Resumen

FUENTE DEL CAMPO, A.. Mini-invasive forehead-plasty. Cir. plást. iberolatinoam. [online]. 2009, vol.35, n.2, pp.91-100. ISSN 1989-2055.

The reduction of the bony structure of the face is the main reason of the flabbiness and fall of the facial soft tissues. Because we do not have already recourses to restore the lost bony volume, a good possibility is to reestablish a good relationship between the soft tissues and the present bony volume. Based on this principle we have developed the procedure of mini-invasive subperiosteal facial restoration. In this paper we described the application of this procedure to restore the frontal region. Since 1998 we have done this procedure with several variants and combinations according with the needs of each particular case, on 521 patients: 419 females and 102 males, from 45 to 73 years old. The maneuvers and instrumentation used to perform this procedure through frontal, palpebral or combining both approaches are described. Based on the Surgical Anatomy, orientation and advices to reach the goals of the procedure and to avoid complications are given. The ancillary procedures, which could be associated to this procedure, are described as well as the details of the post-op care. The observed complications are mentioned and a summary of the results obtained, which have been very satisfactory for the patients and the surgeon, is done. As a conclusion, the observations from our experience with this method along 10 years and the reasons because this is our first choice procedure, are exposed.

Palabras clave : Facelift; Facial ageing.

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