Dermatology & Plastic Surgery Institute Outcomes
Aesthetic Surgery - Facelift Surgery Following Superficial Parotidectomy: Is it Safe?
Patients who have previously undergone superficial parotidectomy may later seek facelift surgery for facial aging and rejuvenation. They present challenges quite different from the standard facelift patient; for example, the location of facial nerve branches is superficial and displaced compared to standard anatomy. In addition, significant contour deformities may be present.¹⁻⁴ The Dermatology and Plastic Surgery Institute conducted a retrospective review from 2000–2017 of 11 patients to assess potential morbidity and safety of facelift surgery in parotidectomy patients.
Evaluation included pre- and postoperative facial nerve status, soft tissue contour and scar deformities, facelift technique, ancillary soft tissue augmentation procedures, and pre- and postoperative photographs.
Seven of 11 patients underwent facelift surgery as a secondary procedure, while 4 patients underwent a simultaneous facelift at the time of removal of the superficial parotid tumor. Soft tissue augmentation was performed in 1 patient. Nine patients (82%) received nerve integrity monitoring (NIM) stimulation. No postoperative facial nerve injuries were noted.
Facelift following superficial parotidectomy was safely performed in all cases. Soft tissue augmentation procedures were needed in the minority of patients and scar tissue presented no additional technical challenge. These patients should be considered candidates for aesthetic surgery.
Demographics and Patient Characteristics (N = 11)
2000 - 2017
|Demographics and Patient Characteristics||Results|
|Average patient age||65.5 (51 – 76)|
|Coronary artery disease||36.4%|
|Current tobacco users||18.2%|
|Former tobacco users||36.4%|
|Patients with concurrent facelift and parotidectomy||36%|
|Patients with subsequent facelift after parotidectomy||64%|
Postoperative Parotid Pathology Results (N = 11)
2000 - 2017
|Parotid pathology: benign pleomorphic adenoma||63.7|
|Parotid pathology: benign adenoma||27.3|
|Parotid pathology: undocumented||9|