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New Surgical Technique: Bidirectional Forehead Narrowing and Eyebrow Lifting Using Regional Flap Mobility
Jae B Kim1, Sang W Kim1, Jae Y Chung1
1Lavian Plastic Surgery Center, Seoul, Korea.
Plastic and Reconstructive Surgery. Global Open
|November 6, 2020
Summary
The bidirectional forehead narrowing and eyebrow lifting (BiNaLi) technique effectively reduces forehead height and lifts eyebrows. This single-stage procedure significantly improves forehead aesthetics and patient satisfaction.
Area of Science:
- Plastic Surgery
- Facial Aesthetics
- Surgical Techniques
Background:
- Facial aesthetics are significantly impacted by forehead length, hairline height, and eyebrow position.
- Existing surgical techniques may not adequately address combined forehead and eyebrow concerns in a single procedure.
Purpose of the Study:
- To introduce and evaluate the bidirectional forehead narrowing and eyebrow lifting (BiNaLi) technique.
- To assess the efficacy of BiNaLi in correcting long forehead, high hairline, and low eyebrow levels.
- To determine patient satisfaction with the BiNaLi procedure.
Main Methods:
- The BiNaLi technique was performed on 576 patients between March 2014 and February 2019.
- Patients were categorized into four groups based on specific aesthetic concerns: long forehead, low eyebrow level, or M-shaped hairline.
- Surgical modifications were tailored to each patient group.
Main Results:
- Mean forehead height reduction was 1.4 cm in the median area and 1.7 cm in the lateral area.
- Mean improvement in eyelid length was 0.3 cm.
- Over 90% of patients reported high aesthetic satisfaction (score ≥ 4.0).
Conclusions:
- The BiNaLi technique offers a versatile, single-stage solution for multiple facial aesthetic issues.
- The procedure effectively achieves forehead shortening, eyebrow lifting, and hairline correction.
- BiNaLi demonstrates significant potential for enhancing patient satisfaction with facial rejuvenation.

