Trans-Palpebral Forehead-Plasty : Simulation of Endoscopic Forehead Lift
Upper face aging presents as sagging and volume change of eyebrows and temples , and also appearance of static and dynamic wrinkles in forehead.
In this study, an advanced foreheadplasty technique through upper blepharoplasty is introduced. In other words , whatever techniques in
endoscopic forehead lift is simulated through a minimal access trans-palpebral approach.
Methods/Technique
:A cohort of 54 patients experiencing age related changes of eyebrows and forehead underwent the trans-palpebral foreheadplasty between February 2020
to October 2022. This advanced technique involved predetermined upper lid skin excision , creation of orbicularis muscle window , supraorbital rim exposure
, neurovascular bundle skeletonization, supra orbital periosteal cut, completely dissected frontal and temporal pocket. Dynamic part of foreheadplasty is performed
through excision /division of Corrugator supercilli, deppercilli , procerus, orbicularis oculi muscles.
Results/Complications
:Transpalpebral foreheadplasty significantly raised the eyebrows at all predetermined points for each eye.
This elevation effect was maintained significantly for more than 18 months. Degree of softening of wrinkles
was statistically significant and correlated by extent of muscle action.
Conclusion
:The transpalpebral foreheadplasty emerges as reliable and effective method with low risk of complication.
The outcome of this minimal access technique is comparable to endoscopic foreheadplasty as standar
level of care.