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Subcutaneous approach to forehead, brow, and modified temple incision
1Department of Surgery, Case Western Reserve University, Cleveland, Ohio.
Clinics in Plastic Surgery
|April 1, 1992
Summary
A new surgical approach for upper face aging, involving hairline incisions, effectively addresses wrinkles and brow ptosis while preserving the sideburn. This technique offers superior forehead length control and nerve preservation for optimal aesthetic results.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Facial Rejuvenation
Background:
- Aging of the upper face presents challenges including wrinkles, excess skin, and brow ptosis.
- Traditional surgical methods may have limitations in addressing these concerns comprehensively.
Purpose of the Study:
- To describe an effective surgical technique for upper face rejuvenation.
- To highlight the advantages of hairline incisions for correcting aging signs.
Main Methods:
- Utilizing incisions at or behind the hairline with subcutaneous flap elevation.
- Placing facial rhytidectomy incisions at the sideburn boundary to preserve the sideburn.
- Detailed patient selection criteria and procedural steps are outlined.
Main Results:
- Effective correction of "crow's feet," excess forehead skin, and eyebrow ptosis.
- Preservation of the sideburn is achievable regardless of skin removal.
- Scars are minimal and can be effectively camouflaged, with medical-grade tattooing as a prime option.
- Excellent control of forehead length and preservation of sensory and motor nerves.
Conclusions:
- This surgical technique provides superior results compared to other methods in properly selected patients.
- The described approach offers significant advantages, including aesthetic finesse and nerve preservation.
- Expertise in varied surgical approaches is crucial for optimal patient outcomes in aesthetic surgery.