Rhytidectomy: use of the short flap.

[PURPOSE] This study compares the use of the short and long flap rhytidectomy.

[PATIENTS AND METHODS] Thirty short flap rhytidectomies and 20 long flap rhytidectomies were compared for indications, operating time, complications, and patient satisfaction. Flaps 6 cm or less in length were considered short flaps.

[RESULTS] The short flap technique was used more frequently on younger female patients. The use of this technique resulted in fewer complications and shortened operating and anesthesia times. Patient satisfaction was the same with both procedures.

[CONCLUSION] The short flap technique is appropriate for the younger patient with minimal nasolabial folds, jowls, rhytids, actinic damage, and less extensive signs of aging. When this technique is used on a suitable patient, the results are cosmetically gratifying.