Face Treatment Using Nonsurgical Mini-Invasive Techniques as Postsurgical Procedure for Traumatic Injury

Aesthet Surg J. 2019 Jun 21;39(7):NP266-NP278. doi: 10.1093/asj/sjz017.

Abstract

Background: Facial trauma can cause major psychological damage and compromise a patient's quality of life. Unfortunately, surgery cannot always solve this problem or provide an acceptable result.

Objectives: Treatment with injectables may provide a solution that is minimally invasive and better accepted by patients as a means to improve poor outcomes after facial trauma.

Methods: This retrospective study involved 50 patients (29 men, 21 women) who underwent primary surgery to treat facial trauma between January 2015 and January 2017. Based on the facial area affected by poor outcomes (upper face, midface, and lower face), patients underwent ≥1 aesthetic medicine treatments with hyaluronic acid dermal fillers and botulinum toxin injections. To evaluate patient satisfaction and the effect of the treatment on quality of life, patients were asked to complete 2 questionnaires, POSAS and FACE-Q, prior to treatment and 90 days after the last treatment session.

Results: Questionnaire scores indicated improvements in aesthetic and psychological metrics, perceived both by the patient and the observer.

Conclusions: Minimally invasive aesthetic treatments represent a valuable adjunct to surgical procedures for improving facial aesthetics after injury and consequently the quality of life of patients affected by facial trauma.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Botulinum Toxins, Type A / administration & dosage
  • Combined Modality Therapy / methods
  • Cosmetic Techniques*
  • Dermal Fillers / administration & dosage*
  • Esthetics
  • Face / surgery
  • Facial Injuries / psychology
  • Facial Injuries / therapy*
  • Female
  • Humans
  • Hyaluronic Acid / administration & dosage
  • Male
  • Middle Aged
  • Patient Satisfaction*
  • Plastic Surgery Procedures*
  • Postoperative Period
  • Quality of Life
  • Rejuvenation
  • Retrospective Studies
  • Surveys and Questionnaires / statistics & numerical data
  • Treatment Outcome
  • Young Adult

Substances

  • Dermal Fillers
  • Hyaluronic Acid
  • Botulinum Toxins, Type A