Endoscopic frontoplasty: 3-year experience

Patrocı́nio, Lucas Gomes; Reinhart, Ramiro Javier Yépez; Patrocínio, Tomás; Patrocı́nio, José Antônio

doi:10.1016/s1808-8694(15)31018-1

Cited by 10 publications

(10 citation statements)

References 14 publications

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“…The use of endoscopes for the forehead was another important aid to rejuvenation in South American patients. 5 Forehead and midface lifts can help majority of these patients. However, one of the main flaws of upper face rejuvenation is the exclusive endoscopic treatment of thickskinned patients with deep frontal and glabellar wrinkles.…”

Section: Discussionmentioning

confidence: 99%

“…The surgical technique is divided into four major steps: (1) the endoscopic creation of a temporal and frontal pocket, (2) mobilization of the forehead and midface by subperiosteal dissection, (3) treatment of depressor muscles, and (4) the elevation and suspension of the mobilized forehead and midface to the deep temporalis fascia and galea. [5][6][7][8] On the temporal region, a 3-to 5-cm incision, perpendicular to the temporal line, is placed 3 cm behind the hairline. On the frontal region, two 3-cm incisions, parasagittal, at the level of the lateral iris, are placed 2 cm behind the hairline (►Fig.…”

Section: Surgical Technique Forehead/midface Liftmentioning

confidence: 99%

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The Facelift in South American Patients

2020

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South America is a vast territory; its people were made from all parts of the world. The miscegenation made a unique population comprised of Indian, Asian, Caucasian, African, Mestizo, Mulatto, and Zambo. The South American patients tend to have a wider face with a skin-soft tissue envelope (S-STE) that is thicker, heavier, and has less elasticity than the Caucasian patient. Upper eyelids may hood easily. In the same way, malar eminences and round face look are more prominent. The chin can be a little retracted. With aging, the S-STE tends to sag more, making nasolabial folds and jowl area more prominent, and redundant neck skin will appear loose and heavy. Facelift is popular in South American patients. They have peculiar characteristics like heavy dark sebaceous skin which lead to peculiarities in face lifting. It is usually a procedure designed to rejuvenate all thirds of the face. In the forehead, skin excision in temporal incisions is usually necessary. Midface subperiosteal lift is a possibility for heavy skin patients who need great improvement in the center of the face. The neck lift is almost indispensable to the rejuvenation of the lower third. Extended superficial muscular aponeurotic system or deep plane dissection is commonly performed so the soft tissues of the midface, the jowls, and the neck can be lifted to reestablish their youthful relationship with the underlying skeleton.

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Section: Discussionmentioning

confidence: 99%

Section: Surgical Technique Forehead/midface Liftmentioning

confidence: 99%

The Facelift in South American Patients

2020

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“…Sensibility always recovers although it may take months to do so. 9 Asymmetries are rare. They are usually due to the learning curve of the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…The frontal branch of the seventh nerve is contained in the overlying temporoparietal fascia and identification of the superficial temporal fat pad is an important landmark that assures the surgeon that the frontal branch of the facial nerve is lateral to the dissection. 9 The upper eyelid incision is performed the same fashion as for upper blepharoplasty. 10 Then, the dissection is performed in the plane between the orbital septum and orbicularis…”

Section: Surgical Techniquementioning

confidence: 99%

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Transpalpebral Eyebrow Lift

2016

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Forehead rejuvenation goals are to raise the eyebrow, attenuate forehead wrinkles, and decrease glabellar frown lines. Endoscopic forehead lift represents a significant progress, even replacing the classic coronal and pretriquial techniques. The transpalpebral eyebrow lift allows safe direct visualization of anatomic structures comparable to the allowed by the endoscopic-assisted technique but dispenses the endoscopic instrumentation, is less expensive, and takes less time to learn. Transpalpebral eyebrow lift is a technique that produces satisfactory results in mild-to-moderate eyebrow ptosis improving eyebrow lateral third ptosis and glabellar wrinkles.

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