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A New Multiplane Dissection Method for Frontotemporal Lift and Fixation.

Hakan Şirinoglu¹, Emre Güvercin², Burak E Tatar³

¹Hakan Şirinoğlu esthetic and Plastic Surgery Clinic.

The Journal of Craniofacial Surgery

|May 6, 2024

Summary

This study introduces a new multiplanar dissection technique for forehead and temporal lifting, avoiding bone maneuvers. This innovative approach enhances safety and effectiveness in facial rejuvenation surgery.

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Area of Science:

Plastic Surgery
Facial Rejuvenation
Anatomical Dissection

Background:

Upper face lifting procedures are increasingly popular, with various techniques described.
The deep temporalis fascia (DTF) is key for suture fixation in lifting, but vertical eyebrow lifting often necessitates bone maneuvers, posing risks.
Existing methods for forehead and temporal lifting have limitations and potential complications.

Purpose of the Study:

To present a novel multiplanar dissection method for temporal and forehead regions.
To eliminate the need for bone maneuvers in lifting suture fixation.
To enhance the safety and effectiveness of forehead lift procedures.

Main Methods:

A multiplanar dissection technique is described, identifying the subgaleal fascia in the temporal region alongside the DTF and superficial temporal fascia.
The superficial temporal fascia is recognized as having three layers with medial forehead connections.
Surgical dissection proceeds to the DTF, utilizing the subgaleal fascia for lateral temporal dissection or the subplane of the epicranial aponeurosis for forehead lifting.

Main Results:

The proposed method obviates the need for bone maneuvers in lifting suture fixation.
Dissection within the subplane of the epicranial aponeurosis, leaving a thick layer, reduces the risk of relapse.
The technique enhances safety, effectiveness, and minimizes flap-related complications in forehead lift surgery.

Conclusions:

The novel multiplanar dissection method offers a safe and effective alternative to bone drilling for forehead lifting.
This approach provides valuable insights for facial rejuvenation surgery by minimizing complications and improving outcomes.
The technique redefines anatomical understanding for advanced facial lifting procedures.