Robotic-Assisted Upper Face Rejuvenation

BLOCKINRobotic-assisted technology has not been used in aesthetic surgery so far. The authors examined the feasibility and potential advantages of robotic-assisted technology in upper face rejuvena-tion surgery, as well as utility of the tools available in the market. Forehead lift was performed along with blepharoplasty in 4 patients. Robotic da Vinci Surgical System (Intuitive Surgical, Inc.) was used at the stage of dissection. The stereo endoscope 30 degrees, 12 mm and later 8.5 mm in diameter, and the set of tools, 8 mm and later 5 mm in diameter, were used. Overall results appeared to be essentially the same as after usual endoscope-assisted brow lift. The advantages of the robotic-assisted surgery were as follows: the best possible display, scalability of the picture; lack of tremor, scalability of the movements' amplitude; high degree of freedom of movements exceeding human capabilities; quick and easy switch between the endoscope and any of the 3 manipulating arms; and enhanced comfort for a surgeon. The drawbacks noted were as follows: cost, steep learning curve, lack of tactile feedback, and absence of instruments specially adjusted for aesthetic surgery. The authors conclude that robots will enter the field of aesthetic plastic surgery in the same way as endoscopy, the proviso being to adjust tools to the specific needs. O ur aim was to examine the feasibility and potential advantages of robotic-assisted technology in aesthetic surgery, as well as utility of the tools available in the market. We have chosen the upper face rejuvenation surgery as the model because en-doscopy has been an established routine in this field. performed the robotic-assisted upper face rejuve-nation surgeries on 4 patients with moderate aging changes, all women of 37 to 45 years of age. Forehead lift was performed along with upper blepharo-plasty in each case under endotracheal anesthesia; the lower blepharoplasty was performed additionally in 2 patients. All patients provided the informed consent for the robotic-assisted upper face rejuvena-tion surgery. The dissection plane was under temporoparietal fascia in the temple and under periosteum in the forehead with periosteum division at the upper or-bital rim via 5 ports as described by Ramirez. 1 There were 3 forehead 2-cm incisions parallel to the hair growth line and 2 temporal incisions of 3.5 cm each. The Vicryl sutures (Ethicon, Inc., Somerville, N.J.) 3-0 were applied to shorten the frontoparietal scalp by plication, to pull and fasten fascia temporo-This is an open-access article distributed under …