Related Experiment Videos
Shortening of the long forehead
B Guyuron1, R A Behmand, R Green
1Case Western Reserve University, Cleveland, Ohio, USA.
Plastic and Reconstructive Surgery
|January 23, 1999
Summary
Forehead reduction surgery can improve facial harmony and reduce signs of aging. Techniques involve hairline incisions and scalp repositioning, with bone-tunneling for fixation, achieving high patient satisfaction.
Area of Science:
- Plastic Surgery
- Aesthetic Medicine
- Facial Rejuvenation
Background:
- A long forehead can disrupt facial aesthetics and contribute to an aged appearance.
- Surgical correction aims to restore facial balance and rejuvenate the senescent face.
Purpose of the Study:
- To describe surgical techniques for forehead length reduction.
- To evaluate the efficacy and patient satisfaction with these forehead reduction procedures.
Main Methods:
- Two primary techniques are detailed: hairline incision with eyebrow elevation for slight reductions, and pretrichial incision with extensive scalp elevation and bone-tunneling fixation for moderate to major reductions.
- The number of fixation rows is adjusted based on scalp advancement and rigidity.
Main Results:
- Procedures were performed on 180 patients, yielding a high degree of satisfaction.
- Minor complications included temporary hair loss in one patient and delayed healing in three patients, particularly smokers, in the temple area.
Conclusions:
- Forehead reduction surgery using described techniques effectively shortens the forehead and improves facial aesthetics.
- Bone-tunneling fixation is crucial for preventing scalp retraction and ensuring stable results, with careful patient selection and postoperative care mitigating risks.