<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922022000300003</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922022000300003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Predicción de variables y prevención de resultados subóptimos en rejuvenecimiento quirúrgico de cara y cuello: evaluación preoperatoria sistemática con examen físico y ultrasonido]]></article-title>
<article-title xml:lang="pt"><![CDATA[Previsão de variáveis e prevenção de resultados subótimos no rejuvenescimento cirúrgico de face e pescoço: avaliação pré-operatória sistemática com exame físico e ecografia]]></article-title>
<article-title xml:lang="en"><![CDATA[Predicting variables and preventing suboptimal results in face and neck surgical rejuvenation: a systematic physical and ultrasound evaluation]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meneses de Lima]]></surname>
<given-names><![CDATA[Rui]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Baptista Fernandes]]></surname>
<given-names><![CDATA[Tiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,UpClinic Cirurgia e Estética Departamento de Cirugia Plástica ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>48</volume>
<numero>3</numero>
<fpage>257</fpage>
<lpage>270</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922022000300003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922022000300003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922022000300003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo. La evolución de las técnicas quirúrgicas para rejuvenecimiento facial y cervical ha sido significativa en los últimos años. La elección de la técnica debe personalizarse según las características anatómicas del paciente. El presente trabajo tiene como objetivo presentar nuestra evaluación preoperatoria sistemática de pacientes que se someten a rejuvenecimiento quirúrgico de cara y cuello y nuestro diagrama de toma de decisiones.  Material y método. Presentamos nuestra lista de verificación preoperatoria (subdividida en 9 pasos) para identificar variantes anatómicas y deformidades individuales. Mediante exploración física y valoración ecográfica de cara y cuello, predecimos algunas variables que pueden hacer que la cirugía sea más previsible y estandarizada. Para ello creamos 7 pasos para el Diagrama de Toma de Decisiones Preoperatorias en Cirugía de Rejuvenecimiento de Cara y Cuello.  Resultados. Cincuenta y nueve pacientes se sometieron a técnicas de estiramiento profundo de cara y cuello entre enero de 2019 y junio de 2021 utilizando nuestro diagrama de toma de decisiones. Presentamos 2 casos clínicos demostrativos.  Conclusiones. En este artículo explicamos por qué se deben ofrecer diferentes técnicas quirúrgicas a diferentes pacientes teniendo en cuenta sus necesidades individuales. Con esta lista de comprobación y diagrama de toma de decisiones, el cirujano plástico podrá tomar decisiones personalizadas antes de la cirugía, como la orientación de la movilización del colgajo SMAS, el tipo de tratamiento de la porción más anterior del platisma o la necesidad de abordaje y tratamiento de las estructuras cervicales subplatismales, a fin de reducir la consecución de resultados menos satisfactorios, los errores quirúrgicos y agilizar la cirugía.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução e objetivo. A evolução das técnicas cirúrgicas de rejuvenescimento facial e cervical tem sido significativa nos últimos anos. A escolha da técnica deve ser personalizada de acordo com as especificidades anatómicas do paciente. Este trabalho tem como objetivo expor a nossa avaliação pré-operatória sistemática dos pacientes que são submetidos a um rejuvenescimento cirúrgico de face e pescoço e o nosso diagrama de tomada de decisão.  Métodos. Apresentamos a nossa lista de verificação pré-operatória (subdividida em 9 etapas) para identificar as variantes anatómicas e deformidades individuais. Utilizando o exame físico e a avaliação ecográfica da face e pescoço prevemos algumas variáveis que podem tornar a cirurgia mais previsível e padronizada. Para isso, criamos 7 passos para o Diagrama de Tomada de Decisão pré-operatório na Cirurgia de Rejuvenescimento da Face e Pescoço.  Resultados. Cinquenta e nove pacientes foram submetidos a técnicas de lifting profundo da face e pescoço entre janeiro de 2019 e junho de 2021 utilizando o nosso diagrama de tomada de decisão. Demonstramos 2 casos clínicos.  Conclusão. Neste artigo explicamos por que razão diferentes técnicas cirúrgicas devem ser oferecidas a diferentes pacientes, tendo em consideração as suas necessidades individuais. Utilizando esta lista de verificação e o diagrama de tomada de decisão, o cirurgião plástico poderá tomar decisões personalizadas antes da cirurgia, como a orientação da mobilização do retalho de SMAS, o tipo de tratamento da porção mais anterior do platisma ou a necessidade de abordagem e tratamento das estruturas cervicais subplatismais. Este trabalho visa reduzir a obtenção de resultados menos satisfatórios, diminuir os erros cirúrgicos e tornar a cirurgia mais rápida.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective. The evolution of surgical techniques for facial and neck rejuvenation has been significant over the last years. The choice of technique must be personalized according to the patient's anatomical details and specificities to provide individual and personalized results. This work aims to expose our systematic preoperative evaluation of the patients that will be submitted to a face and neck surgical  Methods. We present our preoperative evaluation checklist (subdi¬vided into 9 steps) to recognize the individual anatomical variants and deformities. Using the physical exam and ultrasound evaluation of the face and neck we predict some variables that can make surgery more predictable and standardized. To do so we apply our 7 steps of pre-operative Decision Making Diagram of Face and Neck Rejuvenation Surgery.  Results. Fifty-nine patients were submitted to face and neck lift between January 2019 and June 2021 using deep plane cervico-facial techniques according to our decision-making diagram. We demonstrate 2 clinical cases.  Conclusions. In this paper, we explain why different surgical tech¬niques should be offered to different patients considering their individual needs. Using this checklist and decision-making diagram the surgeon will be able to make individualized decisions before surgery, such as SMAS flap lift vector direction, the type of the platysma treatment or the need for deep platysmal structures approach and treatment. This work aims to reduce the likelihood of obtaining less satisfactory results by decreasing surgical errors and making the surgery faster.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cuello]]></kwd>
<kwd lng="es"><![CDATA[Cara]]></kwd>
<kwd lng="es"><![CDATA[Rejuvenecimiento]]></kwd>
<kwd lng="es"><![CDATA[Valoración preoperatoria]]></kwd>
<kwd lng="es"><![CDATA[Ecografía]]></kwd>
<kwd lng="pt"><![CDATA[Pescoço]]></kwd>
<kwd lng="pt"><![CDATA[Face]]></kwd>
<kwd lng="pt"><![CDATA[Rejuvenescimento]]></kwd>
<kwd lng="pt"><![CDATA[Avaliação pré-operatória]]></kwd>
<kwd lng="pt"><![CDATA[Ecografia]]></kwd>
<kwd lng="en"><![CDATA[Neck]]></kwd>
<kwd lng="en"><![CDATA[Face]]></kwd>
<kwd lng="en"><![CDATA[Rejuvenation]]></kwd>
<kwd lng="en"><![CDATA[Preoperative evaluation]]></kwd>
<kwd lng="en"><![CDATA[Ecography]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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