I missed this this last month when TF posted it on
Post# of 7791
Integration of Lipofilling with Blepharoplasty to Optimize Periorbital
Rejuvenation: A Retrospective Study
April 2024
3.4. Postsurgical Care
A dressing was applied over the incisions, ensuring the eyes could open and vision was not obstructed. An NSAID was administered postoperatively for 3 days to address pain, and antibiotics were also given. Immediately after surgery, a Pulsed Short Wave Therapy (PSWT) device (RecoveryRX, BioElectroninc, Frederick,MD, USA) was placed on each side to help reduce pain and inflammation. These devices were activated and
checked to ensure proper functioning before placement. The device was secured to the head and face for 6 days until suture removal. Botox, 50 units, was injected one month postoperatively to decrease periorbital rhytids and enhance the aesthetic result. Botox therapy also helped reduce tension on the scar.
5. Discussion
All our patients showed good compliance with the dressing and use of the devices, with no nuisances reported in the provided sheets. Postoperative bruising and ecchymosis are expected in the early postoperative period and are usually minimized by the application of cold compresses for 48 hours (14). However, the PSWT device has replaced the use of cold application. Ice packs are difficult to manage in the postoperative period as they obstruct vision and cause cold-related headaches. The sensitivity of fat cells to low temperatures is also well known (15). In our experience, the PSWT device for
postoperative management allowed excellent control of pain and edema and improved wound healing, confirming the initial experience reported by Nicolle
(16) and further supported by additional publications (17). Clearly, the addition of fat and stem cells provides a benefit in healing, as evidenced by the literature and patient postoperative courses. Postoperative management was the same for both groups, and patients in this study demonstrated compliance.
Previously, ice packs were used, but they were difficult for the patient to manage, so the PSWT device was used to decrease pain and inflammation. In this surgeon’s experience, the PSWT has allowed for excellent
postoperative pain control, decreased edema, and
improved healing (18, 19).
https://brieflands.com/articles/jssc-147228.p...2ZYaey0SNw