Facial plast Surg 2018; 34(06): 624-630
DOI: 10.1055/s-0038-1675750
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Evidence for Adjunctive Facelift Procedures

Fulvio Urso-Baiarda
1  Department of Plastic Surgery, Spire Thames Valley Hospital, Wexham, United Kingdom
Sarah-Jayne Edmondson
2  Department of Plastic Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom
Rajiv Grover
3  Department of Plastic Surgery, King Edward VII's Hospital, London, Greater London, United Kingdom
› Author Affiliations
Further Information

Publication History

Publication Date:
28 December 2018 (online)


Facelift surgery is a popular treatment but exhibits high variation among practitioners in terms of both core technique and adjunctive measures. This review identified significant evidence addressing the role of pre-infiltration, drains, fat grafting, fibrin tissue adhesives, hilotherapy, and other miscellaneous adjuncts. Based on the authors' assessment of the current literature, there is reasonable supportive evidence for pre-infiltration, fat grafting and laser skin resurfacing, which appear to be safe and effective in appropriately selected patients. Drain use is not mandatory but may confer some benefit. Conversely the evidence for the use of fibrin tissue adhesives and hilotherapy is not compelling.