Combining Facelift with Phenol/ TCA Peeling Procedures and 3D Fat Grafting- Safety, Efficiency and Outcomes of Our Single Stage Pave Lift

INTRODUCTION AND AIMS
Surgical rhytidectomy techniques have become an indispensable part of modern concepts of facial rejuvenation during the last 20 years. Many different techniques have been described and the tendency over the last decade shows a clear trend towards less invasive surgical techniques with natural results, where the overall goal is a rejuvenated not an overstretched face. The rejuvenation or regeneration of the skin itself is an essential part of any facial rejuvenation and significantly influences the overall result; the repositioning of facial volumes and the tightening of aged skin alone cannot achieve a complete and convincing rejuvenation of the face.

Very few publications exist on the safety and efficiency of a combined, same session use of medium to deep peeling techniques and surgical rhytidectomy, and even less taking in account histological studies of actual skin samples from facial rejuvenation patients.

This abstract highlights the possibilities, limitations and outcomes of a single-step adjuvant intraoperative use of  TCA and Phenol peeling procedures and autologous fat injection techniques during surgical rhytidectomy and outlines the effectiveness and safety of the peeling-assisted volume enhancing (PAVE) lift concept.

MATERIAL AND METHODS
The PAVE concept has been established in more than 150 patients since 2008 in our clinic and has become our standard for facial rejuvenation combining the simultaneous, single operative session use of TCA /Phenol Peeling techniques and volume enhancing autologous fat grafting with any classic facelift technique (MACS/OMEGA/SMAS)
RESULTS
We are able to present aesthetic outcomes in long term results of the PAVEconcept within a 6 year period and histologic studies taken from actual patients, proving that this combined technique is save, efficient and enhances the aesthetic outcome.

CONCLUSION(S)
The adjuvat use of TCA/phenol peeling techniques and autologous fat transfer within our PAVE -Facelift concept is histologically proven save and enhances the outcome of any classical lift and defines a more complete rejuvenation concept with results superior to pure surgical lifts