[Frontal and subcutaneous temporal closed lifting without endoscopy: technique and indications]

Area of Science:

• Plastic Surgery
• Facial Anatomy
• Aging Process

Context:

• The Tranck Trepsat facelift technique offers an endoscopic approach with limited incisions.
• Traditional facelifts may involve more extensive scarring and longer recovery times.
• Understanding the distinct aging patterns of different frontal regions is crucial for effective treatment.

Purpose:

• To describe a new, non-endoscopic fronto-temporal facelift technique.
• To introduce a novel self-tapping, self-breaking rivet for temporary fixation in closed facelifts.
• To present the initial results from a series of 28 patients undergoing this procedure.

Summary:

• This technique involves selective treatment based on distinct aging patterns in the fronto-lateral and median frontal regions.
• Subcutaneous dissection is used for the fronto-lateral region and temple, addressing cutaneous sagging.
• Subgaleal elevation with a rugine is employed for the median frontal region, targeting cutaneo-muscular tissue aging.
• The procedure emphasizes lateral lifting for a return to normal appearances, utilizing short scars and avoiding video-endoscopy.

Impact:

• Provides a simpler, more economical facelift procedure with comparable or superior results to endoscopic methods.
• Minimizes scarring and eliminates the need for video-endoscopy, potentially reducing procedure time and cost.
• Offers a refined approach to fronto-temporal rejuvenation by addressing specific aging characteristics of different facial areas.