The Use of Thermography as an Auxiliary Method for Monitoring Convalescence after Facelift Surgery: A Case Study

Abstract

Although IR thermography is widely used in medical diagnostics, there are no reports that describe the use of IR thermography in the evaluation of post-plastic-surgery regeneration processes. The aim of the study was to evaluate the potential of thermography as a method which, among others, allows us to determine the location and extent of the inflammatory process, supporting the clinical evaluation of the patient's convalescence after a facelift surgery using the SMAS technique. During the study and in order to monitor the convalescence process, the patient had a series of face thermograms performed before surgery and up to the 6th week after it. The healing process after surgery was multidirectional for the contralateral areas of the face, leading to thermal asymmetry lasting up to the 3rd week of convalescence. The lowest T_mean values for ROIs were recorded in week 3 of the study and then they gradually increased, in week 6 after surgery, to the following values: chin = 33.1 ± 0.72 °C; cheek left = 33.0 ± 0.26 °C; cheek right = 33.2 ± 0.51 °C; ZFL = 33.8 ± 0.45 °C; ZFR = 33.6 ± 0.74 °C; ZLL = 32.6 ±0.55 °C; ZLR = 32.3 ± 0.32 °C. The temperatures of these areas were still lower than the baseline values obtained before surgery by 0.5-1.4 °C. The usefulness of thermography in the evaluation of post-operative convalescence in facial plastic surgery procedures shows potential in the context of diagnostic assessment of the dynamics of changes in the healing process.

Keywords: face temperature; facelifting; rhytidectomy; thermography.

Figure 1

Photo of the patient before surgery. The regions of interest (ROIs: face front, left and right side) selected for thermal analysis were marked.

Figure 1

Photo of the patient before surgery. The regions of interest (ROIs: face front, left and right side) selected for thermal analysis were marked.

Figure 2

Thermograms of the patient’s face in the subsequent series of examinations in the frontal view: (A)—3 days after facelift; (B)—5 days after facelift; (C)—11 after facelift; (D)—1 month after facelift.

Figure 2

Thermograms of the patient’s face in the subsequent series of examinations in the frontal view: (A)—3 days after facelift; (B)—5 days after facelift; (C)—11 after facelift; (D)—1 month after facelift.