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Endoscopically assisted biplanar forehead lift

O M Ramirez1

  • 1Division of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, Md., USA.

Plastic and Reconstructive Surgery
|August 1, 1995
PubMed
Summary
This summary is machine-generated.

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This study introduces a biplanar forehead lift combining subperiosteal and subcutaneous approaches for brow lifting. This technique effectively reduces forehead height while preserving sensation and frontalis muscle function.

Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery

Background:

  • Standard brow lifting techniques have limitations, including restricted patient selection for subgaleal coronal incisions and high vascular complication rates for subcutaneous hairline approaches.
  • Subperiosteal brow lifts offer superior periorbital remodeling, while subcutaneous approaches preserve sensation.

Purpose of the Study:

  • To present a novel biplanar forehead lift technique that integrates subperiosteal and subcutaneous approaches.
  • To leverage the advantages of both techniques while mitigating their respective disadvantages for brow elevation and forehead height reduction.

Main Methods:

  • A combined subperiosteal and subcutaneous dissection technique was employed, utilizing endoscopic control for precise periorbital dissection and brow depressor muscle modification.
  • Initial dissection occurred in the subcutaneous plane, followed by deeper dissection through slit incisions in the galea-periosteal layer and temporoparietal fascia.

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  • Endoscopic visualization guided periosteal dissection, arcus marginalis release, and brow depressor muscle modification. Deep anchoring sutures secured the elevated brow.

    • Main Results:

    • The biplanar forehead lift was performed on 24 patients, yielding highly satisfactory aesthetic outcomes.
    • All patients experienced a reduction in forehead height, and sensation posterior to the hairline incision was preserved.
    • Frontalis muscle function remained intact, and complications were minor.

    Conclusions:

    • The biplanar subperiosteal-subcutaneous forehead lift is a versatile and effective technique for brow elevation and forehead height reduction.
    • This approach successfully combines the benefits of subperiosteal and subcutaneous dissection, offering improved periorbital remodeling and preserved sensation.
    • Endoscopic assistance enhances procedural accuracy and control, contributing to excellent patient outcomes and minimal complications.