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Facial Plast Surg 2001; 17(1): 003-010
DOI: 10.1055/s-2001-16361
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Endoscopic Forehead Lifting and Contouring

Thomas Romo III1,2,3 , Andrew A. Jacono1 , Anthony P. Sclafani1,2
  • 1Department of Otolaryngology-Head and Neck Surgery; The New York Eye and Ear Infirmary, New York, NY
  • 2Division of Facial Plastic Surgery, The New York Eye and Ear Infirmary, New York, NY
  • 3Division of Facial Plastic Surgery, Lenox Hill Hospital, New York, New York
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Publication History

Publication Date:
31 December 2001 (online)

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ABSTRACT

The concept of endoscopic foreheadplasty is based upon a sub- or supraperiosteal dissection of the parietal, occipital and frontal scalp, incision and release of the superior and lateral orbital periosteum, selective myotomies of the brow depressor muscles, and brow elevation into a desired position with fixation and healing. A significant limitation of this procedure appears to be the ability to predict the long-term forehead and brow elevation.

We review the anatomy relevant to forehead rejuvenation surgery and present our surgical technique for permanent fixation endoscopic forehead lifting. We discuss the scientific rationale for permanent fixation to ensure long-term forehead and brow position and draw our conclusions based upon the results of animal and clinical studies that have been completed.

KEYWORD

Endoscopic browlift - forehead lift - facial rejuvenation

REFERENCES

  • 1 Keller G S. Small incision frontal rhytidectomy with the KTP laser. American Academy of Cosmetic Surgery, World Congress. October 1991, Scotsdale, AZ
    Google Scholar
  • 2 Brennan H G. Correction of the ptotic brow.  Otolaryngol Clin North Am . 1980;  13 209
    PubMedGoogle Scholar
  • 3 Ellis D A, Masai H. The effects of facial animation on the aging upper half of the face.  Arch Otolaryngol Head Neck Surg . 1989;  115 710-713
    CrossrefPubMedGoogle Scholar
  • 4 Stuzin J M, Wagstrom L, Kawamoto H K, Wolfe S A. Anatomy of the frontal branch of the facial nerve: the significance of the temporal fat pad.  Plast Reconstr Surg . 1989;  83 265-271
    CrossrefPubMedGoogle Scholar
  • 5 Sabini P, Wayne D, Quatela V. Anatomic guidelines to precise localization of the frontal branch of the facial nerve. Presented at the Spring meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Orlando, 2000.
    Google Scholar
  • 6 Ramirez O M. Endoscopic techniques in facial rejuvenation: an overview, part 1.  Aesth Plast Surg . 1994;  18 141
    PubMedGoogle Scholar
  • 7 Isse N G. Endoscopic forehead lift evolution and update.  Clin Plast Surg . 1995;  22 661
    PubMedGoogle Scholar
  • 8 Vasconez L O, Core G B, Gamboa-Bobadilla M. Endoscopic techniques in coronal brow lifting.  Plast Reconstr Surg . 1994;  94 788
    PubMedGoogle Scholar
  • 9 Daniel R K, Tirkanits B. Endoscopic forehead lift: an operative technique.  Plast Reconstr Surg . 1996;  98 1148
    PubMedGoogle Scholar
  • 10 Abramo A C. Forehead rhytidoplasty: endoscopic approach.  Aesthet Plast Surg . 1995;  19 463
    PubMedGoogle Scholar
  • 11 Chajchir A. Endoscopic subperiosteal forehead lift.  Aesthet Plast Surg . 1994;  18 269
    PubMedGoogle Scholar
  • 12 KoKoska M S, Thomas J R. The subgaleal endoscopic browlift.  Arch Facial Plastic Surg . 2000;  2 202-208
    PubMedGoogle Scholar
  • 13 Pakkanen M, Salisbury A V, Ersek R A. Biodegradable positive fixation for the endoscopic brow lift.  Plast Reconstr Surg . 1996;  98 1087
    PubMedGoogle Scholar
  • 14 Marchac D, Ascherman J, Arnaud E. Fibrin glue fixation in forehead endoscopy: evaluation of our experience with 206 cases.  Plast Reconstr Surg . 1997;  100 704
    PubMedGoogle Scholar
  • 15 Kim S K. Endoscopic forehead-scalp flap fixation with K-wire.  Aesthet Plast Surg . 1996;  20 217
    PubMedGoogle Scholar
  • 16 Newman J P, LaFerriere K A, Koch R J. Transcalvarial suture fixation for endoscopic brow and forehead lifts.  Arch Oto Head Neck Surg . 1997;  123 313
    PubMedGoogle Scholar
  • 17 Morselli P G. Fixation for forehead endoscopic lifting: a simple, easy, no-cost procedure.  Plast Reconstr Surg . 1996;  97 1309
    PubMedGoogle Scholar
  • 18 Loomis M G. Endoscopic brow fixation without bolsters or miniscrews.  Plast Reconstr Surg . 1996;  98 373
    PubMedGoogle Scholar
  • 19 Hoenig J F. Rigid anchoring of the forehead to the frontal bone in endoscopic facelifting: a new technique.  Aesthet Plast Surg . 1996;  20 213
    PubMedGoogle Scholar
  • 20 Del la Fuente A, Santamaria A B. Facial rejuvenation: a combined conventional and endoscopic assisted lift.  Aesthet Plast Surg . 1996;  20 471
    PubMedGoogle Scholar
  • 21 Romo T, Sclafani A P, Yung R T. Endoscopic foreheadplasty: a histologic comparison of periosteal refixation after endoscopic versus bicoronal lift.  Plast Reconstr Surg . 2000;  105 1111-1117
    CrossrefPubMedGoogle Scholar
  • 22 Romo T, Sclafani A P, Yung R T. Endoscopic foreheadplasty: temporary versus permanent fixation.  Aesthet Plastic Surg . 1999;  23 388-394
    PubMedGoogle Scholar
  • 23 Chierici G, Miller A. Experimental study of muscle reattachment following surgical detachment.  J Oral Maxillofac Surg . 1984;  42 485
    PubMedGoogle Scholar
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