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Modified temple incision for facial rhytidectomy
1Division of Plastic Surgery, Mount Sinai Medical Center, Cleveland, OH.
Annals of Plastic Surgery
|November 1, 1988
Summary
A novel modified temple incision for facial cosmetic surgery significantly reduces risks of nerve injury and hair loss. This technique enhances surgical outcomes for midface and upperface rhytidectomies by minimizing complications.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation Techniques
Background:
- Traditional rhytidectomy incisions carry risks of facial nerve injury and aesthetic complications.
- Minimizing visible scarring and preserving anatomical structures are key goals in facial cosmetic surgery.
Purpose of the Study:
- To describe and evaluate a modified temple incision for facial cosmetic surgery.
- To assess the safety and efficacy of this novel approach in a patient cohort.
Main Methods:
- A modified temple incision technique was developed and applied to 286 patients.
- The incision's path and its impact on facial nerve branches, vessels, and aesthetic outcomes were analyzed.
Main Results:
- The modified incision virtually eliminates temporal branch of facial nerve injury and preserves temporal vessels.
- It minimizes hair loss by avoiding elevation of the temple and sideburn flap.
- The technique increases excised skin distribution length, reducing "dog ear" formation and improving rhytidectomy effectiveness.
Conclusions:
- The modified temple incision offers significant advantages in terms of safety and aesthetic results for facial cosmetic procedures.
- Potential drawbacks include a visible scar in the sideburn area and increased surgical time for meticulous repair.