Abstract
Introduction:
Standard face-lift and blepharoplasty techniques historically have been of limited benefit in the midface, nasolabial folds, temporal periorbita, and orbital trough. Over the years, these challenging areas have been addressed with customized repositioning surgical maneuvers. The use of a new bioactive tissue matrix in conjunction with these maneuvers is a new approach to treating these challenging problems.
Materials and Methods:
Fifteen patients were treated with a combination of esthetic facial surgery and tissue regeneration matrix over 2 years by the senior author (J. H.). Preoperatively, all procedures were explained to the patients and written consent was obtained. During these procedures, the Biodesign tissue generation matrix was used to provide both supportive and volumetric expansion in a variety of areas of the face and neck for purposes of volumetric enhancement, neck suspension, and in one case for carotid artery coverage. The implant was soaked in sterile normal saline for no longer than 5 minutes to provide rehydration. The shape of the implant used was determined at the time of implantation based on the surgical need.
Results:
In total, 15 patients received the Biomatrix implantation in various areas. The results have been esthetically pleasing to both the surgeon and the patients, and complications have been minimal. While no attempt for quantitative volumetric analysis was made, this report provides photographic examples of the unique results that have been observed in surgical areas previously not well addressed with other techniques.
Conclusions:
By combining established methods of tissue lifting and reposition with strategic tissue replenishment and suspension, the benefits of facial surgery can be expanded beyond the prior limitations of surgery alone. The use of the biologic matrix to provide volumetric expansion in areas of volume loss due to aging is a robust, reliable, and safe adjunct to traditional cosmetic surgical procedures of the face.
Get full access to this article
View all access options for this article.