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Cirugía Plástica Ibero-Latinoamericana

On-line version ISSN 1989-2055Print version ISSN 0376-7892

Abstract

ARACIL KESSLER, J.P. et al. Brow lift supported on polypropylen mesh. Cir. plást. iberolatinoam. [online]. 2006, vol.32, n.1, pp.01-09. ISSN 1989-2055.

The fronto-orbital region is of particular significance in the context of facial ageing. There is a considerable amount of research on the nature of this problem. This area has recently come to be considered as a therapeutic- diagnostic unit and surgical developments mean that focus is switching more towards less invasive physiological solutions. Our study aims to take another step in this direction. Taking a sample of 25 patients, all of them undergoing different procedures on the fronto-orbital region and with a lowering of the eyebrows, a suspension technique was introduced with minimum incisions supported by a polypropylene mesh attached to the frontal muscle and galea in the inferior extreme and to the periosteum and galea in the superior extreme in the supra-periosteum plane and without skin removal. A measuring system based on points of the facial skeleton was used. The results were subjectively and objectively satisfactory compared to those from more complicated and expensive techniques. Complications were of a slight and temporary nature. This section carries out an assessment of the reasons for selecting a polypropylene mesh and specific grammage. In addition, the properties of the material are analysed and its use in this context of preventing infection, tissue tolerance, scar reduction and adhesiveness. Justification of the site of dissection and the choice of positioning, and an assessment of the course of medication given in order to produce a set of controlled and objective results, will also be carried out. The aim of this work is to develop an alternative within minimally invasive techniques for the restructuring of the fronto-orbital region without skin removal and with good results in the correction of facial wrinkles compared to other more complicated and expensive techniques.

Keywords : Brow lift; Facial rejuvenation; Surgical mesh.

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