The Endoscopic Forehead Lift
作者:
Kenneth Steinsapir,
Norman Shorr,
Jonathan Hoenig,
Robert Goldberg,
Henry Baylis,
David Morrow,
期刊:
Ophthalmic Plastic and Reconstructive Surgery
(OVID Available online 1998)
卷期:
Volume 14,
issue 2
页码: 107-118
ISSN:0740-9303
年代: 1998
出版商: OVID
关键词: Endoscopic techniques;Brow ptosis;Forehead lift;Glabellar rhytidectomy
数据来源: OVID
摘要:
Endoscopic techniques are being successfully applied to address eyebrow and forehead ptosis. The methods rely on extensive subperiosteal and subgaleal release of the forehead and scalp flap, allowing the elevation of soft tissues. Ablation of the depressor supercilli and procerus can be performed to address skin folding in the glabellar region. The mobilized frontotemporal flap is then elevated to the desired level and fixated with microscrews to the outer table of the skull. Laterally, the flap is fixed to the deep temporalis fascia. The technique relies upon a solid knowledge of the regional anatomy and the use of specialized instruments now available for dissecting under the flap. The endoscopic forehead lift can achieve results comparable to those obtained by the open coronal forehead lift while minimizing the incidence and extent of postoperative cutaneous anesthesia and telegenic hair loss, which frequently follows open coronal forehead surgery. In addition, the endoscopic technique is able to address eyebrow ptosis in the balding male without causing disfiguring scarring.
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