Deviation in the Standard of Care During Facelift (Rhytidoplasty)

Evaluate breaches in the standard of care when determining if there has been Deviation in the Standard of Care During Facelift (Rhytidoplasty)

Answer the following questions to find out if the standard of care was followed for your case.

  • For which of the following was facelift surgery performed? (Choose all that apply)
    Visible changes in the skin (folds, wrinkles, alteration of skin color, dryness and thinning)
    Frown lines, transverse forehead lines and crow’s feet over the lateral orbital rim
    Dropping or falling of soft tissue in the lower cheek, jowls and neck
    Loss of volume in the upper two-thirds of the face causing skeletal appearance of the temple
    Expansion of volume in the neck and lateral jaw causing fullness of the neck
    None of the above
    Answer unknown
    Why is this important?
    Esthetic facial surgery is intended to rejuvenate the cervicofacial contour. Recognizing the elements of an aging face and neck is a prerequisite to planning any facelift procedure.
    (2014) 22 EAOMSC 1 53-67

  • Which of the following did the patient undergo? Why is this important?
    Answer this question
    
Primary facelift surgery does not halt the aging process and patients often return for additional facial surgical enhancements years later.

    Click here for additional information at ClinicalKey.com 



  • Was a medical history obtained? Why is this important?
    Answer this question
    
Patients presenting for facial rejuvenation surgery are usually middle aged or older, thus increasing the chances of underlying medical problems. Risk factors such as hypertension and smoking should be dealt with prior to facelift surgery

    Click here for additional information at ClinicalKey.com 



  • Was a physical examination performed? Why is this important?
    Answer this question
    
A complete medical history and carefully focused physical examination serve as the core of the diagnostic process.

    Click here for additional information at ClinicalKey.com 



  • What type of facelift was recommended to the patient? (Choose all that apply) Why is this important?
    Answer this question
    
Multiple techniques have been devised to elevate and reposition tissues in the aging face.

    Click here for additional information at ClinicalKey.com 



  • Were patient selection factors evaluated? Why is this important?
    Answer this question
    
Proper patient selection must be emphasized and is critical for the success of facelift surgery

    (2013) 40 ECLPSR 4 653-670 



  • Were pre-operative photographs obtained? Why is this important?
    Answer this question
    
Photographic documentation of the pre-operative face is very important, and should include frontal, oblique and profile views. A reliable record of the surgical starting point is imperative.

    Click here for additional information at ClinicalKey.com 



  • Which of the following diagnostic laboratory investigations were performed? (Choose all that apply) Why is this important?
    Answer this question

  • Which of the following diagnostic imaging studies were performed? (Choose all that apply) Why is this important?
    Answer this question

  • Was the desired surgical outcome discussed and documented? Why is this important?
    Answer this question
    
The objective of the consultation is for the patient to leave with an understanding of what can be realistically achieved with their underlying anatomy.

    (2005) 13 EFPSCN 1 15-31 



  • Was a pre-operative medical evaluation performed? Why is this important?
    Answer this question
    
A pre-operative evaluation needs to include a detailed medical history and thorough physical examination.

    (2014) 22 EAOMSC 1 53-67 



  • Was an informed consent obtained? Why is this important?
    Answer this question
    
The laws of most states require that surgeons obtain informed consent before providing treatment.

    (2011) 23 EOMSCA 3 475-484 



  • Was a pre-anesthetic evaluation performed? Why is this important?
    Answer this question
    
The American Society of Anesthesiologists (ASA) standards and guidelines require that the patient have a pre-anesthetic evaluation.

    (2004) 22 EANESC 1 141-153 



  • What type of facelift incision was recommended? (Choose all that apply) Why is this important?
    Answer this question
    
The incision line and the excision line form the perimeter of the pattern for the proposed skin excision.

    Click here for additional information at medscape.com 



  • Were prophylactic antibiotics administered? Why is this important?
    Answer this question
    
During skin preparation before the facelift surgery, the patient needs to receive an antibiotic as prophylaxis.

    (2014) 22 EAOMSC 1 53-67 



  • Were pre-operative face markings explained? Why is this important?
    Answer this question
    
Initial marking of the face needs to be performed with the patient sitting upright before induction.

    (2014) 22 EAOMSC 1 53-67 



  • Which of the following type of skin closure steps were performed? (Choose all that apply) Why is this important?
    Answer this question
    
The cephalad movement following a facelift surgery is achieved by following three surgical steps; closure of the patterned skin excision, plication of the zygomaticus major muscle and modiolar support sutures.

    Click here for additional information at medscape.com 



  • What type of dressing was applied? Why is this important?
    Answer this question
    
Most surgeons use light dressings to protect the incisions and to act as an absorbent for wound drainage.

    Click here for additional information at ClinicalKey.com 



  • Was appropriate post-operative monitoring and care provided? Why is this important?
    Answer this question
    
In the initial post-operative period, the patient needs to be kept still and blood pressure monitored closely.

    Click here for additional information at ClinicalKey.com