Objectives: Looking for a new technique that provides minimal incisions, effective lifting of the eyebrow with durability, and still reshaping, we developed the technique called “Glinding Brow Lift” (GBL). The new technique combines two innovative concepts: subcutaneous frontal detachment with minimal incisions and temporary external cutaneous fixation.
Cylindrical and blunt dissectors are used through two 3 mm intracapillary incisions. The 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 region and allows mobilizing superiorly the skin, in sliding movement, taking with it the eyebrow and the temporal and para-orbital portion.
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 upper skin redundancy are accommodated with single sutures.
Hemostasis is not performed because the hemostatic net is enough. Drains or dressings are not used.
After 48 hours the HN sutures are removed.
The technique called Glinding brow lift (GBL) allows effective and long lasting results, with very low rates of complications and a high index of patient satisfaction.
Introduction: Temporal and zygomatic facial nerve branches ablation. A new technique to decrease frontal and glabelar wrinkles.
One of the goals of forehead and glabellar procedures is to treat and to prevent both dynamic and static rhytides. Traditionally, this is accomplished by botulinum toxin injection. However, this procedure has a temporary result. This report describes temporal and zygomatic facial nerve branches ablation, a novel, simple and long lasting technique for rhytides treatment and prevention.
By means of a temporal hairline punction, we stimulated the frontal muscle through a needle to locate the facial nerve branches trajectory. After its delimitation, the nerve fibers were then cauterized through use of the eletrocautery until there was no muscle contraction or at maximum a faint response to stimulation, reducing both dynamic and static rhytides. Subsequently, the same procedure was repeated on the other side of the face, if indicated. We also performed the same technique in the glabellar and nasal region to treat glabellar rhytides if indicated.
Temporal and zygomatic facial nerve branches nerve ablation provides a low cost, enduring and minimally invasive treatment to frontal and glabellar rhytides with complete forehead and partial glabellar rhytides disappearance.
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