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Brow or forehead fixation with sutures only: a preliminary communication
Ronald P Gruber1, Farzad Nahai
1Stanford University, California, USA. rgrubermd@hotmail.com
Aesthetic Plastic Surgery
|December 3, 2003
Summary
This study introduces a novel suture-only brow suspension technique, offering a quick, simple, and cost-effective alternative to traditional fixation methods. The method avoids complications associated with screws, providing satisfactory forehead fixation.
Area of Science:
- Plastic Surgery
- Surgical Techniques
Background:
- Brow and forehead fixation is often necessary in reconstructive and aesthetic procedures.
- Current methods, such as calvarial screws, can be time-consuming and associated with minor complications.
Purpose of the Study:
- To present a novel, suture-only brow suspension technique.
- To evaluate the simplicity, speed, and efficacy of this new method compared to traditional fixation.
Main Methods:
- A heavy PDS suture is passed from the brow/forehead dermis to the dermis of a superiorly located small incisional wound (5-8 cm away).
- The technique utilizes sutures exclusively, avoiding the need for screws.
Main Results:
- The suture suspension technique is quick and easy to perform.
- Satisfactory brow/forehead fixation was achieved without suture reaction issues.
- Eliminates the cost associated with calvarial screws.
Conclusions:
- Suture suspension to the dermis is an effective, rapid, and simple method for brow/forehead fixation.
- This technique offers a viable alternative to screw fixation, avoiding associated problems and costs.
- Further long-term studies are needed to validate these initial findings.