Nav: Home

Full-incision facelift superior to short-scar in neck region, study in multiples shows

May 25, 2016

New York, NY - Facelift patients who wish to avoid the dreaded "turkey wattle" neckline years later should undergo a full-incision surgical technique instead of a short-scar method, according to novel new research by a Northwell Health physician who performed the procedure on identical twins and triplets.

Lenox Hill Hospital plastic surgeon Darrick E. Antell, M.D., led a study directly comparing the two most popular types of facelift incision techniques on identical multiples, who are genetic matches. Believed to be the only research of its type in the world, the study indicated the full-incision technique yielded better results in the longer term than the "mini" or short-scar lift.

"The neck is the area most people are seeking to improve when they come for a facelift, and surgery is the gold standard to improve a turkey wattle," explained Dr. Antell, who has performed plastic surgery on identical twins throughout his career. "This study clearly suggests that the short-term results for both incisions are equivalent, but about five years later, those who received a short incision show a relapse - their wattle is back."

"This is probably the first and only study that examines these two incision techniques," he added. "Although people like the idea of a short incision, if it doesn't yield equivalent results, they need to consider doing the longer one."

Dr. Antell's research will be published in the June 2016 issue of the journal Plastic and Reconstructive Surgery.

About 128,000 facelifts are performed in the United States each year, according to the American Society of Plastic Surgeons. Since the advent of the facelift at the beginning of the 20th century, a multitude of various incisions and techniques have evolved. The short-scar method, popularized in the early 2000s, negates the need for an incision extending into the hairline behind the ear, potentially speeding patient recovery.

To obtain a true comparison of the full and short-scar facelift techniques, Dr. Antell performed facelifts on four sets of identical twins and one set of identical triplets between January and August 2006, with the firstborn multiple randomized to receive the full-incision operation. Three sets of twins and the identical triplets were all female, while one set of identical twins was male. Participants' ages ranged from 56 to 73 at the time of surgery.

Short- and long-term postoperative photos were taken approximately one and five years later and subsequently graded by eight board-certified plastic surgeons with more than 100 years of combined experience. Each grader was blinded as to which procedure the depicted patients received, and they were asked to evaluate each patient's jawline, neck, and nasolabial folds - the two skin folds running from each side of the nose to the corners of the mouth.

Results from all eight graders were compiled and averaged for each facial region. No difference in results was noted at the one-year follow-up. But five years later, a significant difference was noted between the average scores assigned to the neck region, with the full-incision technique receiving a higher score.

"The full incision gives the surgeon flexibility to better reposition the tissues," said Dr. Antell, adding that facelift results last an average of eight to 10 years, on average. "To my eye, I would say the differences in the neck tended to make the short-incision patients look older, and the graders graded the neck as superior in those patients with the full incision."

Dr. Antell contended that his research "puts to bed" the question of which of the two facelift incisions leads to better long-term results.

"This is a study that would probably take another lifetime for someone else to reproduce," he said. "It's innovative research not done before, and at Northwell Health we're always looking for ways to improve medical care and educate future medical leaders."

Dr. Antell added: "We say we turn back the clock with facelifts, we don't stop the clock. But this study shows that maybe we can turn the clock back a little better in the neck."
-end-


Northwell Health

Related Twins Articles:

Lung images of twins with asthma add to understanding of the disease
In a case study published today, researchers used a specialized MRI technique in a set of twins with asthma.
'Digital twins' -- An aid to tailor medication to individual patients
Advanced computer models of diseases can be used to improve diagnosis and treatment.
Study shows relationship between type of delivery and twins' psychological development
A research team of the University of Malaga (UMA) in the area of Medicine and Psychology has analyzed for the first time the effect of the type of delivery on twins' psychological development and intelligence, demonstrating that cesarean section carries an independent risk in these multiple births.
NASA Twins Study: A year in space has little effect on gut microbiome
A year in space seems to have a small but significant, transient effect on the gut microbiome, according to a new paper on the NASA Twins Study published in the journal Science.
NASA Twins Study finds spaceflight affects gut bacteria
During his yearlong stay on the International Space Station (ISS), astronaut Scott Kelly experienced a shift in the ratio of two major categories of bacteria in his gut microbiome.
NASA Twins Study includes San Antonio multiomics center
The NASA Twins Study compares the health of identical twin astronauts, one who spent a year in spaceflight while the other remained on Earth.
NASA Twins Study offers new insight on how a human's body responds to spaceflight
Colorado State University Professor Susan Bailey, who studies telomeres, or the protective 'caps' on the ends of chromosomes, found that Scott Kelly's telomeres in his white blood cells got longer while in space.
Astronaut twins study yields new insights and portable DNA sequencing tools
Long-term spaceflight causes more changes to gene expression than shorter trips, especially to the immune system and DNA repair systems, according to research by Weill Cornell Medicine and NASA investigators as part of NASA's Twins Study, which followed the only set of identical twin astronauts for more than a year.
First semi-identical twins identified in pregnancy
Boy and girl twins in Brisbane, Australia, have been identified as only the second set of semi-identical, or sesquizygotic, twins in the world -- and the first to be identified by doctors during pregnancy.
Identical twins light the way for new genetic cause of arthritis
Identical twin toddlers who presented with severe arthritis helped scientists to identify the first gene mutation that can single-handedly cause a juvenile form of this inflammatory joint disease.
More Twins News and Twins Current Events

Top Science Podcasts

We have hand picked the top science podcasts of 2019.
Now Playing: TED Radio Hour

In & Out Of Love
We think of love as a mysterious, unknowable force. Something that happens to us. But what if we could control it? This hour, TED speakers on whether we can decide to fall in — and out of — love. Guests include writer Mandy Len Catron, biological anthropologist Helen Fisher, musician Dessa, One Love CEO Katie Hood, and psychologist Guy Winch.
Now Playing: Science for the People

#543 Give a Nerd a Gift
Yup, you guessed it... it's Science for the People's annual holiday episode that helps you figure out what sciency books and gifts to get that special nerd on your list. Or maybe you're looking to build up your reading list for the holiday break and a geeky Christmas sweater to wear to an upcoming party. Returning are pop-science power-readers John Dupuis and Joanne Manaster to dish on the best science books they read this past year. And Rachelle Saunders and Bethany Brookshire squee in delight over some truly delightful science-themed non-book objects for those whose bookshelves are already full. Since...
Now Playing: Radiolab

An Announcement from Radiolab