Plastic and Aesthetic Research
نویسنده
چکیده
Because alternatives exist for the full facelift (rhytidectomy), this procedure has become less popular overtime. In the past, forehead wrinkles were addressed with coronal[1,2] and endoscopically assisted forehead lift[3] procedures. Today, botulinum toxin and hyaluronic acid fillers are used for this purpose because they are more effective and result in less downtime. Lateral brow sag can be corrected by using the Fogli[4] and Knize[5] browlift techniques, Endotine® browlift[6] or sub‐brow fat augmentation.[7] The pretrichial incision is occasionally chosen, typically in facial feminization surgery, which includes supraorbital rim contouring and scalp advancement.[8] Although indications for facelift surgery remain, they are limited. A more recent approach to restoring a youthful appearance to the midface involves volume augmentation, although this is questionable.[9] Facial aging is thought to be primarily due to gravitational sagging because of the loss of collagenous support [Figure 1]; however, fillers provide more predictable results than lifting in this area. Furthermore, hyaluronic acid fillers are more predictable than micro fat grafting[10] and are safer to use around the eyes.[11] The lifting of tissues is more useful in the lower face (caudal extension of nasolabial folds and grooves, labiomental folds and grooves and jowls disrupting the jaw line) and neck (platysmal bands, skin excess). Hence, “cheek and neck lift” or “buccocervical lift” may be more appropriate terms for this type of procedure.
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