Brow reduction, reshaping and suspension by a 20-degree beveled brow incision technique

Feinendegen, Dominik L.; Constantinescu, Mihai A.; Knutti, Daniel; Roldán, Juan

doi:10.1016/j.jcms.2016.05.017

Cited by 9 publications

(13 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…10 All studies concluded that the use of a beveled angle incision improved the cosmetic outcome, with the ideal angle ranging from 10 to 45 degrees. 10 Possible explanations for the better and denser regrowth of hair using a beveled incision with 20 degrees are as follows: reduced distance for the regrowing hair to reach the skin surface; with the flattening of the incision, more hair follicles are saved; and the dermal overlay area is increased by a factor of more than 2 compared with the standard vertical skin incision (90 degrees), 11 stimulating the formation of myofibroblasts in the wound. 12,13…”

Section: Discussionmentioning

confidence: 99%

Outcome of Beveled versus Vertical IncisionTechnique after Reconstructive or Aesthetic Facial Surgery

Feinendegen¹,

Waldkircher

Bannwart³

et al. 2019

Plastic and Reconstructive Surgery - Global Open

Self Cite

View full text Add to dashboard Cite

Background: We suggest that the degree of scar improvement with a beveled incision technique with an angle of about 20 degrees to the skin can be translated for various reconstructions on the face and can be verified by a validated clinical assessment scale and histology. Methods: A total of 5 patients (2 men and 3 women) with a mean age of 68 years (range 54–84 years) undergoing elective surgeries on the face for tumor excision or cosmetic procedures were included. The beveled incision technique was compared with the conventional vertical incision (control group). Outcome measures were major and minor complications, pain and scar quality using the Patient and Observer Scar Assessment Scale, and histomorphologic scar assessment. Results: After a mean follow-up of 7.6 months (range 6–13 months), all patients healed uneventfully without pain, hypertrophic scars, or infection. We found a better overall Patient and Observer Scar Assessment Scale score in the beveled incision technique group (15 ± 3.4) compared with the conventional vertical incision group (18.4 ± 7.8, P = 0.7). Histomorphologic analyses showed after 6 months less scar zone, less inflammatory reaction, fewer macrophages, less foreign body reaction, and more hair follicles in the beveled incision technique group compared with the vertical incision group. Conclusion: We showed that the beveled incision technique using a 20-degree angle in elective surgeries on the face yields a cosmetic pleasant result for both the patient and the surgeon, which also goes in line with our histomorphologic analyses.

show abstract

Section: Discussionmentioning

confidence: 99%

Outcome of Beveled versus Vertical IncisionTechnique after Reconstructive or Aesthetic Facial Surgery

Feinendegen¹,

Waldkircher

Bannwart³

et al. 2019

Plastic and Reconstructive Surgery - Global Open

Self Cite

View full text Add to dashboard Cite

show abstract

“… 2 Those results were confirmed in a second clinical study with 18 patients after brow reduction and repositioning in aesthetic surgery. 3 …”

Section: Discussionmentioning

confidence: 99%

“…The first author introduced in 2012 the “flat incision technique” (FIT) for brow aesthetic enhancement by defining brow shape, brow symmetry, and brow suspension through a so-called direct-brow incision at 20°. 2 , 3 The proposed bevelled brow incision enhances the dermal layers of the wound by a factor of 2, in contrast to the vertical incision, providing a markedly improved scarring. 3 …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Flat Incision Technique for Reconstructive Brow Surgery: A Wound Healing Model and Clinical Evaluation

Feinendegen

Tremp

Roldán

2018

Plastic and Reconstructive Surgery - Global Open

Self Cite

View full text Add to dashboard Cite

Background:Skin incision is considered to be placed at 90° in reference to the skin to get perfect wound edge adaptation. The incision on hair-bearing tissues, as the scalp, is considered to be bevelled at 45° to promote hair growth through the scar. There is no consensus about the preferred incision angle on the brow. The aim of this article was to demonstrate the feasibility of the “flat incision technique” for brow repositioning, where brow deformation results after forehead reconstruction. A wound-healing model for the bevelled incision is presented.Methods:Brow incisions are bevelled with an angle of 20°. The lower incision is placed inside the brow so that the upper 2 rows of hair are included; the dermis is completely transected and dissection is continued into the subdermal plane. The procedure is presented in a patient who underwent resection of the forehead due to melanoma.Results:The bevelled incision increases the surface area of dermal layer by a factor of 2 compared with the standard vertical skin incision at 90°. Loss of the dermal tissue integrity and continuity due to trauma hinders the recovery of cell migration and function, resulting in a more prominent scar formation. It appears reasonable that with the increased surface area of the dermal layers in the wound edges, the scar quality improves. The case study demonstrates the feasibility of the procedure.Conclusion:The bevelled 20° incision for brow repositioning and reshaping showed to be a viable and predictable procedure.

show abstract

“…Der von Lexer für die Straffung der Schläfen-und oberen Gesichtsregion beschriebene S-förmige Hautschnitt ist auch heute noch genauso in Gebrauch. Die heutige Schnittführung wird von vielen Plastischen Chirurgen von der Lokalisation genau so gemacht, jedoch mit einer "zickzackförmigen" oder ganz tangentialen Schnittführung an der Haargrenze, um die konsekutive Narbe zu verstecken [19]. Lexers daumenbreite Unterminierung der Haut über der Fascia temporalis superficialis beträgt heute meist deutlich mehr als nur eine "Daumenbreite", wodurch ein besserer Liftingeffekt erzielt wird.…”

Section: Diskussionunclassified

Aus der Frühzeit der Ästhetischen Chirurgie: Eugen Holländer (1867–1932) und Erich Lexer (1867–1937) als Face-Lift-Pioniere

Locher

Feinendegen²

2020

Handchir Mikrochir Plast Chir

Self Cite

View full text Add to dashboard Cite

Zusammenfassung Einleitung und Hintergrund Der Wunsch der Menschen nach besserem Aussehen zieht sich durch die gesamte Geschichte und erreichte Anfang des 20. Jahrhunderts auch die Plastische Chirurgie. Insbesondere ging es dabei um die Facelift-Chirurgie und die beiden deutschen Pioniere in diesem Feld: Eugen Holländer und Erich Lexer. Ziel der Arbeit Bei der Entwicklung der Facelift-Techniken wirkten die beiden Chirurgen Eugen Holländer und Erich Lexer entscheidend mit. Die Arbeit untersucht wie sich diese beiden Chirurgen mit dem Thema beschäftigten und welche Erkenntnisse sich daraus für die weitere Entwicklung der Facelift-Chirurgie ergaben. Methodik Anhand der alten Fachliteratur und Kongresszitaten werden die Lebensläufe von Eugen Holländer sowie Erich Lexer dargestellt, sowie ihre beruflichen Karrieren und ihre für die Facelift-Chirurgie entscheidenden Pionierarbeiten und Unterschiede dargestellt. Schlussfolgerung Sowohl Eugen Holländer als auch Erich Lexer führten unabhängig voneinander die ersten Facelifts in Deutschland durch (Eugen Holländer 1901). Dabei unterschieden Sie sich klar durch das operative Vorgehen. Im Gegensatz zu Holländer, der lediglich Hautresektionen zur verbesserten Gesichtsspannung durchführte, unterminierte Lexer die Haut auf mehrere Zentimeter. Auch bei der Naht-Technik unterschieden sich beide klar voneinander. So führte Lexer bereits tiefgreifende die Fascia temporalis superficialis miteinbeziehende Nähte zur langfristigen Spannungsentlastung durch. Lexer gilt somit zurecht als der eigentliche Pionier der modernen Faceliftchirurgie.

show abstract

Brow reduction, reshaping and suspension by a 20-degree beveled brow incision technique

Cited by 9 publications

References 20 publications

Outcome of Beveled versus Vertical IncisionTechnique after Reconstructive or Aesthetic Facial Surgery

Outcome of Beveled versus Vertical IncisionTechnique after Reconstructive or Aesthetic Facial Surgery

Flat Incision Technique for Reconstructive Brow Surgery: A Wound Healing Model and Clinical Evaluation

Aus der Frühzeit der Ästhetischen Chirurgie: Eugen Holländer (1867–1932) und Erich Lexer (1867–1937) als Face-Lift-Pioniere

Contact Info

Product

Resources

About

Brow reduction, reshaping and suspension by a 20-degree beveled brow incision technique

Cited by 9 publications

References 20 publications

Outcome of Beveled versus Vertical IncisionTechnique after Reconstructive or Aesthetic Facial Surgery

Outcome of Beveled versus Vertical IncisionTechnique after Reconstructive or Aesthetic Facial Surgery

Flat Incision Technique for Reconstructive Brow Surgery: A Wound Healing Model and Clinical Evaluation

﻿Aus der Frühzeit der Ästhetischen Chirurgie: Eugen Holländer (1867–1932) und Erich Lexer (1867–1937) als Face-Lift-Pioniere

Contact Info

Product

Resources

About

Aus der Frühzeit der Ästhetischen Chirurgie: Eugen Holländer (1867–1932) und Erich Lexer (1867–1937) als Face-Lift-Pioniere