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Ask a Plastic Surgeon / Face Lift
Question 7
Question:
Is pseudobursa a kind of scar tissue that forms as a result of serous fluid accumulating between tissue planes? Does it prevent adhesion between the tissue planes in which it develops? Everything I have read about pseudobursa formation is in relation to tummy tucks. However, I wonder if this type of tissue can occur on the face and neck after seroma formation involving all undermined areas of a facelift. After a seroma resolves, does the pseudobursa create a kind of "glide plane" between the tissue that might make the face appear to have more laxity than before a facelift? Might it prevent the dissected area from "sticking down" or adhering to the layer beneath? I was under the impression that the fibrosis which forms between the tissue planes is what makes a facelift "work". Is it possible for a seroma that has resolved in a few months prevent this fibrosis formation and leave the face sagging? Thank you for any information you can offer.
From: Paula, MA 10/26/2007
Response: Yes, it is possible but due to the faster healing that often occurs in the face, it is very rare. The scarring that occurs following a facelift does help the tissue to remain suspended, indeed, fibrin glue may be used to augment that effect. A prolonged seroma could certainly deter this adherence.
Submitted by: Dr. Gregory Caputy, Honolulu, HI Web site for Dr. Caputy
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