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[Conservative forehead facelift. Design and preliminary results].

¹Service de Stomatologie, Hôpital Nord, Marseille, France.

Annales De Chirurgie Plastique Et Esthetique

|July 31, 1999

Summary

Classical anatomy is revised, showing the digastric occipitofrontalis muscle does not exist. A new forehead facelift based on the frontal cutaneo-musculo-aponeurotic unit preserves the frontalis muscle, improving eyelid support and reducing complications.

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Area of Science:

Anatomy
Plastic Surgery
Facial Aesthetics

Background:

Classical anatomical descriptions of the digastric occipitofrontalis muscle are inaccurate.
The epicranial aponeurosis (galea aponeurotica) serves as a crucial interface for the occipitalis and frontalis muscles.

Observation:

The frontalis muscle inserts superficially onto the galea aponeurotica.
The occipitalis muscle inserts deeply onto the galea aponeurotica.
Age-related forehead changes involve recession and galea relaxation.

Findings:

A revised anatomical concept, the frontal cutaneo-musculo-aponeurotic unit (frontal CMAU), integrates skin, galea, and frontalis muscle.
This frontal CMAU forms the basis for a novel forehead facelift technique.
The new facelift preserves the frontalis muscle, crucial for facial expression and eyelid support.

Implications:

Preservation of the frontalis muscle is key to the efficacy and safety of the new facelift.
This approach minimizes skin resection and reduces the risk of neurological complications.
The technique offers a refined method for correcting forehead aging, enhancing aesthetic outcomes and functional preservation.

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