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  Vol. 3 No. 4, Oct-Dec 2001 TABLE OF CONTENTS
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Recovery From Deep-Plane Rhytidectomy Following Unilateral Wound Treatment With Autologous Platelet Gel

A Pilot Study

David M. Powell, MD; Edward Chang, MD; Edward H. Farrior, MD

Arch Facial Plast Surg. 2001;3:245-250.

Objective  To determine the effects of treatment with autologous platelet-rich plasma mixed with thrombin and calcium chloride to form an autologous platelet gel (APG) on postoperative recovery from deep-plane rhytidectomy.

Study Design  A prospective, randomized, controlled pilot study.

Setting  An accredited ambulatory facial plastic surgery center.

Patients  Healthy volunteer women (N = 8) undergoing rhytidectomy.

Intervention  Unilateral autologous platelet-rich plasma wound treatment during standard deep-plane rhytidectomy.

Main Outcome Measures  Staged postoperative facial photographs were graded in a blinded fashion by 3 facial plastic surgeon reviewers for postoperative ecchymosis and edema. Each facial side treated with APG that demonstrated less edema or ecchymosis than the non–APG-treated side was designated a positive response; otherwise, the response was equal (no difference) or negative (untreated side had less edema or ecchymosis).

Results  Twenty-one positive and 21 equal responses were observed compared with 8 negative ones. Of 20 unanimous observations, 15 were positive, only 3 equal, and 1 negative.

Conclusions  Treatment with APG may prevent or improve edema or ecchymosis after deep-plane rhytidectomy. This trend is more apparent for ecchymosis than for edema, and is chiefly demonstrable in the early phases of recovery. These observations are consistent with previous reports of cell tissue culture and wound response to concentrated platelet product.


From the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, The Ohio State University, Columbus (Dr Powell), and the Farrior Facial Plastic and Reconstructive Surgery Center, Tampa, Fla (Drs Farrior and Chang). The authors have no financial relationship to Blood Recovery Systems Inc and received no financial compensation for using its services in the performance of this investigation.


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Promising Results From a Preliminary Study of Autologous Platelet Gel in Face-lift Surgery
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Arch Facial Plast Surg. 2001;3(4):251.
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Promising Results From a Preliminary Study of Autologous Platelet Gel in Face-lift Surgery
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Arch Facial Plast Surg 2001;3:251-251.
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