The anchor subperiosteal forehead lift

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Surgical Techniques

Background:

• Standard coronal brow lift incisions often result in localized alopecia, scar widening, and depression.
• Sequelae include recurrent brow ptosis, inadequate brow elevation, and sensory disturbances beyond the incision.
• Factors contributing to these complications involve surgical tension, cautery use, suture techniques, and flap design.

Purpose of the Study:

• To present surgical modifications to the coronal brow lift incision to minimize common complications.
• To describe principles aimed at improving scar quality, brow position, and long-term results.
• To evaluate the efficacy of these modified techniques in open brow and face lift procedures.

Main Methods:

• Incisions are placed high on the vertex, posterior to the biauricular line.
• Pericranium is incorporated into the frontal flap with subperiosteal dissection to the orbital rims.
• Galea periosteal rim flaps and posterior scalp resection facilitate stable closure with minimal tension.

Main Results:

• The modified technique, applied in 92 cases, yielded excellent aesthetic and functional results.
• Complications such as alopecia, scar widening, and recurrent brow ptosis were minimized.
• Patients experienced improved brow elevation and reduced sensory disturbances.

Conclusions:

• The described modifications to the coronal brow lift incision effectively address common complications.
• These principles enhance the stability of brow elevation and improve scar aesthetics.
• The technique offers a reliable approach for achieving superior outcomes in brow and face lift surgery.