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Evolving Forehead Augmentation: A Five-step Approach with High G Prime Hyaluronic Acid
Yau-Li Huang1,2,3, Ben Chung-Pin Liang4,5,6
1From the Department of Dermatology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan.
Plastic and Reconstructive Surgery. Global Open
|January 26, 2024
Summary
A new five-step technique using high elastic (G prime) hyaluronic acid fillers improves forehead augmentation outcomes. This method enhances safety and aesthetic results for plastic surgeons, reducing the learning curve.
Area of Science:
- Aesthetic Medicine
- Dermatology
- Plastic Surgery
Background:
- Forehead augmentation is crucial for upper-face rejuvenation but carries risks like vascular occlusion.
- Complex forehead anatomy and septa can lead to uneven results with traditional dermal filler treatments.
- The learning curve for effective forehead augmentation is steep, necessitating specialized training.
Purpose of the Study:
- To present a specialized program to expedite the learning process for forehead augmentation.
- To introduce and evaluate a novel five-step technique for forehead augmentation using high elastic (G prime) hyaluronic acid fillers.
Main Methods:
- Ten Asian female participants with no prior forehead procedures were enrolled.
- Informed consent was obtained, and outcomes were assessed via photography and the Global Aesthetic Improvement Scale (GAIS).
Main Results:
- Immediate GAIS ratings averaged 3.0, decreasing to 1.8 at 12 months.
- The technique demonstrated safety with mild tenderness (10%) and temporary swelling (30%).
- No adverse vascular events were observed, indicating a favorable safety profile.
Conclusions:
- The five-step technique with high-G prime hyaluronic acid fillers, combined with anatomical understanding, improves forehead augmentation.
- This systematic approach allows plastic and reconstructive surgeons to achieve consistent, harmonious, and effective aesthetic results.
- The method aims to elevate the standards of forehead augmentation procedures.

