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Objectives: The objective of this presentation is to show a new way to elevate the brown

Introduction: Frontal rejuvenation may include, in many cases, correction of the brown ptosis. The coronal lifting implies in long scalp scar and increases the frontal height. The endobrown lifting allows good results but presents a high incidence of relapses. In 2017 we published a new technique that combines two innovative concepts: subcutaneous frontal detachment with minimal incisions and temporary external cutaneous fixation. Besides these advantages, there is another. The frontal height doesn’t increase and even decreases in some cases.

Materials / method: Cylindrical and blunt dissectors are used, initially the straight and then the semi-curved and “L” shape. In very curved forehead the curved dissector is used.
Through two 3 mm intracapillary incisions the Viterbo’s dissectors are introduced into the subcutaneous plane with back and forth movements, and then with lateralization movements until the skin is completely released.
The extent of detachment should include the entire frontal region, going up to 5 mm below the eyebrows, continuing through the temporal region and para-orbital portion.

Results: The tissues are fixed in their new position using a skin a hook and the hemostatic net (HN) described by Auersvald. Running vertical sutures in columns with nylon 6-0 are applied in all detached area. Nylon 5-0 or up to 4-0 are used in thicker skins.
The lower skin is elevated and fixed with the hemostatic net. This produces an upper skin redundancy easily accommodated with single sutures.
Hemostasis is not performed because the hemostatic net is enough. Drains or dressings are not used.
After 48 to 72 hours the HN sutures are removed.
No necrosis of the skin flap, alopecia or infection were o

Conclusion: The technique called Gliding brow lift (GBL) allows effective and long-lasting results, with very low rates of complications and a high index of patient satisfaction.
These technique represents a new concept in frontal rejuvenation.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
Yes
Please specify date...: I receive royalties from FAGA
and status : related to the dissectors

This work was not supported by any direct or non direct funding. It is under the author's own responsability