A Review of 13 Years of Experience With Endoscopic Forehead-lift

Papadopulos, Nikolaos Α.; Eder, Maximilian; Weigand, Christian; Biemer, E.; Kovâcs, László

doi:10.1001/archfacial.2012.43

Cited by 12 publications

(13 citation statements)

References 27 publications

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“…Unilateral facial nerve paresis (frontal branch) was observed in 5.8% of the patients. Its frequency was 5% 25 and 6% 12 in the 2 previous large series. Undercorrection was a concern in 7.1% of our series.…”

Section: Complicationsmentioning

confidence: 64%

Short- and Long-term Patient Satisfaction and Complications in 650 Endoscopic Forehead Lift Procedures

Kashkouli¹,

Abdolalizadeh²,

Mansour³

et al. 2021

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose:The aims are to compare short-versus long-term patient satisfaction and report temporary versus permanent complications in 650 patients with endoscopic forehead lift procedure (EFL).Methods: This is a retrospective study on all of the consecutive patients with EFL. Patients with previous trauma and surgery and less than 2 years follow up were excluded. Short-(6 months) and long-term (≥2 years) patient satisfaction (visual analog score [VAS], 0-100) were recorded. Patients' perspectives on temporary versus permanent complications were also documented.Results: Mean age and follow up were 46.4 and 7.1 (2-13) years, respectively. Long-term satisfaction (79.9) was significantly lower than the short term (96.6). The long-term satisfaction decreased in 95.7%, increased in 2.7%, and remained the same in 1.6% of the patients. Intraoperative skin laceration occurred in 3 patients (0.5%). Mean time of forehead numbness recovery was 2.3 months. Temporary complications were itching (13.7%), headache (6.3%), unilateral facial nerve palsy (5.8%), acne (3.2%), and remained staples (1.7%). Permanent complications included undercorrection (7.1%), alopecia (4.2%), forehead irregularities (2.3%), surprised look (2.2%), incision site complications (2%), and glabellar depression (0.9%). Reoperation (1.2%) was performed for undercorrection and alopecia. While short-term satisfaction was significantly lower in patients with temporary facial nerve paresis, long-term satisfaction was lower in patients with undercorrection and reoperation. Conclusion:A high satisfaction scores of 96.6 and 80 were observed in the short-and long-term follow up after the EFL. Frequency of temporary and permanent postoperative complications was 30.3% and 15.8%. Reoperation rate was 1.2%.

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Section: Complicationsmentioning

confidence: 64%

Short- and Long-term Patient Satisfaction and Complications in 650 Endoscopic Forehead Lift Procedures

Kashkouli¹,

Abdolalizadeh²,

Mansour³

et al. 2021

Ophthalmic Plastic &Amp; Reconstructive Surgery

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“…A considerable number of surgeons chose the subperiosteal bone as the dissection plane and used grasp forceps to ablate the corrugators and procerus; then, without handling the frontalis muscle, and they used brow-lifting devices to achieve forehead lift. 2,5,[17][18][19] These techniques were proven to be effective in morphometric evaluation 5,17,18 and PROs. 17 Regarding a surgical technique with soft tissue dissection but without the assistance of brow-lifting devices, Citarella et al reported that such a procedure had good subjective outcomes but lacked morphometric evaluation.…”

Section: Two Innovative Steps In Surgical Proceduresmentioning

confidence: 99%

“…2,5,[17][18][19] These techniques were proven to be effective in morphometric evaluation 5,17,18 and PROs. 17 Regarding a surgical technique with soft tissue dissection but without the assistance of brow-lifting devices, Citarella et al reported that such a procedure had good subjective outcomes but lacked morphometric evaluation. 20 Two innovative operation steps were applied in our surgical procedure: First, we chose the inferior plane of the frontal muscle as the operative surface.…”

Section: Two Innovative Steps In Surgical Proceduresmentioning

confidence: 99%

A Novel Endoscopic Forehead Lift Technique for Patients with Upper Facial Wrinkles: Morphometric Evaluation and Patient-Reported Outcome using FACE-Q Scales

2020

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Chinese patients more frequently complain of forehead wrinkles than eyebrow and upper eyelid ptosis. Besides the commonly used brow-lifting technique, a novel technique to satisfy the demands of Chinese patients is needed. In this article, we introduce our novel endoscopic forehead lift procedure and analyze the morphometric evaluation and patient-reported outcomes. From January 2010 to January 2017, 171 Chinese patients underwent endoscopic forehead lift in which two parallel incisions were made on the frontalis muscle to relieve forehead wrinkles. Biopsy forceps were used to bite off the glabella muscles to relieve wrinkles between the eyebrows. Lifting devices were not used. Morphometric evaluations of eyebrow locations were performed, and the vertical distance of the upper eyebrows was measured post- and preoperatively to evaluate the elevation range. FACE-Q scales were sent to patients who were still being followed-up. A total of 46 patients underwent the morphometric evaluation, which suggested that the eyebrows were elevated effectively. At 12 to 36 months postoperatively, the median post-/preoperative ratio was 118.4, 112.5, and 111.8% in the medial, middle, and lateral eyebrows, respectively. In the same patients, at 37 to 84 months postoperatively, the median post-/preoperative ratio was 116.6, 112.2, and 108.9% in the medial, middle, and lateral eyebrows, respectively. Sixty-five patients completed the FACE-Q scales, demonstrating high satisfaction levels with the forehead and eyebrow, outcome, and decisions, with a median score of 100 for each. Postoperative appraisal revealed that the lines in the forehead and between the eyebrows had a good outcome with scores of 86 and 93, respectively. The median number of years younger that patients thought they appeared was 7. The most frequent self-claimed recovery symptom was temporary forehead skin numbness (83.1%) followed by a receding hairline (46.2%). Our endoscopic forehead lift procedure was effective in relieving forehead and glabella wrinkles and lifting the eyebrows. This was a level of evidence III study.

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“…Several techniques exist to treat ptosis of the eyebrows 5,[9][10][11][12][13][14][15][16][17][18] . Some only treat brow ptosis, and other techniques are also used for treating a wide spectrum of facial aging changes.…”

Section: Introductionmentioning

confidence: 99%

“…In 1994 Vasconez et al 22 first described the endoscopic browlift technique, which has been widely studied [10][11][12]14,[23][24][25][26][27][28][29][30][31][32] . This is a popular technique since advantages include less scarring, alopecia and numbness posterior to the scar.…”

Section: Introductionmentioning

confidence: 99%

A new minimally invasive, non-excisional, surgical browlift technique with minimal scarring: a protocol for a prospective observational study

et al. 2022

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Background The aim of this study is to prospectively evaluate the new minimal invasive (MINE) browlift technique with possibly superior results and minimal visible scarring. Methods A prospective observational study will be performed on all available data from patients who will undergo a browlift procedure in the Haaglanden Medical Center from 1-6-2021 till 31-5-2022. Our goal is to include at least 50 patients (1 per week). Inclusion criteria are: patients with medical (i.e. brow-ptosis, facial paralysis) or cosmetic indication, patients with sufficient understanding of the Dutch or English language and willingness to participate in extra study specific follow-up moments and filling in of questionnaires. Exclusion criteria are: <18 years of age and patients with previous brow or eyelid surgery. Patients will be photographed pre- and postoperatively using the VECTRA camera. The database management software Castor will be used to store and collect the data from the questionnaire. The Medical Research Ethics Committee found this study not eligible to be submitted to the Dutch Medical Research Involving Human Subjects Acts (WMO). Written informed consent will be obtained from all patients. Results Outcomes measures to be evaluated include: scarring after procedure; functionality of eyebrow movement; amount of correction in brow ptosis, measured in VECTRA; longevity of procedure in months; aesthetic result as assessed by questionnaires; and adverse effects of the procedure.

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A Review of 13 Years of Experience With Endoscopic Forehead-lift

Abstract: Endoscopic forehead-lift enables long-lasting results with highly satisfied patients.

Cited by 12 publications

References 27 publications

Short- and Long-term Patient Satisfaction and Complications in 650 Endoscopic Forehead Lift Procedures

Short- and Long-term Patient Satisfaction and Complications in 650 Endoscopic Forehead Lift Procedures

A Novel Endoscopic Forehead Lift Technique for Patients with Upper Facial Wrinkles: Morphometric Evaluation and Patient-Reported Outcome using FACE-Q Scales

A new minimally invasive, non-excisional, surgical browlift technique with minimal scarring: a protocol for a prospective observational study

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