYud","session_name":"Nuances in Rhytidectomy Surgery","session_id":"106","session_code":"ENT106","session_description":"
Rhytidectomy, or face and necklift surgery, was initially performed by Dr. Eugene Hollander in Berlin, Germany in 1901. His technique and that of numerous other early facelift surgeons, consisted of preauricular skin excision and redraping, i.e. the \u201cskin only\u201d technique. The first \u201cmuscle suspension\u201d or SMAS rhytidectomy was described by Tord Skoog in 1968. Over the past 53 years, there have been numerous \u201cmodifications\u201d to Dr. Skoog\u2019s original technique, but the overall rhytidectomy procedure in terms of incisions, planes of dissection, and fixation techniques have not changed significantly from his original description.<\/p>\n
During the course of a surgeon\u2019s career, the surgical techniques that were taught during residency and fellowship are gradually modified to create efficiencies, improve outcomes, and decrease complications. The author wishes to present his personal journey with respect to his rhytidectomy techniques over the course of 32 years of surgical practice and over 600 rhytidectomy procedures. Modifications to his original surgical technique will be presented as well as the multiple reasons why these modifications were adopted. The advantages of \u201cdeep IV sedation\u201d (Propofol) anesthesia in an accredited office surgical setting will be discussed. A number of preoperative and postoperative safety measures designed to minimize post-surgical complications and enhance the overall \u201cpatient experience\u201d will also be discussed.<\/p>\n","session_objectives":"1. Compare and contrast several different rhytidectomy techniques and the reasons why the presenting author favors the \"muscle suspension rhytidectomy\"; \n2. Evaluate candidates for rhytidectomy with respect to their temporal and postauricular hairline position(s) and the subsequent decisions for placement of the rhytidectomy incisions; \n3. Describe the current surgical techniques utilized in the management of the platysma muscle; \n4. Outline the advantages and disadvantages of the \"deep sedation\" IV propofol anesthesia in an accredited (AAAASF) office surgical setting; \n5. Describe and implement multiple policies and procedures designed to minimize post-rhytidectomy complications;","session_type":"General Session","session_type_detail":"Lecture","virtual_content_delivery":"Not Available","onsite_content_delivery":"In-Person","session_delivery_format":"Onsite Only","target_audience_list":["APP Students","APPs","Clinical Staff","Medical Students","Physicians"],"target_audience":"APP Students,APPs,Clinical Staff,Medical Students,Physicians","day":"Sunday","long_start_date":"Sunday, November 7th","start_date":"11\/7\/2021","start_time":"10:30 AM","start_time_timestamp":"1636021800","start_date_timestamp":"1636243200","start_date_and_time_timestamp":"1625999400","end_date":"11\/7\/2021","end_time":"11:00 AM","duration":"0:30","society":"FSFPRS","society_list":["FSFPRS"],"eventcloud_session_id":"","track_name":"ENT","speakers":[{"ID":23395,"post_author":"1","post_date":"2021-11-04 18:56:57","post_date_gmt":"2021-11-04 22:56:57","post_content":"","post_title":"Robert Hillstrom, MD","post_excerpt":"","post_status":"publish","comment_status":"open","ping_status":"open","post_password":"","post_name":"robert-hillstrom-md","to_ping":"","pinged":"","post_modified":"2021-11-04 18:57:02","post_modified_gmt":"2021-11-04 22:57:02","post_content_filtered":"","post_parent":0,"guid":"http:\/\/fcomnow.com\/speaker\/dr-robert-hillstrom-md\/","menu_order":0,"post_type":"speaker","post_mime_type":"","comment_count":"0","filter":"raw"}],"unique_session":"checked","speaker_location":"Onsite","pre_record":"Yes","ceu_offered":"No","ceu_hours":"","cme_offered":"","cme_hours":"","tags":["Plastic Surgery","ENT"],"tags_text":"Plastic Surgery,ENT","ticketed":"","ticketed_session":"","ticket_url":"","session_sponsor":false,"panel_moderator":false,"session_location":"Ritz-Carlton Beach Resort","session_location_room":"Vanderbilt 2"},"day":"Sunday","duration":"0:30","end_date":"11\/7\/2021","end_time":"11:00 AM","session_code":"ENT106","session_description":"Rhytidectomy, or face and necklift surgery, was initially performed by Dr. Eugene Hollander in Berlin, Germany in 1901. His technique and that of numerous other early facelift surgeons, consisted of preauricular skin excision and redraping, i.e. the \u201cskin only\u201d technique. The first \u201cmuscle suspension\u201d or SMAS rhytidectomy was described by Tord Skoog in 1968. Over the past 53 years, there have been numerous \u201cmodifications\u201d to Dr. Skoog\u2019s original technique, but the overall rhytidectomy procedure in terms of incisions, planes of dissection, and fixation techniques have not changed significantly from his original description.\n\nDuring the course of a surgeon\u2019s career, the surgical techniques that were taught during residency and fellowship are gradually modified to create efficiencies, improve outcomes, and decrease complications. The author wishes to present his personal journey with respect to his rhytidectomy techniques over the course of 32 years of surgical practice and over 600 rhytidectomy procedures. Modifications to his original surgical technique will be presented as well as the multiple reasons why these modifications were adopted. The advantages of \u201cdeep IV sedation\u201d (Propofol) anesthesia in an accredited office surgical setting will be discussed. A number of preoperative and postoperative safety measures designed to minimize post-surgical complications and enhance the overall \u201cpatient experience\u201d will also be discussed.","session_id":"106","session_name":"Nuances in Rhytidectomy Surgery","session_objectives":"1. Compare and contrast several different rhytidectomy techniques and the reasons why the presenting author favors the \"muscle suspension rhytidectomy\"; \n2. Evaluate candidates for rhytidectomy with respect to their temporal and postauricular hairline position(s) and the subsequent decisions for placement of the rhytidectomy incisions; \n3. Describe the current surgical techniques utilized in the management of the platysma muscle; \n4. Outline the advantages and disadvantages of the \"deep sedation\" IV propofol anesthesia in an accredited (AAAASF) office surgical setting; \n5. Describe and implement multiple policies and procedures designed to minimize post-rhytidectomy complications;","session_type":"General Session","session_type_detail":"Lecture","society":"FSFPRS","start_date":"11\/7\/2021","start_time":"10:30 AM","test_speaker_link":[],"yoast_head":"\n