Borodko A.V.: "Features of the front lift"

Frontlift, like facelift, is a commonly performed procedure. The essence of the operation is to raise the upper third of the face in several ways. After the operation, patients immediately see the result and are very satisfied with it. The rehabilitation time is short and it is possible to repeat the operation if desired. What is the difference between open and laparoscopic front lift, does the placement of threads affect the possibility of performing an operation, is it possible to repeat the procedure, how often and what result can be achieved in an interview with estet-portal.com Borodko A.V.

Tell us about the indications for open front lifting?

Indication for this procedure, I consider the patient's desire to tighten the upper part of the face, in particular to raise the line of the eyebrows and bridge of the nose.

Is it possible to do a front lift after threading?

I don't see any problems with the threads that were put in before, except that they were non-absorbable threads, for example, the same Aptos made of nylon or polyamide, which can create more severe scarring around them. And those threads that are made of polylactic acid or polydioxanone do not give such scarring that would interfere with the front lift.

Is there a repeated front-lift procedure? What are the indications and what difficulties can be encountered?

It is possible to carry out a repeated front lift procedure, as well as, in principle, any facelift, a second, sometimes even a third time. In my practice was the fifth.
What difficulties can be – well, except perhaps a significant violation of tissue trophism in the area of ​​the front lift. This is a contraindication for the operation, and the doctor must avoid repetition.

What are the advantages and disadvantages of an open front lift over an endoscopic one?

If the frontal hairline is high enough, then the endoscopic front lift shifts it 3-4 cm back, that is, to the back of the head. This is not a positive thing.

Frontlift is carried out along the border of hair growth. A scalloped incision is made, which heals safely without any trace, and we keep the hairline. This is the first moment.

Second moment – even with subperiosteal detachment of the scalp, the trophism of the follicles is disturbed and partial hair loss is observed. Therefore, the plus of the front lift is in saving hair, and the minus – there is a visible scar. At first, it will be bright pink, noticeable. If the edges of the skin are matched without tension – this is achieved by lifting the frontal muscle aponeurotic flap - then the suture will be white and invisible.