It's no secret that plastic surgeons are artists, sculptors and architects at the same time. The human body, from the point of view of anatomy, is usually divided into different zones and areas, which is mandatory when planning aesthetic operations. In plastic surgery of the face, eyebrows, forehead and eyelids are usually considered as a single complex, because surgical interventions with this approach give the best results. One of the most effective methods of lifting the forehead and eyebrows is the supraperiosteal lifting of the tissues of the upper two-thirds of the face, which is described in more detail by estet-portal.com.
Supraperiosteal forehead and brow lift technique
Supraperiosteal lifting of the tissues of the upper two-thirds of the face involves lifting the forehead, eyebrows, temporal and zygomatic areas of the face. Currently, this method of rejuvenation of the upper part of the face is considered the most effective, and quite often the operation is combined with blepharoplasty, if eyelid correction is necessary. The advantage of supraperiosteal lifting is not only the effectiveness of eliminating age-related ptosis of the eyebrows and forehead skin, formed under the influence of gravity, but also the ability to tighten the tissues of the middle part of the face. At the same time, the lifting effect is to some extent transferred to the cheek area. Often this method of lifting the forehead and eyebrows is recommended for patients with pronounced age-related changes in the face.
Forehead and brow lift:
- basic elements of a supraperiosteal forehead and brow lift;
- Supraperiosteal forehead and brow lift technique;
- Supraperiosteal forehead and brow lift results.
The main elements of the supraperiosteal forehead and brow lift
When lifting the forehead and eyebrows using the supraperiosteal tightening of the tissues of the upper two-thirds of the face, the following elements of surgical intervention are supposed to be performed:
- direct brow and forehead lift;
- elimination of excess overhanging of the skin over the upper eyelid and under the eyebrow – blepharochalasis;
- reducing the severity of skin lines of the glabella due to the excision of the muscles of the proud and the muscles that wrinkle the eyebrows;
- reduction of transverse wrinkles on the forehead, including due to resection of the frontalis muscle;
- external catopexy;
- decrease in the severity of the infraorbital furrow;
- creating the effect of a limited lift of the upper and middle parts of the cheek;
- minimal lift of the tip of the nose due to the upward displacement of the skin on the back of the nose.
Supraperiosteal forehead and brow lift technique
Forehead and brow lift begins with a coronal approach with tissue detachment above the periosteum and above the temporal fascia. The tissues are carefully separated to the required level, in accordance with the volume of intervention performed, the vessels are coagulated. An obligatory component of the operation is the intersection of strong fibrous bridges in the region of the upper outer part of the orbit, after which the eyebrow is easily displaced upwards. If there is an overhanging excess edge of the orbit, it can be resected. If necessary, excess intraorbital adipose tissue, muscles, wrinkled eyebrows and proud muscles are also removed. Next, the flap is formed and moved, while its movement in the cranial direction is usually 2-3 cm. After that, fixation sutures are applied with non-absorbable suture material. The excess flap is excised,
When carefully practiced and correctly performed, the supraperiosteal forehead and brow lift is a safe and very effective operation. With the help of this surgical intervention, it is possible not only to perform a frontotemporal lift, but also to tighten the tissues of the middle part of the face in the cranial direction. The final result of the operation is evaluated no earlier than after 6 months, when the scars become more mature. Such a long period is due to the fact that over time, under the influence of gravity and the work of mimic muscles, a partial loss of the achieved correction always occurs. In some cases, as a complication of surgery, paresis of the frontal branch of the facial nerve may occur, but this condition often resolves spontaneously within 10-50 days after the operation.
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