Midforehead Incisions in Treatment of the Aging Face

Abstract

\s=b\The concept of total facial rejuvenation requires attention to all areas of the face, including the upper third. Recently there has been a resurgence of interest in this area of the aging face. Various clinical conditions may be seen as a single entity or in combination with others, and it is important for the facial aesthetic surgeon to diagnose and treat these conditions. The conditions first observed, diagnosis, and conventional surgical remedies are reviewed in an attempt to clarify the rationale for forehead lift v temple lift v browpexy v upper blepharoplasty. Mi d\x=req-\ forehead glabellaplasty (vertical and longitudinal), browpexy, and rhytidectomy are analyzed in depth, as well as the indications, contraindications, technique, and results. (Arch Otolaryngol 1982;108:732-734) In spite of the many procedures designed to reverse the signs of the aging forehead, we find that there are still certain patients who do not quite fit the criteria for these tech¬ niques but who still have an indica-

Gull Wing Midforehead Lift

“…Thus far, various techniques of brow elevation have been described as follows: either a direct brow lift with excision of skin direct above the brow or in front of the lateral hairline (subcutaneous brow lift), 1,2 the midforehead lift with excision of skin in between furrows, [3][4][5][6][7][8] and the pretrichial and posttrichial coronal lift with excision of skin either in front of the hairline or beyond the hairline. More recently, the endoscopic brow lift has been developed, which has resulted in a significant improvement in the surgical rejuvenation of the upper face.…”

“…Thus far, various techniques of brow elevation have been described, including the direct brow lift, 1,2 the midforehead lift, 3-8 the pretrichial and post-trichial coronal lift, [7][8][9][10][11] and more recently the endoscopic brow lift. [12][13][14] In most of patients, especially women, either an endoscopic forehead lift or an open forehead lift is the procedure of choice for correction of brow ptosis.…”