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[Endoscopic brow lift with resorbable anchors]
1Abteilung für Plastische Chirurgie, Martin-Luther-Krankenhaus, Berlin, Germany. bruck.pc@t-online.de
Summary
Resorbable skin anchors offer benefits for endoscopic forehead lifts, reducing operating time and improving adjustability. However, unreliable resorption necessitates potential surgical removal, a risk patients are now informed of.
Area of Science:
- Plastic Surgery
- Biomaterials
Context:
- Endoscopic forehead lifts require secure galea fixation for optimal aesthetic outcomes.
- Existing methods for fixation present challenges in precise positioning and force vector control.
- Resorbable skin anchors have been introduced as a potential solution for improved fixation.
Purpose:
- To evaluate the efficacy and drawbacks of using pairwise resorbable skin anchors in endoscopic forehead lifts.
- To assess the impact of these anchors on operating time, ease of use, and adjustability.
- To investigate the resorption profile and potential complications associated with resorbable skin anchors.
Summary:
- A retrospective study analyzed 27 endoscopic forehead lift cases using pairwise resorbable skin anchors.
- The anchors demonstrated advantages in reducing operative time, ease of use, and adjustable tension control.
- A significant disadvantage was the unreliable resorption time, exceeding the manufacturer's claims and requiring surgical removal in 7 patients.
Impact:
- The use of resorbable skin anchors can streamline endoscopic forehead lift procedures.
- Unpredictable anchor resorption poses a clinical challenge, potentially requiring secondary procedures.
- Informed consent regarding the possibility of anchor removal is now crucial for patient management.