Eliminating Frown Lines with an Endoscopic Forehead Lift Procedure (Corrugator Muscle Disinsertion)

Hafezi, Farhad; Naghibzadeh, Bijan; Nouhi, A H; Naghibzadeh, Ghazal

doi:10.1007/s00266-010-9649-9

Cited by 10 publications

(4 citation statements)

References 11 publications

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“…Among these, glabellar lines are perceived as obvious sign of aging and individuals with glabellar lines often seek treatment because these wrinkles can deliver erroneous impression of being annoyed or angry [11]. Currently, there are various methods used to treat these wrinkles, including surgery, botulinum toxin A (BXTA), and implants [11,12]. Accumulating evidence based on clinical trials has indicated that BXTA is an effective and safe aesthetic treatment method for glabellar lines [11,13].…”

Section: Discussionmentioning

confidence: 99%

Glabellar wrinkle improvement after forehead and periorbital micro-focused ultrasound treatment in Republic of Korea: a case report

et al. 2023

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Microfocused ultrasound (MFU) is a non-invasive treatment modality for skin tightening that induces multiple tiny thermal injury zones at focused areas resulting in neocollagenesis and skin lifting. This paper presents a 38-year-old female treated with MFU in the forehead and periorbital area, showing significant improvement in glabellar wrinkles, eyebrow lift, and skin regeneration. The pain during the MFU treatment was minimal, and the effects of the improvement in glabellar lines were maintained for eight weeks. The results suggest that MFU could be an effective treatment option for glabellar lines.

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Section: Discussionmentioning

confidence: 99%

Glabellar wrinkle improvement after forehead and periorbital micro-focused ultrasound treatment in Republic of Korea: a case report

et al. 2023

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“…Corrugator muscle excision (using endoscopic alligator forceps) and incision (cutting although the body of muscle) were initially the procedure of choice. Since a few patients developed postoperative glabellar depression, the technique was changed in muscle disinsertion 17 (see Video, Supplemental Digital Content 6, available at http://links.lww.com/IOP/A297, which demonstrates corrugator muscle disinsertion) and simultaneous fat globule graft (see Video, Supplemental Digital Content 7, available at http:// links.lww.com/IOP/A298, which demonstrates fat graft). The graft helps replace the volume and prevent the corrugator muscle readhesion.…”

Section: Methodsmentioning

confidence: 99%

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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“…21 Many other studies reported the ability of the subperiosteal surgical plane to allow full dissection and receive a durable and suitable lifting effect. [22][23][24][25] However, in our surgery without lifting devices or fixation sutures, if dissection occurred on the subperiosteal plane, the surgeon should break the firm periosteum before getting to the target muscles, which had unnecessary risks and extra operation time. Hence, we bluntly dissected the surface between the frontalis muscle and the periosteum, making it easier to process these muscles directly with clean and safe surgical methods.…”

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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Eliminating Frown Lines with an Endoscopic Forehead Lift Procedure (Corrugator Muscle Disinsertion)

Abstract: Disinsertion of the corrugator supercilli, procerus, or orbicularis oculi muscles can decrease contractility with less chance of damaging nearby or intermingled sensory nerves than offered by resection.

Cited by 10 publications

References 11 publications

Glabellar wrinkle improvement after forehead and periorbital micro-focused ultrasound treatment in Republic of Korea: a case report

Glabellar wrinkle improvement after forehead and periorbital micro-focused ultrasound treatment in Republic of Korea: a case report

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

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